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Exploring Connections Between Living Situations and Antipsychotic Prescribing Practices for People With Intellectual
Eion Plenn1, Calista Long1, Samantha Acri1
1Penn State College of Medicine Hershey Pennsylvania USA.
Psychiatric Research and Clinical Practice
|April 2, 2025
Summary
Living situation did not predict antipsychotic use in adults with intellectual disabilities (ID). Male gender and higher medication counts were significant factors influencing antipsychotic prescriptions in this population.
Area of Science:
- Psychiatry
- Intellectual Disabilities Research
- Pharmacology
Background:
- Antipsychotic prescribing in individuals with intellectual disabilities (ID) raises concerns regarding appropriateness and safety.
- The influence of living situations on these prescribing patterns remains under-investigated.
Purpose of the Study:
- To examine the association between living situation and antipsychotic prescription rates in adults with ID.
- To identify factors influencing antipsychotic use in this demographic.
Main Methods:
- Retrospective chart review of 112 adults with ID from 2019-2021.
- Analysis of living situations, antipsychotic class, mental health diagnoses, and polypharmacy.
- Univariate and multivariate statistical analyses were employed.
Main Results:
- Univariate analysis showed a link between non-familial/group home living and antipsychotic prescriptions.
- Multivariate analysis indicated living situation was not a significant predictor.
- Male gender and a higher total medication count were significant predictors of antipsychotic prescriptions.
Conclusions:
- Living situation alone does not appear to be a primary driver of antipsychotic prescriptions in adults with ID.
- Male gender and polypharmacy are critical factors to consider in prescribing decisions.
- Tailored interventions and vigilant monitoring are essential for this population.
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