title: Improving the management of disruptive behavior and reducing antipsychotic medications in nursing facility residents.
abstract: OBJECTIVE
  The objective of this work is to improve the management of disruptive behavior in the nursing facility setting through an interdisciplinary team (IDT) approach to reduce the use of antipsychotic medications in accordance with the Centers for Medicare & Medicaid Services initiative.
  
  
  METHODS
  The process began with a search and review of more than 100 peer-reviewed articles, government, and association resources that focused on the management of disruptive behavior in older adults. While data were limited to the past 10 years, the vast majority of data reviewed were within the past 5 years. This information was reviewed and discussed by all of the coauthors who meet in person at the American Society of Consultant Pharmacists as a work group. This group was tasked with identifying strategies through an IDT to improve the management of disruptive behavior and reduce the use of antipsychotic medications in nursing facility residents. In addition, significant follow-up work was accomplished following the live working session.
  
  
  CONCLUSIONS
  Through an IDT, strategies can be implemented for long-term care residents to prevent and better manage disruptive behavior. These strategies can result in the reduction of the use of antipsychotic medications. The field of long-term care would benefit from further research to identify additional nonpharmacologic and pharmacologic treatments for managing disruptive behavior.
authors.affiliation: The Access Group, Berkeley Heights, New Jersey, USA; Mercy LIFE, Philadelphia, Pennsylvania, USA.
authors.forename: Richard G
authors.initials: RG
authors.lastname: Stefanacci
authors.forename: Robin
authors.initials: R
authors.lastname: Arnicar
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Clark
authors.forename: Joseph
authors.initials: J
authors.lastname: Gerber
authors.forename: Daniel
authors.initials: D
authors.lastname: Haimowitz
authors.forename: Aysha
authors.initials: A
authors.lastname: Kuhlor
authors.forename: Susan
authors.initials: S
authors.lastname: Scanland
mesh_terms: D000368:Aged; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D006801:Humans; D009735:Nursing Homes; D010595:Pharmacists; D000066553:Problem Behavior; D011785:Quality Assurance, Health Care
chemical_list: D014150:Antipsychotic Agents