CANHR is resolved to end the misuse of psychoactive drugs in nursing homes. This blog is our primary forum for discussing how to change the pro-drugging culture of most nursing homes, physicians and nursing staff. Please help us by sharing your experiences, newsworthy developments and suggestions here.

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The 70% Left Behind

On Friday, the Center for Medicare and Medicaid Services (CMS) announced its new goals for reducing antipsychotic drugs in nursing homes. Touting the 15% reduction in antipsychotic use in nursing homes since 2011, CMS wants antipsychotic use to decline by … Continue reading

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New Hampshire Assisted Living Facility Eliminates Off-Label Antipsychotics

Reinforcing the notion that commitment and effort is 90% of success, a New Hampshire assisted living facility has eliminated off-lable use of antipsychotics for residents with dementia. The success of Granite Ledges, in Concord, New Hampshire, was recently reported in … Continue reading

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Are Anti-Anxiety Drugs Anti-Elderly?

by Anthony Chicotel, CANHR Staff Attorney I recently re-checked the American Geriatric Society’s updated Beers Criteria and was struck by its strong admonishment against the use of benzodiazapenes, including popular anti-anxiety drugs like Xanax, Ativan, and Restoril, for older adults. … Continue reading

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Class Action Informed Consent Cases – What Do They Mean?

In the past month, there have been two media stories involving class action lawsuits brought by the Johnson Moore law firm against Ventura County nursing homes.  One case recently settled and the other was just recently filed.  Both cases allege … Continue reading

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U.S. Attny: Unnecessary Drugs = Inadequate, Substandard, and Worthless Services

In a thunderbolt from the U.S. Attorney’s Office, two Country Villa nursing homes in Watsonville have been sued for False Claims Act violations related to the overmedication of residents, many of whom had dementia and were chemically restrained. The lawsuit … Continue reading

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Great Dementia Care Newsletters from New York City Alz. Ass’n

CANHR recently learned about a series of free newsletters on dementia care available for free from the New York City chapter of the Alzheimer’s Association. The topics covered include interpreting resistance to care, addressing sundowning, and enhancing mealtimes. The newsletters … Continue reading

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State and Feds Issue Joint Statement to Stop Drug Misuse

In a rare joint statement of the California Department of Public Health (DPH) and the federal Center for Medicare and Medicaid Services (CMS), nursing homes have been warned once more that misuse of antipsychotic drugs is being targeted for eradication. … Continue reading

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Serial Trial Intervention – A Promising Alternative to “Therapeutic Nihilism”

by Anthony Chicotel, CANHR Staff Attorney I was recently reviewing a couple of studies about the effectiveness of the Serial Trial Intervention (STI) approach to dementia care and was struck by the findings.  In short the STI approach uses physical … Continue reading

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American Geriatric Society Raises Question About Cholinesterase Inhibitors

The American Geriatrics Society recently released a part 2 to “Five Things Physicians and Patients Should Question” in the on-going ABIM Foundation’s “Choosing Wisely” series.  The first AGS “Five Things” focused a great deal on drugs and dementia and the second one … Continue reading

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Did Physical Restraint Reduction Lead to Increased Chemical Restraint Use in Nursing Homes?

When looking broadly at the numbers of nursing home residents who were physically or chemically restrained for the past twenty years, the dramatic reduction in physical restraints and simultaneous increase in psychotropic drug use seems to suggest that providers simply … Continue reading

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