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

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.

Publication DOI: https://doi.org/10.1108/TLDR-09-2023-0020
Divisions: College of Health & Life Sciences > Aston Pharmacy School
College of Health & Life Sciences
Additional Information: Copyright © 2024, Emerald Publishing Limited. This author's accepted manuscript is deposited under a Creative Commons Attribution Non-commercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for non-commercial purposes, subject to full attribution. If you wish to use this manuscript for commercial purposes, please contact permissions@emerald.com
Uncontrolled Keywords: Challenging behaviour,Learning disabilities,Phychiatric Mental Health,Social Psychology,Developmental and Educational Psychology,Clinical Psychology,Psychiatry and Mental health
Publication ISSN: 1359-5474
Last Modified: 15 May 2024 07:23
Date Deposited: 15 Feb 2024 16:07
Full Text Link: http://wrap.war ... k.ac.uk/183147/
Related URLs: https://www.eme ... -0020/full/html (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2024-01-30
Published Online Date: 2024-01-30
Accepted Date: 2024-01-05
Authors: Adams, Danielle
Hastings, Richard P.
Maidment, Ian (ORCID Profile 0000-0003-4152-9704)
Shah, Chetan
Langdon, Peter E.

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