The use of multiple medications to treat a certain condition. Can cause side effects through drug-drug interaction.

Polypharmacy

- Concern about high dose
- Polypharmacy 
- Need for staff training/awareness
- Physical problem may be causing behavior
- CB is prescribed for mental problem, when it is actually physical
- PRN
  - Open to abuse
- Wanted clear guidance to insure appropriate use
- Side effects and their impact on QOL
- Need for Regular medication reviews
- Importance of Shared Decision making
- Involving the person and their family in medication decisions
- Difference in staff attitude
- A balanced approach is needed
- Weighing benefit vs harm


Cedarville University

 - Often the first people to ask the prescriber for medication for CB
- They may be overly optimistic about the effects that it will have on the individual
  - Can be anxious and obstructive at the prescriber’s attempts to withdraw the medication
- Proper training and education is important for psychotropic medications to be effective and successful

Role of Direct Support Staff and Challenging Behaviors

Deb, S., Limbu, B., Unwin, G. L., & Weaver, T. (2023). The Use of Medication for Challenging Behaviors in People with Intellectual Disabilities: The Direct Care Providers’ Perspective. Journal of Mental Health Research in Intellectual Disabilities, 16(3), 253-274. https://doi.org/10.1080/19315864.2023.2192691

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