Behavioural and psychological symptoms of dementia and their management in care homes within the East of England: A postal survey

Backhouse, Tamara ORCID:, Killett, Anne, Penhale, Bridget ORCID:, 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

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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
Depositing User: Pure Connector
Date Deposited: 06 Jan 2014 14:44
Last Modified: 28 Oct 2022 14:30
DOI: 10.1080/13607863.2013.819834

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