Pattern of prescription of psychotropics (antipsychotics, antidepressants and benzodiazepines) in Western Australian residential aged care facilities

Intern Med J. 2021 Dec;51(12):2140-2143. doi: 10.1111/imj.15608.

Abstract

Behavioural and psychological symptoms of dementia are exhibited by up to 90% of residents in aged care facilities and are associated with a risk of inappropriate use of psychotropic drugs. This study examined the prevalence pattern of psychotropic drug use in 409 residents from 11 residential aged care facilities in Western Australia. Sixty-four (n = 64; 15.6%) residents were not prescribed any psychotropic drug, 345 (84.4%) were prescribed at least one psychotropic drug and between 4 and 10% were prescribed high doses, depending on the class of psychotropic. Despite increasing awareness of inappropriate psychotropic drug use in this population, targeted and effective interventions are required to improve psychotropic prescribing practices.

Keywords: dementia; long-term care; nursing home; older adult; psychotropic.

MeSH terms

  • Aged
  • Antidepressive Agents / therapeutic use
  • Antipsychotic Agents* / therapeutic use
  • Australia / epidemiology
  • Benzodiazepines / therapeutic use
  • Dementia* / diagnosis
  • Dementia* / drug therapy
  • Dementia* / epidemiology
  • Homes for the Aged
  • Humans
  • Nursing Homes
  • Prescriptions
  • Psychotropic Drugs / therapeutic use

Substances

  • Antidepressive Agents
  • Antipsychotic Agents
  • Psychotropic Drugs
  • Benzodiazepines