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Prescription Drug News : Are drugs replacing care in our mental health facilities?
BRIDIE COX knows all about the dangers of inappropriately prescribing sedatives
to vulnerable patients. After working in the disability and mental health sector
in the UK for 30 years, she returned home to work in the midwest several years
ago. She was shocked at what she saw, writes CARL O'BRIEN in Irish Times. Cox
says she witnessed on several occasions the over-sedation of patients with challenging
behaviour. Rehabilitation of residents was virtually non-existent, she said, as
there was no meaningful therapeutic intervention. Worse still was the attitude
of senior management. While there was some good care, the main problem she said
was a culture which did not place sufficient value on proper rehabilitation and
multi-disciplinary care. “As I saw it, people didn’t have the education
or training to do the therapeutic intervention. There wasn’t enough focus
on empowering people, helping them becoming more independent, building up therapeutic
relationships,” she told this newspaper last year. The latest findings of
the inspector for Mental Health Services appear to provide grounds for even deeper
concern. For the first time, it has been collecting detailed information on prescriptions
for in-patients and residents. Of the 22 hospitals or care facilities it has visited
to far, it has expressed concern over the level of sedative use in half of them.
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