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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Counting the Unnecessary Deaths

by Anthony Chicotel, CANHR Staff Attorney While listening to various presentations that decry the misuse of antipsychotic drugs, I often hear a statement to the effect of “studies show that for every 100 elderly dementia care patients treated with antipsychotic … Continue reading

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No Conviction in the Code I Restriction

by Anthony Chicotel, CANHR Staff Attorney Following the May 2011, Office of the Inspector General Report finding terrible misuse of antipsychotic drugs on nursing home residents, the Department of Health Care Services (DHCS) announced it was issuing a “Code I … Continue reading

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Massachusetts Considers Written Informed Consent Law

On Tuesday, July 16, the Massachusetts Joint Committee on Elder Abuse Oversight will consider three bills that address informed consent for the use of psychotropic drugs on nursing home residents. ┬áThe focus of the bills is a requirement that informed … Continue reading

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Consumer Reports Warns Against Undue Drugging

Prompted by a violation of the right to informed consent, a new Consumer Reports article discusses nursing home resident “rights and wrongs,” including antipsychotic drugs that “don’t help dementia.” Nice job Consumer Reports!

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CMS Updates F329 and F309 Guidance to Battle Antipsychotic Misuse

Last week, the Center for Medicare and Medicaid Services released new guidance to nursing home surveyors on dementia care and unnecessary drug use. The guidance update includes several enhancements to F309 (Quality of Care) standards to ensure that person-centered care … Continue reading

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Search Your Doc and Antipsychotics

ProPublica (www.propublica.org) has released an on-line search tool allowing people to look up a physician’s prescribing practices as it relates to antipsychotics. The search tool shows what percentage of a physician’s Medicare Part D patients were 65 or older and … Continue reading

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American Geriatrics Society Warns Against Misuse of Drugs

Of the five concerns listed on the American Geriatric Society’s new guide to patients, “Five Things Physicians and Patients Should Question,” two are warnings against the misuse of psychotropic drugs for elderly people. ┬áThe first warning is “don’t use antipsychotics … Continue reading

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20 Pages of Things To Do

Earlier this month, the California Department of Public Health released its report summarizing the work and commitments of the statewide partnership to improve dementia care and end the misuse of antipsychotic drugs in nursing homes. The summary, entitled “Working Together,” … Continue reading

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Long-Term Care Industry Touts Business Case for Antipsychotic Reduction

The American Health Care Association and National Center for Assisted Living have posted a fact sheet making the business case in favor of reducing the use of antipsychotic drugs on residents of long-term care facilities. Essentially, the fact sheet states … Continue reading

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Clarifying Informed Consent in Hospitals

by Anthony Chicotel, CANHR Staff Attorney Among experts in long-term care, there is a consensus that many of the unnecessary and dangerous prescriptions for psychotropic drugs for people with dementia are initiated in hospitals. The acute care environment and quick … Continue reading

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