Antipsychotic Drug Reduction through the Implementation of a Neurologically Oriented, Interdisciplinary Psycho-Diagnostic and Antipsychotic Stewardship Program

Steven L Posar; Anita Reid; Daniel M Heiser; Jose Pinon; Janean Kinzie

doi:10.1016/j.jamda.2023.08.025

Antipsychotic Drug Reduction through the Implementation of a Neurologically Oriented, Interdisciplinary Psycho-Diagnostic and Antipsychotic Stewardship Program

J Am Med Dir Assoc. 2023 Nov;24(11):1629-1631.e1. doi: 10.1016/j.jamda.2023.08.025. Epub 2023 Sep 25.

Authors

Steven L Posar¹, Anita Reid², Daniel M Heiser¹, Jose Pinon³, Janean Kinzie³

Affiliations

¹ GuideStar Eldercare, Crown Point, IN, USA.
² GuideStar Eldercare, Crown Point, IN, USA. Electronic address: [email protected].
³ American Senior Communities, Indianapolis, IN, USA.

PMID: 37770012
DOI: 10.1016/j.jamda.2023.08.025

Abstract

Antipsychotic utilization in skilled nursing facilities (SNFs) is a major focus of regulatory compliance and a key theme in resident care. This created opportunities for innovations in clinical care of behavioral and psychological symptoms of dementia (BPSD). In a shared initiative with one of our SNF operators, the authors implemented a joint clinician/facility program focused on rigorous clinical diagnosis and "best practices" in clinical care, specifically aimed at assessing and reducing antipsychotic use where appropriate.

Keywords: Antipsychotic stewardship; adverse drug effects; behavioral and psychological symptoms of dementia; dementia; long-term care; neurology forward; psychosis.

MeSH terms

Antipsychotic Agents* / therapeutic use
Behavioral Symptoms
Dementia* / diagnosis
Dementia* / drug therapy
Dementia* / psychology
Humans
Skilled Nursing Facilities

Substances

Antipsychotic Agents