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Backhouse, Tamara 
ORCID: https://orcid.org/0000-0001-8194-4174, Killett, Anne ORCID: https://orcid.org/0000-0003-4080-8365, Penhale, Bridget ORCID: https://orcid.org/0000-0002-8487-0606, Burns, Diane and Gray, Richard
(2013)
Behavioural and psychological symptoms of dementia and their management in care homes within the East of England: A postal survey.
Aging & Mental Health, 18 (2).
pp. 187-193.
ISSN 1360-7863
Abstract
Objectives: To determine the prevalence of antipsychotic use in care homes. To explore which behaviours care home staff can find difficult to manage and which non-pharmacological interventions are currently used within care homes to help cope with behavioural and psychological symptoms of dementia. Method: A postal survey sent to all care homes registered as specialising in the care of older people or/and older people with dementia within four counties in the East of England (n ¼ 747). Results: Questionnaires were returned from 299 care home managers (40%). The vast majority (n ¼ 200, 73%) reported having at least one resident with an antipsychotic prescription in their home. Twelve percent (n ¼ 1027) of care home residents were reported to be prescribed antipsychotic medications. Aggression was most frequently reported, by 37% (n ¼ 109) of care home managers, as a difficult behaviour to manage. Non-pharmacological interventions were reported to be used in 87% (n ¼ 253) of care homes. The interventions most commonly used in care homes to manage difficult behaviours were reminiscence (75%, n ¼ 219) and music therapy (73%, n ¼ 213). Conclusion: This survey was a first attempt to estimate the use of antipsychotics in care homes. Despite measures to reduce antipsychotic use for all people with dementia in England, we found that 12% of care home residents were still prescribed antipsychotic medication. Around half of all care home managers reported they had experienced behaviours they found difficult. Antipsychotic medications and a variety of non-pharmacological interventions appear to be used concurrently in many care homes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | care homes; homes for the aged; antipsychotic agents; non-pharmacological interventions; behavioural and |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Rehabilitation Sciences (former - to 2014) |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Participation (former - to 2013) Faculty of Medicine and Health Sciences > Research Groups > Improving Access to Care (former - to 2017) Faculty of Medicine and Health Sciences > Research Groups > Health in Later Life (former - to 2017) Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health |
| Depositing User: | Pure Connector |
| Date Deposited: | 06 Jan 2014 14:44 |
| Last Modified: | 19 Oct 2023 01:12 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/45909 |
| DOI: | 10.1080/13607863.2013.819834 |
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