Reducing the Use of Off-Label Antipsychotics
Recorded on June 13, 2012 (60 minutes)
Antipsychotics are often used inappropriately in people with dementia, resulting in unnecessary harm to patients.  A stepwise approach including proper assessment, documentation, and non-drug management strategies is important to prevent unnecessary antipsychotic use.  If an antipsychotic is necessary, it should be selected based on efficacy, patient comorbidities, and side effects.  In this webinar, the presenters will describe a stepwise approach to behavioral management, which can be guided by use of a toolkit developed through a grant funded by the Agency for Healthcare Research and Quality.  This toolkit includes pocket guides, an algorithm, and a shared decision making guide for patient families.  This toolkit can be downloaded at no cost through a training website, which also includes brief lectures and resources to guide its use.

Learning Objectives

1.  Evaluate problem behaviors in dementia
2.  Identify non-drug strategies to manage problem behaviors in dementia using a person-centered approach.
3.  Select and monitor antipsychotic drugs, when appropriate, based on efficacy and side effects.


Ryan Carnahan
Assistant Professor (Clinical), The University of Iowa College of Public Health Department of Epidemiology

Lisa Uhlenkamp, Director of Quality, Iowa Health Care Association
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