An exploratory study among intellectual disability physicians on the care and coercion act and the use of psychotropic drugs for challenging behaviour

Janouk C. bij de Weg; Aline K. Honingh; Marieke Teeuw; Paula S. Sterkenburg

doi:10.3390/ijerph181910240

An exploratory study among intellectual disability physicians on the care and coercion act and the use of psychotropic drugs for challenging behaviour

Janouk C. bij de Weg, Aline K. Honingh, Marieke Teeuw, Paula S. Sterkenburg^*

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

The new Dutch Care and Coercion Act aims to better regulate the use of psychotropic drugs for challenging behaviour in people with an intellectual disability. This study explores experiences of intellectual disability physicians (IDPs) in prescribing psychotropic drugs and investigates how the Act and the new multidisciplinary guideline on challenging behaviour affects their practice. A qualitative study was conducted, consisting of nine semi-structured in-depth interviews with IDPs, followed by a thematic analysis. It was found that IDPs experienced the new Act and guideline as supportive of their work as guardians of the appropriate use of psychotropic drugs. The multi-disciplinary character of the guideline was experienced positively. However, IDPs are faced with organisational barriers and time constraints, as such, they question the feasibility of implementing the Act. Based on these findings, it can be concluded that the Care and Coercion Act may support the existing shift towards the appropriate use of psychotropic drugs if required conditions can be met.

Original language	English
Article number	10240
Pages (from-to)	1-12
Number of pages	12
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	19
Early online date	29 Sep 2021
DOIs	https://doi.org/10.3390/ijerph181910240
Publication status	Published - 1 Oct 2021

Bibliographical note

Funding Information:
A.K.H. was funded by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). P.S.S. was funded by Bartim?us Fund (ref number: P00238). The open access publication fee was paid by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101).

Funding Information:
Funding: A.K.H. was funded by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). P.S.S. was funded by Bartiméus Fund (ref number: P00238). The open access publication fee was paid by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101).

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

Challenging behaviour
Intellectual disability
Medical legislation
Physicians
Psychotropic drugs

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title = "An exploratory study among intellectual disability physicians on the care and coercion act and the use of psychotropic drugs for challenging behaviour",

abstract = "The new Dutch Care and Coercion Act aims to better regulate the use of psychotropic drugs for challenging behaviour in people with an intellectual disability. This study explores experiences of intellectual disability physicians (IDPs) in prescribing psychotropic drugs and investigates how the Act and the new multidisciplinary guideline on challenging behaviour affects their practice. A qualitative study was conducted, consisting of nine semi-structured in-depth interviews with IDPs, followed by a thematic analysis. It was found that IDPs experienced the new Act and guideline as supportive of their work as guardians of the appropriate use of psychotropic drugs. The multi-disciplinary character of the guideline was experienced positively. However, IDPs are faced with organisational barriers and time constraints, as such, they question the feasibility of implementing the Act. Based on these findings, it can be concluded that the Care and Coercion Act may support the existing shift towards the appropriate use of psychotropic drugs if required conditions can be met.",

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author = "{bij de Weg}, {Janouk C.} and Honingh, {Aline K.} and Marieke Teeuw and Sterkenburg, {Paula S.}",

note = "Funding Information: A.K.H. was funded by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). P.S.S. was funded by Bartim?us Fund (ref number: P00238). The open access publication fee was paid by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). Funding Information: Funding: A.K.H. was funded by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). P.S.S. was funded by Bartim{\'e}us Fund (ref number: P00238). The open access publication fee was paid by ZonMW Academische werkplaatsen in de langdurige zorg (ref number: 60-6410098101). Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

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An exploratory study among intellectual disability physicians on the care and coercion act and the use of psychotropic drugs for challenging behaviour. / bij de Weg, Janouk C.; Honingh, Aline K.; Teeuw, Marieke et al.

In: International Journal of Environmental Research and Public Health, Vol. 18, No. 19, 10240, 01.10.2021, p. 1-12.

Research output: Contribution to Journal › Article › Academic › peer-review

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N2 - The new Dutch Care and Coercion Act aims to better regulate the use of psychotropic drugs for challenging behaviour in people with an intellectual disability. This study explores experiences of intellectual disability physicians (IDPs) in prescribing psychotropic drugs and investigates how the Act and the new multidisciplinary guideline on challenging behaviour affects their practice. A qualitative study was conducted, consisting of nine semi-structured in-depth interviews with IDPs, followed by a thematic analysis. It was found that IDPs experienced the new Act and guideline as supportive of their work as guardians of the appropriate use of psychotropic drugs. The multi-disciplinary character of the guideline was experienced positively. However, IDPs are faced with organisational barriers and time constraints, as such, they question the feasibility of implementing the Act. Based on these findings, it can be concluded that the Care and Coercion Act may support the existing shift towards the appropriate use of psychotropic drugs if required conditions can be met.

AB - The new Dutch Care and Coercion Act aims to better regulate the use of psychotropic drugs for challenging behaviour in people with an intellectual disability. This study explores experiences of intellectual disability physicians (IDPs) in prescribing psychotropic drugs and investigates how the Act and the new multidisciplinary guideline on challenging behaviour affects their practice. A qualitative study was conducted, consisting of nine semi-structured in-depth interviews with IDPs, followed by a thematic analysis. It was found that IDPs experienced the new Act and guideline as supportive of their work as guardians of the appropriate use of psychotropic drugs. The multi-disciplinary character of the guideline was experienced positively. However, IDPs are faced with organisational barriers and time constraints, as such, they question the feasibility of implementing the Act. Based on these findings, it can be concluded that the Care and Coercion Act may support the existing shift towards the appropriate use of psychotropic drugs if required conditions can be met.

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ER -

An exploratory study among intellectual disability physicians on the care and coercion act and the use of psychotropic drugs for challenging behaviour

Abstract

Bibliographical note

Keywords

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