Presentation Title: Guidelines for Psychotropic Medication Treatment & Polypharmacy: Why Don’t We Practice What We Preach?
In this presentation, the problem of psychotropic polypharmacy in the care of individuals with IDD is addressed by looking at patterns of use at intake into START. Then looking at some of the current Best Practice Guidelines, we consider how out of alignment real world practices seem to be. Though there are a few guidelines around the world, the NICE (National Institute for Health and Care Excellence) guidelines from the United Kingdom(UK) are the most comprehensive, so was selected to give an overview of the most commonly suggested practices in this area. Some of the reasons that such extraordinary psychotropic polypharmacy is sadly common in the care of people with IDD are discussed, followed by an outline of possible remedies and including what START teams already do and might be able to do to help resolve this problem in our field.
- Participants will learn what are some of the most basic Best Practice guidelines that address issues related to psychotropic treatments of people with IDD
- Participants will be able to describe what Best Practices outline as important steps for use of antipsychotics to treat aggression in the care of individuals with IDD
- Participants will be able to identify steps they can take that may allow for reductions in ineffective psychotropic polypharmacy in the people they are supporting
Presenter: Lauren Charlot, PhD, Developmental Psychologist, Co-Chair of the Center for START Services Research Committee
Lauren Charlot, LICSW, PhD is a Developmental Psychologist who has been working with individuals with Intellectual and Developmental Disabilities (IDD) and severe co-occurring psychiatric disorders and challenging behaviors, for over 30 years. She developed and ran a specialized inpatient unit serving adolescents and adults with IDD, as well as running emergency respite and specialized outpatient mental health services. She has published original research and has lectured widely on a variety of topics related to the care of individuals with ID and ASDs (Autism Spectrum Disorders) across the United States, Canada and in Europe. Dr. Charlot is a consultant and trainer at the Center for START Services and serves as the Co-Chair of the CSS Research Committee.