BC Patient Safety & Quality Council

Working Together. Accelerating Improvement

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Call for Less Antipsychotics in Residential Care (CLeAR)

The CLeAR Initiative has Ended

But the work to reduce antipsychotic medications continues in residential care facilities across the province. And so does the sharing and learning – join the online community of practice, where members post resources, interesting links and upcoming events.

Join CLeAR’s online community of practice

Here was Our Goal

The aim of CLeAR – our Call for Less Antipsychotics in Residential Care – was to achieve a reduction in the number of seniors in residential care on antipsychotic medications by 50% across BC by December 31, 2014 through a province-wide, voluntary initiative that supports participating sites.

collage web3Here is Our Story

We strive to provide the best care possible for our residents. Today’s generation of seniors – our mothers and fathers, grandmothers and grandfathers – is living longer, with a better quality of life, than any other before. However, on average 35% of seniors in Canadian residential care facilities are prescribed antipsychotic medications.1

Impressive results elsewhere show that we can reduce this number by following best practice in order to ensure appropriate use of antipsychotics. Initiatives in the UK and Manitoba as well as a small number of facilities in our own province have successfully done so.2,3

We have an opportunity to make a difference!

So in June 2013, we called on all of those who care for residents who experience the behavioural and psychological symptoms of dementia to join us. Together, we would start a different approach.

We learned from the facilities that had already reduced the use of antipsychotics – about how they assess residents and are better managing their behavioural and psychological symptoms of dementia. We used newly-developed BC guidelines and clinical algorithms, worked to implement them within our local contexts, tested new ideas and shared what we were learning with each other.

Our goal was ambitious, but so were our members. We are still analyzing their final results, and are proud of their dedication to improving the quality of their residents’ lives. They proved that change is possible, and we are confident that they will sustain their progress and share their work with other facilities interested in reducing the use of antipsychotics.

Contact Us

If you’d like to learn more about our journey, contact 604.668.8210 or CLeARBC@bcpsqc.ca.

  1. Canadian Institute for Health Information. Antipsychotic Use in Seniors: An Analysis Focusing on Drug Claims, 2001 to 2007. 2009
  2. Saad, K. and Sheehan, B. Reducing Antipsychotics for People with Dementia in Care Homes. 2012
  3. Schlesinger, J. Formula for Success. Wave. 2012.