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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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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Golden Living (Redding) Hit with Drugging Citation

Golden Living Center in Redding was the subject of a Class A citation from the Department of Public Health (DPH) earlier this year that hopefully represents a shift in enforcement of nursing home rules against the irresponsible use of psychotropic … Continue reading

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Music That Moves People

Last month, at the Sundance Film Festival, a documentary about an exciting dementia care program, “Alive Inside,” was tabbed for the vaunted Audience Award in documentary films. The film centers on the power of music to stimulate the mind, even … Continue reading

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DPH to Hospitals: Psych Drug Reductions Start With You

This week, DPH released an All-Facilities Letter (AFL) #14-05 to hospitals regarding nursing home obligations to verify informed consent for psych drugs before administering them. You may wonder: why would DPH send a letter to hospitals about nursing home responsibilities? … Continue reading

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DPH’s Kinda Good New Informed Consent Guidelines

DPH gave nursing home residents a mixed-bag holiday gift regarding informed consent just before the new year. DPH released All-Facilities Letter (AFL) #13-38 and accompanying “Frequently Asked Questions” (FAQ) document regarding informed consent. The new FAQ form revised and added … Continue reading

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Study Shows Nursing Homes Lack Antipsychotic Training

A recent study in the Journal of the American Medical Directors Association shows an alarming lack of information about good dementia care, chemical restraints, and non-drug interventions. The study was based on survey information collected from nursing home staff members … Continue reading

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$2.2 Billion Johnson & Johnson Settlement Sends New Warning: Antipsychotic Drugs Should Not Be Used to Treat Dementia

In response to the recent $2.2 billion settlement with Johnson and Johnson for mismarketing the antipsychotic drug Risperdal for elderly people with dementia, CANHR and other long term care consumer advocates released the following statement (click here for a pdf … Continue reading

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Psychiatrists Against Drugging for Dementia

In a remarkable turn, the American Psychiatric Association recently advised physicians and patients to question five common antipsychotic prescribing practices. Four of the five warnings from the APA related to the use of antipsychotics for “treating” dementia: 1) Don’t use antipsychotics … Continue reading

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