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Neuroleptics in dementia
 — two consecutive surveys of prescribing practice at the interface of hospital and primary care
Author(s)Franz Schembri Wismayer, Attila Sipos
Journal titlePsychiatric Bulletin, vol 23, no 7, July 1999
Pagespp 409-412
KeywordsDementia ; Drugs ; Psychiatric treatment ; General practice ; Interaction [welfare services] ; Longitudinal surveys ; Bristol.
AnnotationResearch evidence indicating high if not excessive rates of neuroleptic prescribing in US residential homes has led to growing concern and the implementation of specific legislation containing guidelines on prescribing. For the their study - conducted over two consecutive years - the authors surveyed neuroleptic prescription, documentation, follow-up arrangements and communication with primary care teams in the Old Age Psychiatric Service at the United Bristol Healthcare Trust. Their aim was to help to minimise the potential contribution of hospital practice to unnecessary or continuing unreviewed neuroleptic prescription in the community. The first survey led to the adoption of new clinical standards in the Old age Psychiatric Service. The second survey found improvements in all surveyed parameters. Clear communication of information around prescribing and follow-up arrangements could help to reduce unnecessary or continuing unreviewed community prescription of neuroleptics in this vulnerable group of patients. The authors suggest that further research and clinical audit at the hospital and primary care interface is needed. (RH).
Accession NumberCPA-990824250 A
ClassmarkEA: LLD: LP: L5: QK6: 3J: 8AB

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