Implementation of an interdisciplinary psychotropic drug review process for community-based facilities

A continuing psychotropic drug review process developed and implemented in 1986 by a community-based agency serving individuals with mental retardation was described. This process has proven to be a feasible and effective system that has taken into account the practical realities of integration into the community and the use of community-based resources. The goals of establishing data-based interdisciplinary team review, utilizing concurrent alternative treatments, and prescribing psychotropic medication at the lowest effective dosage only to those individuals for whom it proves to make a positive difference have been met. For the residents of the agency's facilities, this process has led to a low psychotropic utilization rate of 17%. Dosage levels have been reduced for 75% of the individuals who have been prescribed psychotropic medication.