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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

Author

Listed:
  • Janouk C. bij de Weg

    (Mungra Medical Centre, Annastraat 35, Nieuw-Nickerie, Suriname)

  • Aline K. Honingh

    (Faculty of Behavioural and Movement Science, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands)

  • Marieke Teeuw

    (Ben Sajet Centrum, 1011 JH Amsterdam, The Netherlands)

  • Paula S. Sterkenburg

    (Faculty of Behavioural and Movement Science, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
    Bartiméus, Assessment and Treatment, 3941 XM Doorn, The Netherlands)

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 multidisciplinary 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.

Suggested Citation

  • Janouk C. bij de Weg & Aline K. Honingh & Marieke Teeuw & Paula S. Sterkenburg, 2021. "An Exploratory Study among Intellectual Disability Physicians on the Care and Coercion Act and the Use of Psychotropic Drugs for Challenging Behaviour," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10240-:d:645919
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    Citations

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    Cited by:

    1. Gerda de Kuijper & Josien Jonker & Karlijn Kouwer & Pieter J. Hoekstra & Annelies de Bildt, 2024. "Integrative Care for Challenging Behaviors in People with Intellectual Disabilities to Reduce Challenging Behaviors and Inappropriate Psychotropic Drug Prescribing Compared with Care as Usual: A Clust," IJERPH, MDPI, vol. 21(7), pages 1-19, July.
    2. Gerda de Kuijper & Joke de Haan & Shoumitro Deb & Rohit Shankar, 2022. "Withdrawing Antipsychotics for Challenging Behaviours in Adults with Intellectual Disabilities: Experiences and Views of Prescribers," IJERPH, MDPI, vol. 19(24), pages 1-11, December.

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