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J Appl Res Intellect Disabil. 2019 Feb 20. doi: 10.1111/jar.12577. [Epub ahead of print]

Support staff's perceptions of discontinuing antipsychotics in people with intellectual disabilities in residential care: A mixed-method study.

Author information

1
Esdégé-Reigersdaal, Heerhugowaard, The Netherlands.
2
Department of Nursing Science, University Medical Centre Utrecht, Utrecht, The Netherlands.
3
Inholland University of Applied Sciences, Amsterdam, The Netherlands.
4
De Rotonde, Centre of Expertise ID-MH, Heerhugowaard, The Netherlands.
5
School of Health Care, Zwolle, The Netherlands.
6
Department of Dermatology and Allergology, University Medical Centre, Utrecht, The Netherlands.
7
Clinical Health Sciences, University Medical Centre, Utrecht, The Netherlands.
8
Department of Psychiatry, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
9
Parnassia Psychiatric Centre, The Hague, The Netherlands.
10
GGZ-VS Academy for Masters in Advanced Nursing Practice, Utrecht, The Netherlands.

Abstract

BACKGROUND:

Although there is little evidence on their efficacy regarding challenging behaviour, antipsychotics are the most used psychotropic drugs in residential intellectually disabled people. Discontinuation is possible for some residential clients with intellectual disabilities. This study aimed to gain insight into support staff's perceptions of discontinuing antipsychotics in residential clients with intellectual disabilities.

METHOD:

Four focus groups were conducted in this mixed-methods study, followed by a survey.

RESULTS:

A large majority of support staff perceive antipsychotics to be effective in controlling challenging behaviour. Support staff regarded themselves as willing to contribute to the discontinuation of antipsychotics, but were more confident about achieving reductions.

CONCLUSIONS:

The attitude of the majority of support staff towards discontinuation provides a good basis for regularly reviewing antipsychotics use. A reduction plan should include preliminary steps, methods of monitoring and evaluating the process, and establishing measures for dealing with possible crises.

KEYWORDS:

antipsychotics; challenging behaviour; intellectual disabilities; mixed methods; perceptions

PMID:
30790388
DOI:
10.1111/jar.12577

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