Stakeholder experiences of deprescribing psychotropic medicines for challenging behaviour in people with intellectual disabilities

Adams, Danielle, Hastings, Richard P., Maidment, Ian, Shah, Chetan and Langdon, Peter E. ORCID: https://orcid.org/0000-0002-7745-1825 (2024) Stakeholder experiences of deprescribing psychotropic medicines for challenging behaviour in people with intellectual disabilities. Tizard Learning Disability Review. ISSN 1359-5474

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Abstract

Purpose: Evidence of overprescribing of psychotropic medicines to manage challenging behaviour in people with intellectual disabilities has led to national programmes within the UK to promote deprescribing, such as stopping the overprescribing of medication in people (with learning disabilities, autism or both). To successfully implement deprescribing initiatives, we need to understand how to engage stakeholders in the process. Design/methodology/approach: In a published systematic review, we reported evidence about the process of deprescribing psychotropic medicines for people of all ages with intellectual disabilities and challenging behaviour. As a part of the original review, we searched for evidence about stakeholders’ experiences of the psychotropic deprescribing process, which was synthesised and reported within the current study. Findings: Six studies were identified. Involving carers and people with intellectual disabilities, providing ongoing support and improving access to non-pharmacological interventions, including positive behaviour support, may contribute to successful outcomes, including reducing or stopping psychotropic medicines and improving quality of life. Implementing psychotropic deprescribing requires a multidisciplinary collaborative care approach and education for stakeholders. Originality/value: There have been no previous reviews of stakeholder experiences of deprescribing psychotropic medications for people with intellectual disabilities and challenging behaviour. The existing literature is scant, and further research is needed.

Item Type: Article
Additional Information: Publisher Copyright: © 2024, Emerald Publishing Limited.
Uncontrolled Keywords: challenging behaviour,learning disabilities,phychiatric mental health,social psychology,developmental and educational psychology,clinical psychology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2900/2921
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 05 Mar 2024 10:32
Last Modified: 05 Mar 2024 10:32
URI: https://ueaeprints.uea.ac.uk/id/eprint/94573
DOI: 10.1108/TLDR-09-2023-0020

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