A multi-level ecological model of psychotropic prescribing to adults with intellectual disability

Article

Edwards, Niki, Bain, Chris, Mutch, Allyson, Dean, Julie and Lennox, Nicholas. 2014. "A multi-level ecological model of psychotropic prescribing to adults with intellectual disability." Advances in Mental Health and Intellectual Disabilities. 8 (1), pp. 24-31. https://doi.org/10.1108/AMHID-01-2013-0001
Article Title

A multi-level ecological model of psychotropic prescribing to adults with intellectual disability

ERA Journal ID210054
Article CategoryArticle
AuthorsEdwards, Niki (Author), Bain, Chris (Author), Mutch, Allyson (Author), Dean, Julie (Author) and Lennox, Nicholas (Author)
Journal TitleAdvances in Mental Health and Intellectual Disabilities
Journal Citation8 (1), pp. 24-31
Number of Pages8
Year2014
Place of PublicationUnited Kingdom
ISSN2044-1282
2044-1290
Digital Object Identifier (DOI)https://doi.org/10.1108/AMHID-01-2013-0001
Web Address (URL)https://www.emerald.com/insight/content/doi/10.1108/AMHID-01-2013-0001/full/html
Abstract

Purpose: Simple linear accounts of prescribing do not adequately address reasons 'why' doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed. Design/methodology/approach: After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes. Findings: The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study. Research limitations/implications: The model presented is conceptual and is as yet untested. Practical implications: The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions. Originality/value: The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers.

Keywordsintellectual disability; psychiatry; psychopharmacology
ANZSRC Field of Research 2020420313. Mental health services
420318. People with disability
320221. Psychiatry (incl. psychotherapy)
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Institution of OriginUniversity of Southern Queensland
Byline AffiliationsUniversity of Queensland
Australian National University
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