Rational Use and Rationale for Use: Psychiatric Medication at an Argentine Institution for Intellectual Disability


de Menil, V; Cohen, A; (2009) Rational Use and Rationale for Use: Psychiatric Medication at an Argentine Institution for Intellectual Disability. Transcultural psychiatry, 46 (4). pp. 651-671. ISSN 1363-4615 DOI: https://doi.org/10.1177/1363461509351377

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Abstract

This article describes obstacles to the rational use of psychiatric drugs in a 1000-bed institution for people with intellectual disability employing the WHO framework for rationality. Quantitative data were collected from 98 charts and qualitative data from 14 individuals in this case study. Eight-three percent of patients were taking psychiatric medications, even though 67% of these had no psychiatric diagnosis. Antipsychotics were the first-order treatment; antidepressants were rarely prescribed. These prescribing patterns are influenced by institutional culture, including an emic construct of retardation as a form of psychosis. Low staff-to-patient ratios, a lack of non-medical treatments, and the hospitalization of patients for social reasons also contribute to medication misuse.

Item Type: Article
Keywords: Argentina, intellectual disability, medication, mental disorder, mental, retardation, psychiatric illness, medicines
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
PubMed ID: 20028682
Web of Science ID: 273036200006
URI: http://researchonline.lshtm.ac.uk/id/eprint/4350

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