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Neuroleptics in dementia

Two consecutive surveys of prescribing practice at the interface of hospital and primary care

Fromeside Clinic, Blackberry Hill Hospital, Bristol;

Attila Sipos, Locum Lecturer in Mental Health

Division of Psychiatry, 41 St Michael's Hill, Bristol BS2 8DZ

Correspondence: ^* Correspondence

Aims and method We surveyed the prescription of neuroleptic drugs in patients with a diagnosis of dementia discharged from a general psychiatric hospital over two consecutive years. The surveys looked at documentation of information around prescribing and communication to primary care teams. Our aim was to help to minimise the potential contribution of hospital practice to unnecessary or continuing unreviewed neuroleptic prescription in the community.

Results The first survey led to the adoption of new clinical standards in the Department of Old Age Psychiatry. The second survey found improvements in all surveyed parameters.

Clinical implications Clear communication of information around prescribing and follow-up arrangements could help to reduce inappropriate community prescription of neuroleptics in this vulnerable group of patients.