Author Archives: achicotel

About achicotel

Anthony Chicotel is a staff attorney for CANHR. His areas of expertise include the rights of long-term care residents, nursing home litigation, health care decision-making, and conservatorships.

Center for Medicare Advocacy Calls Overuse of Antipsychotics “Elder Abuse”

The Center for Medicare Advocacy (CMA) has issued an excellent alert decrying and analyzing the continued overuse of antipsychotics in nursing homes.  As of 2016, over 270,000 nursing home residents are still being drugged with antipsychotics, despite over ten years … Continue reading

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Canada Ready to Save Tons of Money by Reducing Antipsychotic Use

A recent study performed by RiskAnalytica and funded by the Canadian Foundation for Healthcare Improvement has found that reducing and discontinuing the use of antipsychotic drugs in long term care facilities could save Canada $6.7 billion in reduced healthcare costs … Continue reading

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CANHR’s Comments on Proposed Hospital Antipsychotic Quality Measure

California Advocates for Nursing Home Reform (CANHR) applauds the proposal to create a quality measure based on antipsychotic use in older adults in hospitals. For several years, CANHR has been part of the national CMS campaign to eliminate inappropriate antipsychotic … Continue reading

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What to Like and What to Loathe in the New APA Antipsychotics & Dementia Guidelines

The American Psychiatric Association recently released its new “Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients with Dementia.” In 2013, the APA surprisingly took a modest anti-drugging stance regarding the use of antipsychotics to … Continue reading

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Another Reason to Avoid Psychotropics: Increased Disruptions in Care

A new study in the Journal of the American Geriatrics Society has found that antipsychotic and benzodiazepine (antianxiety) prescriptions are associated with a higher number of “transitions” (a physical move from one care environment to another) for people with dementia. … Continue reading

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New Study: Antipsychotics Substantially Increase Risk of Death for People with Parkinson’s

A new study to be published in JAMA Neurology finds that people with Parkinson’s disease who are given antipsychotic drugs are a whopping 2.35 times more likely to die within six months than those who are not.  The study compared … Continue reading

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Support SB 938 (Jackson)

SB 938 (Jackson) is a CANHR-sponsored bill to amend Probate Code Section 2356.5. Section 2356.5 permits conservators to seek special powers to authorize the involuntary administration of psychotropic drugs to conservatives with dementia. SB 938 requires greater detail from a conservatee’s … Continue reading

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Red Flags A’Risin

CANHR recently received the results of the Department of Public Health’s 2015 special Dementia Care Focused Surveys. Four nursing homes were surveyed and myriad violations found related to dementia care. Many of the violations were quite serious and all of … Continue reading

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What Leisure Court Tells Us About the State of Dementia Care

Last month, the Department of Public Health released a small Class B citation with a modest $1,000 fine against Leisure Court Nursing Center, a nursing home in Anaheim.  The facility was cited for poor dementia care practices, exacerbated by a … Continue reading

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Antipsychotic Use Increases with Age

A new study from the Journal of Clinical Psychiatry looked at the patterns of antipsychotic drug use by age and gender and made some surprising findings. Among them: The majority of antipsychotic drug prescriptions are for a non-FDA-approved use, regardless … Continue reading

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