A multi-level ecological model of psychotropic prescribing to adults with intellectual disability

Edwards, Niki, Bain, Chris, Mutch, Allyson, Dean, Julie, & Lennox, Nicholas (2014) A multi-level ecological model of psychotropic prescribing to adults with intellectual disability. Advances in Mental Health and Intellectual Disabilities, 8(1), pp. 24-31.

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Abstract

Purpose – Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach – After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings – The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications – The model presented is conceptual and is as yet untested. Practical implications – The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value – The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers.

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ID Code: 74770
Item Type: Journal Article
Refereed: Yes
Keywords: intellectual disability, psychopharmacology, psychiatry
DOI: 10.1108/AMHID-01-2013-0001
ISSN: 2044-1282
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Care for Disabled (111703)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Deposited On: 06 Aug 2014 05:44
Last Modified: 06 Aug 2014 22:34

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