Psychotropic Medications and the Transition into Care: A National Data Linkage Study
Maguire et al. (2013) followed a cohort of older people living in the community in NI as they moved into long-stay residential care. It used the Enhanced Prescribing Database (EPD), a unique centralised database of all prescriptions dispensed in community pharmacies in NI, to determine the proportion of patients who moved into care between January 2009 and January 2010 who commenced psychotropic medication before entry and the change in psychotropic medication use during the transition into care and after entry. For a small proportion of residents in care homes, use of psychotropic medication was a continuation of a medication regime that had been started before entry. However, one in six individuals with no history of psychotropic drug use in the 6 months before entry had been exposed to at least one antipsychotic prescription within six months of entering care. As well as highlighting the need to focus on reducing psychotropic drugs in care homes, the authors argue that the international concern about the level of psychotropic medication use should be extended to include all older people and not just those with dementia, focus on all types of psychotropic medication and include those living in the community.
MAGUIRE, A., HUGHES, C., CARDWELL, C. and DERMOT O’REILLY. 2013. Psychotropic Medications and the Transition into Care: A National Data Linkage Study, Journal of the American Geriatrics Society. 61, pp. 215–221.