Related resources - Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard

A number of resources have been identified which are relevant to the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard.

The Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard includes links to resources that may help healthcare services and clinicians to implement the standard. These resources are listed under the relevant quality statements below.

Quality statement 1 - Person-centred care

General

Australian Commission on Safety and Quality in Health Care

Aged care

The 10 principles of dignity in care, which describes the care that people living with dementia, and their families, can expect to receive
What is person-centred care? from the Aged Care Quality and Safety Commission
Supported Decision-Making in Aged Care: A policy development guideline for aged care
providers in Australia, second edition from the Cognitive Decline Partnership Centre
Supporting decision-making: A guide for people living with dementia, family members and carers from the Cognitive Decline Partnership Centre
Supported Decision-Making: Help and assistance for decision makers and supporters from the Cognitive Decline Partnership Centre
Dementia and changed behaviours: supporting the person at the centre from NPS MedicineWise
Assessment and Management of Behaviours and Psychological Symptoms associated
with Dementia (BPSD) from NSW Health

Disability care

Diversity, dignity, equity and best practice: A framework for supported decision-making from the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability
Responding to Needs of People with Disability during Hospitalisation policy directive from NSW Health
Your right to good health care fact sheet from the Council for Intellectual Disability
The Department of Developmental Disability Neuropsychiatry: A guide to resources, developed by the Department of Developmental Disability Neuropsychiatry (3DN) to assist healthcare services with providing care to people with intellectual disability, including guidance about principles to support service delivery, suggestions for reasonable adjustments, assessing and managing behaviours of concern, and supporting responsible psychotropic prescribing in people with an intellectual disability
Intellectual Disability Network from the NSW Agency for Clinical Innovation
Supported Decision Making from Inclusion Australia

Culturally safe and equitable care

Yarning to Make Health Decisions Together from the NSW Agency for Clinical Innovation
‘No More Waiting’: A guide for organisations to plan with Aboriginal people with
disability from the Intellectual Disability Behaviour Support Program, University of
New South Wales

Quality statement 2 - Informed consent for psychotropic medicines

General

Australian Commission on Safety and Quality in Health Care
- User guide for health service organisations providing care for patients with cognitive
  impairment or at risk of delirium
- Informed consent

Aged care

Consent for medication in aged care from the Aged Care Quality and Safety Commission
Consent requirements for the use of restrictive practices in residential aged care from the Australian Government Department of Health and Aged Care
Medication: It’s your choice from the Older Person’s Advocacy Network
Supported decision-making from the Cognitive Decline Partnership Centre
Centre for Cultural Diversity in Ageing

Disability care

My Rights Matter – Supported decision making hub from the Council for Intellectual Disability
About decision making capacity from Capacity Australia
Supported decision making from Inclusion Australia
How to make choices about taking medication Easy Read information about taking medicines by Peter Bates, from the University of Bristol

Quality statement 3 - Assessing behaviours

General

User guide for health service organisations providing care for patients with cognitive
impairment or at risk of delirium from the Australian Commission on Safety and Quality
in Health Care

Aged care

Behavioural Assessment Form and Behaviour Frequency Chart from Dementia Support Australia
Dementia Outcomes Measurement Suite (DOMS), a compendium of tools to assess BPSD, from Dementia Centre for Research Collaboration
Assessment and Management of Behaviours and Psychological Symptoms associated with Dementia (BPSD) from NSW Health
Behaviour Management: A Guide to Good Practice and resources to support the management of behaviours and psychological symptoms associated with dementia (such as the Clinicians Field Guide to Good Practice, Guide for Family Carers, BPSD app for clinicians and Care4Dementia app for family members), from the Dementia Centre for Research Collaboration

Disability care

Developmental Behaviour Checklist, a suite of questionnaires completed over six months by parents, other primary carers or teachers to inform assessment of behavioural and emotional problems of children, adolescents and adults with developmental and intellectual disabilities
Compendium of Resources for Positive Behaviour Support: A guide for behaviour support practitioners, a comprehensive list of positive behaviour support assessment tools that can be used by behaviour support practitioners for behaviour support assessment, planning, intervention, monitoring and review, from the NDIS Quality and Safeguards Commission
The Department of Developmental Disability Neuropsychiatry: A guide to resources, developed by the Department of Developmental Disability Neuropsychiatry (3DN) to assist healthcare services with providing care to people with intellectual disability, including guidance about principles to support service delivery, suggestions for reasonable adjustments, assessing and managing behaviours of concern, and supporting responsible psychotropic prescribing in people with an intellectual disability

Quality statement 4 - Non‑medication strategies

General

User guide for health service organisations providing care for patients with cognitive
impairment or at risk of delirium from the Australian Commission on Safety and Quality
in Health Care

Aged care

Dementia Support Australia, incorporating the Dementia Behaviour Management Advisory Services (DBMAS), which provides clinical support to healthcare providers, and family and support people of a person showing BPSD, including for care at home (a 24‑hour helpline is available
on 1800 699 799)
A Guide for Family Carers: Dealing with behaviours in people with dementia from the Dementia Centre for Research Collaboration
Care of Confused Hospitalised Older Persons (CHOPs) from NSW Health

Disability care

Compendium of Resources for Positive Behaviour Support: A guide for behaviour support practitioners, a comprehensive list of positive behaviour support assessment tools that can be used by behaviour support practitioners for behaviour support assessment, planning, intervention, monitoring and review, from the NDIS Quality and Safeguards Commission

Quality statement 5 - Behaviour support plans

Aged care

Behaviour support plans – fact sheet from the Aged Care Quality and Safety Commission
Dementia Support Australia, which provides support for people living with dementia and
who have behaviours of concern, including
- Help with the assessment of people living with dementia in residential aged care and
  recommendations on appropriate interventions
- Behaviour support plan resources toolkit, which assists healthcare and service providers with the changes to the requirements for residents of aged care homes to have a behaviour support plan
- For more information see the Dementia Support Australia (DSA) website

Disability care

Behaviour Support and the Use of Medication: A guide for practitioners from the Intellectual Disability Behaviour Support Program
The Department of Developmental Disability Neuropsychiatry: A guide to resources, developed by the Department of Developmental Disability Neuropsychiatry (3DN) to assist healthcare services with providing care to people with intellectual disability, including guidance about principles to support service delivery, suggestions for reasonable adjustments, assessing and managing behaviours of concern, and supporting responsible psychotropic prescribing in people with an intellectual disability
Easy Read Medicine Information Leaflets from the University of Birmingham

Quality statement 7 - Monitoring, reviewing and ceasing psychotropic medicines

General

User guide for health service organisations providing care for patients with cognitive impairment or at risk of delirium from the Australian Commission on Safety and Quality in Health Care
Medication Management Programs from The Pharmacy Programs Administrator
Guidelines, guides, and protocols for deprescribing specific drug classes from the Australian Deprescribing Network (ADeN)
Deprescribing resources from Primary Health Tasmania, outlining recommended deprescribing strategies for commonly used medicines, including psychotropic medicines, when ongoing use is not appropriate, revised and updated by geriatrician Dr David Dunbabin, GP Dr Amanda Lo and pharmacist Dr Peter Tenni
Deprescribing algorithms from the Canadian Medication Appropriateness and Deprescribing Network, evidence‑based guidelines for deprescribing, summarised in an easy‑to‑use algorithm and information brochure, to help clinicians safely stop or reduce medicines for specific drug classes, developed by researchers from the Bruyère Research Institute and the Ontario Pharmacy Research Collaboration

Aged care

Clinical practice guidelines for the appropriate use of psychotropic medications in people living with dementia and in residential aged care
Neuropsychiatric Inventory (NPI), a tool used to assess behaviours that can occur in people with dementia, and that can also be used to evaluate the effectiveness of treatment
Dementia and psychotropic medicines from NPS MedicineWise
RACGP aged care clinical guide (Silver Book – Part A): Deprescribing from the Royal Australian College of General Practitioners
Deprescribing resources from the NSW Therapeutic Advisory Group Inc., developed by a translational research project team led by Professor Sarah Hilmer for clinicians to support deprescribing in older persons in hospital
Reviewing and tapering antipsychotic medicines for BPSD review form from NPS MedicineWise
Appropriate prescribing of antipsychotic medication in dementia from the NHS London Clinical Network and NHS Yorkshire and the Humber Clinical Network

Disability care

Behaviour Support and the Use of Medication: A guide for practitioners from the Intellectual Disability Behaviour Support Program
The Department of Developmental Disability Neuropsychiatry: A guide to resources, developed by the Department of Developmental Disability Neuropsychiatry (3DN) to assist healthcare services with providing care to people with intellectual disability, including guidance about principles to support service delivery, suggestions for reasonable adjustments, assessing and managing behaviours of concern, and supporting responsible psychotropic prescribing in people with an intellectual disability
Medication Management Pathway from the Challenging Behaviour Foundation and Stopping Over‑Medication in People with a Learning Disability, Autism or Both (STOMP) program

Quality statement 8 - Information sharing and communication at transitions of care

General

Australian Commission on Safety and Quality in Health Care
− NSQHS Medication Safety Standard
− NSQHS Communicating for Safety Standard
− NSQHS Communicating for Safety resource portal
− User guide for health service organisations providing care for patients with cognitive impairment or at risk of delirium
Guiding principles to achieve continuity in medication management from the Australian Government Department of Health and Aged Care
Pharmacist shared medicines list from the Australian Digital Health Agency
National Medication Management Plan (NMMP), a standardised form designed for use in Australian healthcare services to improve the accuracy and completeness of documented information to support continuity of medication management and medication reconciliation during transitions of care
Principle 4: Information sharing of the ACCHO Medicines Management Guidelines for Aboriginal Community Controlled Health Organisations
Australian Medical Association position statement on general practice/hospitals transfer of care arrangements 2018 from the Australian Medical Association
Chapter 6: Facilitating Continuity of Medication Management on Transition Between Care Settings of the Standards of Practice for Clinical Pharmacy Services from the Society of Hospital Pharmacists of Australia
Chapter 16: My Health Record of the Standards of Practice for Clinical Pharmacy Services from the Society of Hospital Pharmacists of Australia

Aged care

Aged Care Transfer-to-Hospital Envelope with Template
Care of Confused Hospitalised Older Persons (CHOPs) from NSW Health
TOP 5, a clinician–carer communication tool that can be used across healthcare settings to enhance the delivery of person‑centred care in people living with dementia.

Disability care

Resources for health professionals working with people with and intellectual disability from the Monash Health Centre for Developmental Disability Health
Practice Alert: Transitions of care between disability services and hospitals from the NDIS Quality and Safeguards Commission
Practice Alert: Medicines associated with swallowing problems from the NDIS Quality and Safeguards Commission

Implementation resources

In addition to these, a number of implementation resources have been developed to support the clinical care standard, including fact sheets for consumers, clinicians and healthcare services.