Ontario homes participate in national collaborative to reduce use of antipsychotic medications 

Three Ontario Long Term Care Association members are participating in a national collaborative to reduce the use of antipsychotic medication in long-term care. 

Revera, Leisureworld Senior Care Corporation (renamed Sienna Senior Living as of May 2015), and Trinity Village in Kitchener are among 15 health care organizations selected by the Canadian Foundation for Healthcare Improvement (CFHI) to participate in the year-long collaborative, which began last September.

The initiative is focused on implementing non-pharmacological approaches to manage difficult behaviours, such as aggression, in long-term care. In particular, it builds on a project at the Winnipeg Regional Health Authority that identified a 27% reduction in antipsychotic medication over six months among a group of long-term care residents who received care using the P.I.E.C.E.S. (physical, intellectual, emotional, capabilities, environment, and social care) model.

Reducing the use of antipsychotic medication has been front and centre for Ontario’s long-term care sector in the past year. For the OLTCA members participating in the collaborative, the CFHI initiative provides an opportunity to tap into additional learning and support in order to build on efforts already underway in their organizations. 
Each team receives a $50,000 grant, as well as educational resources and access to coaches and experts in change management and spreading innovation. Opportunities to share experiences and results with other participating organizations are built into the design. 

While the Winnipeg project focused on the P.I.E.C.E.S. model, the three organizations will also draw on other approaches supported through the Behavioural Supports Ontario (BSO) initiative such as Montessori and U-First. 

The Canadian Foundation for Healthcare Improvement recently held a national conference on antipsychotic reduction, providing early feedback on the successes of this program and other efforts across Canada. Watch for more information on their findings and what member homes have learned in an upcoming issue of ​Long-Term Care Today