northumberland, tyne & wear medication project
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Transcript of northumberland, tyne & wear medication project
Northumberland Tyne & Wear NHS Foundation Trust
Project team: Dr D Patil, Consultant Psychiatrist, Dr D Conway, Consultant Clinical Psychologist, C Thomas, Lead Pharmacist, K Bell, Nurse Behaviour Therapist, Dr G Boynton, Speciality Doctor, Gail Kay, Directorate Manager, Tim Docking, Group Director, Tony Quinn, Service Manager
• One of the largest Learning Disability and Mental Health Trusts in the country
• Has a number of locality community LD teams
• Multi-disciplinary• Co-located teams• Good stakeholder engagement with
neighbouring Trusts, CCGs, Social care and Voluntary Sector
• Good service user and carer engagement • Good research links
What are the issues? High rates of prescribing psychotropic medication for people with LD and behaviours that challenge No standardised pathway for prescribing
anti-psychotics, mood stabilisers, anti-depressants andbenzodiazepines for LD and behaviours that challenge No standardised guidance for the integration of pharmacological and non pharmacological approaches Mixed views and experience of medication use by service users and carers
At least it feels like somebody is doing something
Can you not just give him something?
I got my son back
What we want to do To gather baseline data on number of adults with CB
on anti-psychotics, mood stabilisers anti-depressants and benzodiazepines
Development of standardised pathway for prescribing
Integration with and development of non pharmacological pathways (e.g. Positive Behaviour Support pathway for CB)
Develop way of measuring clinical outcomes and audit pathway