BC Patient Safety & Quality Council

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Benefits of Joining

Through thoughtful assessment and non-pharmacological approaches, many care homes in the first two waves significantly improved quality of life for some residents with dementia by reducing or discontinuing their antipsychotics.

Some noticed residents feeding themselves again while others noted a decreased risk of falls. Staff improved their teamwork and learned when using antipsychotics is appropriate, and why.

In every care home in British Columbia, clinicians monitor residents using interRAI’s Resident Assessment Instrument–Minimum Data Set (RAI-MDS 2.0).

According to this data, provided by the Canadian Institute for Health Information, care homes that participated in Wave 2 reduced the percentage of residents who are prescribed antipsychotics without having a diagnosis of psychosis from 28.8% to 22.5%.

The data also shows that, over the course of the initiative, care homes that participated in CLeAR, as well as care homes that did not participate in CLeAR, decreased the percentage of their residents who are prescribed antipsychotics without a diagnosis of psychosis. Care homes that participated in CLeAR achieved a greater, and statistically significant (p < .05), reduction in the number of these residents on antipsychotics (21.9% compared to 9.1%), in comparison to care homes that did not join CLeAR.

Why should your care home participate?
Clear will support the reduction of antipsychotic use at your care home and also benefit staff and residents in the following ways:

CARE HOME MANAGERS CARE HOME STAFF RESIDENTS DIAGNOSED WITH DEMENTIA
Access 1:1 coaching and support from the Clear team Improve teamwork and communication May become more alert and responsive
Learn tools and principles that you can apply throughout your work Access resources, including monthly webinars May become more engaged in recreation programs and self-directed activities
Build and apply skills for culture change Gain a better understanding of appropriate use of antipsychotics May regain skills and abilities such as walking and self-feeding
Develop skills to improve quality of care beyond your work with Clear Learn to look for root causes of behaviours May become more independent
Learn to use data as a tool for improving care Reach for non-pharmacological interventions instead of medication May communicate better with family and friends

Our work aligns with similar projects
Clear complements other initiatives your care home may already be implementing, such as PIECES, Gentle Persuasive Approach, Dementiability, and Creating Connections: Working with People with Dementia. Physicians involved in the GPSC Residential Care Initiative and the Shared Care PolyPharmacy Risk Reduction Initiative help to lead Clear, ensuring it aligns with their work. And Clear is guided by a provincial Partnership Alliance of key stakeholders in the system who create opportunities for alignment between Clear and its partners.