Can a Nursing Home Psychotropic Reduction Project be Successfully Implemented in Assisted Living?

Kathleen Abrahamson, Heather Davila, Laura Kirk, German Alarcon Garavito, Christine Mueller

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The objective of this study was to compare implementation of a psychotropic medication reduction project across two types of residential long-term care settings: nursing homes (NH) and assisted living (AL) facilities. Fifteen NHs and 14 AL facilities from within a single corporate chain participated in the psychotropic medication reduction project. Using a comparative case study approach, we conducted in-person and telephone interviews with 62 staff members from participating NH and AL facilities to investigate the experience of project implementation. Project implementation within the more institutional NH model produced dramatic changes in residents’ lives and medication use. Conversely, changes made in the AL environment appeared to have less impact on resident medication use and resident-centric narratives, and AL staff identified numerous barriers to implementation. Identifying methods to monitor processes and outcomes of care without increasing the regulatory burden of AL facilities may increase transferability of quality improvement efforts across settings.

Original languageEnglish (US)
JournalJournal of Applied Gerontology
DOIs
StateAccepted/In press - 2020

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The project described was funded by the Minnesota Department of Human Services and the Agency for Healthcare Research and Quality (Grant Number: 5R18HS018464; PI: Arling). The PI on the Minnesota Department of Human Services funding was Mueller.

Keywords

  • assisted living
  • dementia
  • implementation
  • nursing home

PubMed: MeSH publication types

  • Journal Article

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