Abstract
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. Four focus groups were conducted in this mixed-methods study, followed by a survey. 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. 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.
References
Jan 1, 1987·Research in Developmental Disabilities·M G AmanA J White
Dec 1, 1995·Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists·P MayS Spreat
Feb 1, 1996·Journal of Intellectual Disability Research : JIDR·N N SinghY N Singh
Apr 30, 1999·Journal of Intellectual Disability Research : JIDR·L ChristianA Poling
May 2, 2000·The British Journal of Psychiatry : the Journal of Mental Science·Z AhmedJ Thomas
Jan 31, 2002·Pharmacopsychiatry·J J StolkerW A Nolen
Oct 11, 2008·Research in Developmental Disabilities·Johnny L Matson, Daniene Neal
Dec 17, 2008·Research in Developmental Disabilities·Jose de LeonNirbhay N Singh
Oct 9, 2009·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Shoumitro DebUNKNOWN Guideline Development Group of the WPA Section on Psychiatry of Intellectual Disability
Apr 30, 2010·Journal of Intellectual Disability Research : JIDR·Gerda de KuijperH Evenhuis
Oct 11, 2012·Journal of Intellectual Disability Research : JIDR·G de KuijperP J Hoekstra
Mar 13, 2016·Journal of Applied Research in Intellectual Disabilities : JARID·Gemma UnwinTanya Deb
Nov 14, 2016·The Lancet. Psychiatry·Rory Sheehan, Angela Hassiotis
May 4, 2017·Journal of Applied Research in Intellectual Disabilities : JARID·Gerda de Kuijper, Annette A J van der Putten
Sep 1, 2004·Irish Journal of Psychological Medicine·Claire StevensonSally-Ann Cooper