Antipsychotics in Perspective: Past, Present, and Future (Article 2 of 3).

Area of Science:

• Geriatric Medicine
• Pharmacology
• Healthcare Policy

Background:

• The history of antipsychotic use in nursing homes mirrors broader healthcare system limitations.
• Issues surrounding antipsychotic use are not unique to these medications or nursing home settings.

Discussion:

• Current assumptions about behavior, medication's role in person-centered care, and causes of inappropriate use are often oversimplified.
• This article examines diverse perspectives and stakeholders involved in efforts to manage antipsychotic use.

Key Insights:

• Efforts to reduce unwarranted antipsychotic prescriptions in nursing homes are ongoing and complex.
• Understanding the multifaceted nature of medication use is crucial for effective interventions.

Outlook:

• Lessons learned from past initiatives are vital for future improvements in antipsychotic stewardship.
• This analysis sets the groundwork for evidence-based recommendations in subsequent articles.