A Survey of the Medication in a Hospital for the Mentally Handicapped

Spencer, D. A.

doi:10.1192/bjp.124.5.507-a

Cited by 17 publications

(6 citation statements)

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“…Tu, 1979), New Zealand (Aman et al, 1985;Pulman et al, 1979;Sewell & Werry, 1976;White, 1983), the United Kingdom (e.g. Fischbacher, 1987;Kimian, 1975;Lynch, 1989a;Sheppard et al, 1987;Spencer, 1974), and the USA (e.g. Buck & Sprague, 1989;Lipman, 1970;Gadow & Kalachnik, 1981;Hill et al, 1985;Intagliata & Rinck, 1985;Martin & Agran, 1985;Poindexter, 1989;Sprague, 1977;Stone, etal, 1989).…”

Section: Introductionmentioning

confidence: 99%

The administration of psychotropic and anticonvulsant drugs to children with profound intellectual disability and multiple impairments*

Hogg

1992

J intellect Disabil Res

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A national (England and Wales) postal survey of families with a son or daughter with profound intellectual disability and multiple physical and sensory impairments who lived at home was undertaken. A section ofthe questionnaire dealt widi prescription of major tranquillizers, drugs with a sedative function, anticonvulsants and stimulants, while among other variables information was also collected on sex, age, behaviour problems, sleep difficulties and epilepsy. Of children and adults: 5.3 and 7.9%, respectively, were receiving major tranquillizers; 28.5 and 24.5%, respectively, were prescribed drugs with a sedative function; and 53.4 and 52.7% were in receipt of anticonvulsants, with no individuals in receipt of stimulants. Only 1–5% ofthe total sample received major tranquillizers, drugs with a sedative function and anticonvulsants, though 18.9% were prescribed drugs from two classes, notably drugs with a sedative function and anticonvulsants. In all, 66.3% ofthe combined child and adult samples received at least one drug from the classes investigated. No sex bias in prescribing was found. Receipt of major tranquillizers bore some relation to reported behaviour problems, while administration of sedatives and anticonvulsants were related respectively to reports of sleep problems and occurrence of epilepsy.

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Section: Introductionmentioning

confidence: 99%

The administration of psychotropic and anticonvulsant drugs to children with profound intellectual disability and multiple impairments*

Hogg

1992

J intellect Disabil Res

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“…An attempt has been made to present the statistics in a way which could be repeated in other hospitals, permitting comparative studies. Hospitals for the mentally handicapped are often isolated clinically and a knowledge of therapeutic practice in other similar units would be of great value in the on-going process of medical audit (Spencer, 1974).…”

Section: Introductionmentioning

confidence: 99%

Prescribing in a hospital for the mentally retarded

Fischbacher¹

1987

J intellect Disabil Res

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“…Although many in-patients of mental handicap hospitals do not have psychiatric illness, antipsychotic drugs are widely prescribed. Spencer (1974) and Hughes (1977) found that 22% and 30% respectively of such in-patients regularly received antipsychotic medication. More recently, Fischbacher (1987) reported that in a Scottish mental handicap hospital 25% of patients were taking oral neuroleptics and 5.6% were receiving depot preparations.…”

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confidence: 99%

Reduction in Antipsychotic Drug Dosage in Mentally Handicapped Patients

1990

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An investigation in a large mental handicap hospital revealed that 24% of the in-patients were receiving antipsychotic drugs. Chlorpromazine and thioridazine prescriptions accounted for 62% of the total while 10% of patients received depot preparations. Fifty-five per cent of the patients receiving these drugs had no established psychiatric diagnosis; most of these could be categorised as having a behaviour disorder. Patients aged 30-50 received higher doses, and female patients received a significantly higher mean dosage than male ones. In the patients receiving neuroleptic drugs who had also been taking them four years previously, there was a significant reduction in the dosage of the drugs received and the extent of polypharmacy of these agents. A mandatory requirement to review all prescriptions annually, implemented in 1984, may be a reason for this.

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A Survey of the Medication in a Hospital for the Mentally Handicapped

Cited by 17 publications

References 0 publications

The administration of psychotropic and anticonvulsant drugs to children with profound intellectual disability and multiple impairments*

The administration of psychotropic and anticonvulsant drugs to children with profound intellectual disability and multiple impairments*

Prescribing in a hospital for the mentally retarded

Reduction in Antipsychotic Drug Dosage in Mentally Handicapped Patients

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