Use of Medication for the Management of Behavior Problems Among Adults With Intellectual Disabilities: A Clinicians' Consensus Survey

2008 ◽  
Vol 113 (1) ◽  
pp. 19-31 ◽  
Author(s):  
Gemma Louise Unwin ◽  
Shoumitro Deb

Abstract Current prescribing preferences among relevant experts regarding the use of psychotropic medication for the management of behavior problems in adults with intellectual disabilities in the absence of a diagnosed psychiatric illness was defined. We used a questionnaire design to synthesize the preferences of a large group, namely, clinical psychiatrists, thereby establishing a consensus. A total of 108 completed questionnaires were analyzed. A very strong preference for the use of nonmedication-based interventions was established. Of the medication options presented, atypical antipsychotics were most favored, with Risperidone the most preferred option from within this group. Citalopram was the most preferred antidepressant and Carbamazepine, the most preferred mood stabilizer/antiepileptic.

Author(s):  
Melissa L. González ◽  
Dennis R. Dixon ◽  
Johannes Rojahn ◽  
Anna J. Esbensen ◽  
Johnny L. Matson ◽  
...  

2009 ◽  
Vol 8 (3) ◽  
pp. 181-186 ◽  
Author(s):  
SHOUMITRO DEB ◽  
HENRY KWOK ◽  
MARCO BERTELLI ◽  
LUIS SALVADOR-CARULLA ◽  
ELSPETH BRADLEY ◽  
...  

2019 ◽  
Vol 13 (3/4) ◽  
pp. 144-151
Author(s):  
Amanda Sawyer ◽  
Johanna Lake ◽  
Yona Lunsky

Purpose The majority of adults with intellectual disabilities (ID) are prescribed at least one, if not multiple medications, with psychotropic medications being the most commonly prescribed. Direct care staff play an important role in psychotropic medication administration and monitoring, yet little is known about their knowledge and comfort with medication. The paper aims to discuss this issue. Design/methodology/approach A 15-item survey, focusing on self-reported knowledge and comfort with psychotropic medication, was completed by 152 direct care staff employed at three agencies providing residential services for individuals with ID across Ontario. Findings In total, 62 per cent of staff respondents reported that psychotropic medications were among the top medications regularly taken by the individuals they support, with behaviour listed as the most commonly reported reason for taking this medication. The majority of staff reported monitoring medication, however, the frequency of monitoring varied considerably. Generally, staff reported feeling comfortable and knowledgeable about medication use, but, most reported a desire for additional medication training. Originality/value This is the first Canadian study to examine staff knowledge and comfort regarding medication use, and the first study to assess PRN (“as needed”) as well as regularly administered medications.


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