Emerging trends in the use of drugs to manage the challenging behaviour of people with intellectual disability

McGillivray, Jane and McCabe, Marita 2006, Emerging trends in the use of drugs to manage the challenging behaviour of people with intellectual disability, Journal of applied research in intellectual disabilities, vol. 19, no. 2, pp. 163-172, doi: 10.1111/j.1468-3148.2005.00251.x.

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Title Emerging trends in the use of drugs to manage the challenging behaviour of people with intellectual disability
Author(s) McGillivray, JaneORCID iD for McGillivray, Jane orcid.org/0000-0003-2000-6488
McCabe, Marita
Journal name Journal of applied research in intellectual disabilities
Volume number 19
Issue number 2
Start page 163
End page 172
Publisher Blackwell Publishing Ltd.
Place of publication Oxford, England
Publication date 2006-06
ISSN 1360-2322
Keyword(s) challenging behaviours
drug changes over time
intellectual disability
pharmacological management
Summary Background Concerns about the pharmacological management of the behaviour of individuals with intellectual disability have resulted in the development of legislative and procedural controls.
Method This Australian study provided a comparison of 873 reported cases where drugs were administered to manage behaviour in March 2000, with 762 cases reported in March 1993. Drug use in individuals who remained medicated across time (n = 316: recurrent sample) was also compared with those who were reported only in 1993 (n = 329: limited sample).
Results A small decrease in the proportion of individuals who were reported to have received medication was evident over time (from 5% to 4.5% of total population). However, this was accompanied by an increase in drug diversity and interclass polypharmacy. An increase in antidepressant use was evident (from 7.4% to 13.8% of reported drugs), and there was a trend towards greater reporting of medication for acute behavioural problems and medication use with children. Greater use of antipsychotic drugs was evident in individuals who remained medicated across time compared with those who did not.
Conclusions The findings suggest the need for continuous research into practice. The fact that many individuals receive medication over long periods makes it incumbent on service providers to engage in regular, comprehensive and individualized review and evaluation of medication regimes.
Notes Published Online: Jul 27 2005
Language eng
DOI 10.1111/j.1468-3148.2005.00251.x
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 970117 Expanding Knowledge in Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Blackwell Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30003943

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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