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Exploring stakeholder perspectives on antipsychotic use for challenging behaviours in intellectual disabilities using
Aoibhin McCool1,2, Gurjot Brar2,3, Owen Doody4
1National Academic Intern Network Programme, Ireland.
Aims:
Adults with intellectual disability frequently experience challenging behaviours and are prescribed antipsychotics (AP). Management of challenging behaviours remains controversial and AP use is often based on low-quality evidence. Our study explores the development of educational resources with healthcare workers and paid carers regarding the use of AP.
Method:
A mixed-methods approach utilised a "World Café Event". Thematic analysis and descriptive analysis were conducted.
Results:
Participants reported the importance of training that explores the balancing of the risks and benefits of AP use and the setting of a pluralistic approach towards treatment. We identified the need for further education of caregivers to improve confidence in AP prescribing to facilitate correct protocols and dose tapering where possible.
Clinical Implications:
Engaging mixed disciplines to discuss medication safety is feasible using a World Café approach and useful to create shared values, identify knowledge gaps and promote change via a social movement.
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