Home | Clinical Practice | Antipsychotic use still rife in residential care: report
The AIHW released its first quarterly report on the National Mandatory Quality Indicator Program for residential aged care services this month.

Antipsychotic use still rife in residential care: report

Over half of elderly residents on antipsychotics have no diagnosis for psychosis, a national report has shown, reigniting calls to embed trained pharmacists into aged care. 

Last week, the Australian Institute of Health and Welfare (AIHW) released its first quarterly quality indicator report for residential care to include polypharmacy rates and antipsychotic usage.

It showed between July and September 2021, 41 per cent of older residents were taking nine or more medications.

Of the 20 per cent of residents prescribed antipsychotics, only 11.6 per cent had been diagnosed with psychosis.

Recommendations from the royal commission called for antipsychotic medicines to be a "last resort" in residential care due to their minimal benefit and increased harms of falls and stroke. 

National President of the Australian Pharmaceutical Society, associate professor Chris Freeman, said the findings were “deeply troubling”.

“It feels like groundhog day when it comes to medicine-related problems in aged care,” he said.

“The evidence is clear, the more medicines someone is prescribed, the more likely it is to cause harm.

“Embedding pharmacists in aged care is the obvious solution to address the longstanding issue of polypharmacy and chemical restraint in aged care facilities.”

The quality indicator report included data from nearly 90 per cent of eligible residential care services across Australia.

It found during July and September 2021, 23 per cent, or 38,914 elderly people in care, had been physically restrained.

A total of 57,599 falls were recorded, with 3,840 leading to major injury.

The report also found that 12,500 elderly residents had significant unexplained weight loss.

In July last year, the government implemented a $10 basic daily supplement per resident to deliver nutritionally adequate food.

There is currently no publicly available data on food spending.

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  1. OK – $460,000,000 sounds like a lot, but between 2700 nursing homes that equates to $17,037 per nursing home. That will not cover a staff member for 3 months!!! There has to be a better way than throwing inadequate amounts of money at the problem.

    • I think you may have your maths wrong there… it’s actually $170,370 to each home. It’s still nowhere near an adequate amount to fix the sector, I agree!

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