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ASPIRE-Med project: a study protocol on an Australian psychotropic medicines training programme for disability

Macey Barratt1,2, Kathryn Speer3,2, Shoumitro Deb4

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This project protocol outlines a training program for disability support workers (DSWs) on appropriate psychotropic medicine use in individuals with intellectual and developmental disabilities. The training aims to enhance DSWs

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Community-Based Participatory ResearchDisabled PersonsMENTAL HEALTHMedicinePerson-Centered Care

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Area of Science:

  • Intellectual and Developmental Disabilities
  • Psychopharmacology
  • Healthcare Workforce Training

Background:

  • Overmedication of psychotropic medicines for behaviors of concern in individuals with intellectual and developmental disabilities (IDD) is a significant public health issue.
  • Disability Support Workers (DSWs) are crucial in managing psychotropic medication for adults with IDD.
  • There is a critical need for targeted DSW training on the appropriate use of these medications.

Purpose of the Study:

  • To develop a comprehensive training program for DSWs focused on the appropriate use of psychotropic medicines in individuals with IDD.
  • To improve DSWs' knowledge, confidence, and skills in managing psychotropic medications and supporting individuals with IDD.

Main Methods:

  • A participatory action framework and Universal Design for Learning approach will guide program development.
  • Co-production involving people with IDD, families, DSWs, healthcare professionals, and educational designers.
  • Key steps include needs analysis, literature review, focus groups, co-design events, field testing, a feasibility trial with a train-the-trainer model, and mixed-method process evaluation.

Main Results:

  • The training is expected to improve DSWs' knowledge of appropriate psychotropic prescribing for individuals with IDD.
  • Enhanced confidence in communication with healthcare professionals and application of non-pharmacological strategies.
  • Promotion of shared decision-making, advocacy for medication reviews, and positive interactions.

Conclusions:

  • The developed training program aims to equip DSWs with essential skills for appropriate psychotropic medicine management in IDD.
  • The program's co-production and dissemination across Australia, offered free to DSWs, ensures broad accessibility.
  • Successful implementation is anticipated to positively influence client outcomes and support practices for individuals with IDD.