Reducing Unnecessary Use of Antipsychotic Medication

Recorded On: 10/27/2014

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A large number of the individuals in skilled nursing centers are living with some type of dementia. For these individuals and as illness progresses, behavior often becomes a key form of communication. This can be challenging for families and staff, and too often, antipsychotic medication is used in an attempt to modify behavior. The use of antipsychotic medication to treat behavior associated with dementia is not supported clinically and is considered off-label by the FDA, which issued a “black box” warning for the elderly with dementia.

Antipsychotic drugs are expensive, costing hundreds of millions of Medicare dollars. They also increase the risk of death, falls with fractures, hospitalizations and other complications resulting in poor health and high costs.

The intent of the AHCA Quality Initiative goal to safely reduce the off-label use of antipsychotics is to encourage alternative strategies for responding to challenging behavioral expressions in persons living with dementia before considering medications and to ensure that antipsychotic medications, when used, are as appropriate and safe as possible.

Building Prevention into Every Day Practice: A Framework for Successful Clinical Outcomes is a framework designed by the Association’s Clinical Practice Committee that outlines guiding elements such as individualized care approaches, effective transitions of care, QAPI concepts, safety, risk management, team-based care, and diagnostic quality.  Care providers that use these resources can more effectively apply knowledge through organizational approaches and clinical care that leads to optimal patient outcomes and quality of life. Click here to register for this (free) resource. 

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The Antipsychotic Management Toolkit
Part 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotics Management Toolkit
Recorded 10/27/2014
Recorded 10/27/2014 On Demand Presentation
Part 2: Practical Application & Strategies AHCA/NCAL Antipsychotic Toolkit
Recorded 11/06/2011
Recorded 11/06/2011 On Demand Archive
The Antipsychotic Consumer Fact Sheet and 15 Ways to Use This
Antipsychotics Consumer Fact Sheet
Open to download resource.
Open to download resource.
Antipsychotics Consumer Fact Sheet 15 Ways to Use
Open to download resource.
Open to download resource.
Additional Resources:
CARES Online Training & essentiALZ Certification
Open to download resource.
Open to download resource.
A Guide to Reducing Antipsychotic Drugs While enhancing Care for Persons with Dementia: A Competency- Based Approach
Open to download resource.
Open to download resource.
The Antipsychotic Drug SBAR
Open to download resource.
Open to download resource.
NCAL AHCA