title: Psychotropic and Anticonvulsant Medication: Individuals With Intellectual and Developmental Disabilities Who Transitioned to the Community From an Institution.
abstract: Influenced by Georgia's settlement agreement with the United States Department of Justice relating to the enforcement of the Americans with Disabilities Act, an increasing number of individuals with intellectual and developmental disabilities (IDD) are transitioning from institutions to community living. In this study we evaluate the pattern of medication use among individuals who recently transitioned to the community (IRTC), comparing results to the IDD population already residing in the community (comparison group). Average use and prevalence rates were trended over time, between January 1, 2010, and December 31. 2012. Findings indicate a significant increase in medication use in the IRTC and comparison group, with a greater and faster increase in the IRTC population. We suggest the transition process should be examined and revised, ensuring adequate preparation time and training for each person and relevant staff, particularly on medications and challenging behaviors. Several demographic trends were also significant and are discussed.
authors.forename: Susan
authors.initials: S
authors.lastname: Kelly
authors.forename: Yani
authors.initials: Y
authors.lastname: Su
mesh_terms: D000293:Adolescent; D000328:Adult; D000927:Anticonvulsants / Q000145:classification / Q000627:therapeutic use*; D003156:Community Mental Health Services; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence*; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000188:drug therapy*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010360:Patient Transfer; D011619:Psychotropic Drugs / Q000145:classification / Q000627:therapeutic use*; D014481:United States; D055815:Young Adult
chemical_list: D000927:Anticonvulsants; D011619:Psychotropic Drugs
keywords: Americans With Disabilities Act Settlement; Department of Justice; average usage; challenging behaviors; intellectual and developmental disabilities; prevalence; psychotropic/anticonvulsant medication; transition from institution