Psych360 practices the guidelines recommended for non-psychopharmacological interventions and gradual dose reductions as the first line in treating agitated dementia. This means we implement gradual dose reductions of psychiatric medicine.
We performed a study with Kent State University to evaluate patient care with gradual dose reductions.
Results of the Kent State University Study in Collaboration with Psych360
Kent State University collected data on 400 of Psych360’s long term nursing facility patients from 2015 to 2018. Each patient’s data was collected over a six month period of treatment starting at the initial visit.
- 75% of these patients improved or remained stable
- 14% sustained a decrease or discontinuation of antidepressants
- 44.6% sustained a decrease or discontinuation of antipsychotics
- 14.4% sustained a decrease or discontinuation of mood stabilizers
- 30.2% sustained a decrease or discontinuation of anti-anxiety medicines.(5)
Gradual Dose Reduction for Your Residents
- We believe it is the right thing to do for the patient.
- It keeps your facility in compliance with CMS regulations.
(1) We would expect to see even higher numbers over a longer-time-framed study. Also, this number reflects the fact that our residents are elderly, with co-morbidities, and are on a continuous physical, and cognitive decline.
(2) This number is lower than the other medication types as antidepressants are a much safer option than antipsychotics and anxiolytics. These safer medications are used while reducing riskier medication types that contain FDA black warnings, such as antipsychotics.
(3)This is significant–this class has an FDA black box warning against use in the elderly with dementia (causes death, heart attack, and stroke). This is a part of your facility’s
(4) These are less regulated drugs than the other classes. We are looking at reducing this class as it can cause significant side effects and impairments. While typically safer than antipsychotics, and often used as an alternative, we look to reduce this drug dosage after the riskier classes of drugs are reduced.
(5)There are many rules and regulations on using this class of drugs in a PRN (as needed) basis. These drugs were never meant for long term use. They cause addiction, tolerance, dependency while increasing falls. This helps your facility stay compliant.