Program Overview :

New Brunswick Appropriate Use of Antipsychotics Collaborative 

The Canadian Foundation for Healthcare Improvement (CFHI) (now amalgamated with the Canadian Patient Safety Institute as Healthcare Excellence Canada), the New Brunswick Association of Nursing Homes (NBANH) and Government of New Brunswick collaborated to support the province-wide expansion of the Appropriate Use of Antipsychotics (AUA) approach to all 58 nursing homes in New Brunswick.

The NB AUA collaborative implemented the AUA approach in two phases over a 16-month period:

  • Phase 1, May 2016 to May 2017, with 15 nursing home teams participating. 
  • Phase 2, May 2017 to August 2018, spreading the AUA approach in an additional 43 long-term care homes in the province. 

Over the two phases, more than half of participating residents1 who were prescribed antipsychotics without a diagnosis of psychosis had these medications safely reduced or discontinued. The benefits for residents included these final results: 

  • 52 percent of participating residents either had their antipsychotic medication dose reduced (18 percent) or discontinued entirely (34 percent). 
  • These residents experienced no increase in aggressive behaviours, such as resistance to care, and/or physically or verbally abusive behaviours. 

Following the collaborative, some of the participating teams from New Brunswick joined CFHI’s Momentum Challenge – an invitation-only program that assisted teams to expand the reach of the AUA approach and sustain its impact.

The Teams 

Phase 1 (May 2016 – May 2017) and Phase 2 (May 2017 – August 2018)

Dalhousie Nursing Home Inc., Dalhousie 
Drew Nursing Home, Sackville 
Embassy Hall (Shannex RLC Ltd.), Quispamsis 
Foyer Saint-Antoine, Saint-Antoine 
Foyer Ste. Élizabeth Inc., Baker Brook 
Kings Way LifeCare Alliance, Saint John 
Loch Lomond Villa Inc., Saint John 
Mount St. Joseph of Chatham, Miramichi 
Passamaquoddy Lodge Inc., St. Andrews 
Pine Grove Nursing Home, Fredericton 
Résidences Lucien Saindon Inc., Lamèque 
Rocmaura, Saint John 
Victoria Glen Manor Inc., Perth-Andover 
Villa Saint-Joseph Inc., Tracadie-Sheila 
Westford Nursing Home, Port Elgin 

Phase 2 (May 2017 – August 2018) 

Campbellton Nursing Home Inc., Campbellton 
Campobello Lodge, Welshpool 
Carleton Kirk Lodge, Saint John 
Carleton Manor Inc., Woodstock 
Central Carleton Nursing Home Inc., Hartland 
Central New Brunswick Nursing Home Inc, Boiestown 
Church of St. John & St. Stephen Home Inc., Saint John 
Dr. V.A. Snow Centre Inc., Hapton 
Forest Dale Home Inc., Riverside/Albert 
Foyer Assomption, Village de Rogersville 
Foyer Notre-Dame de Lourdes Inc., Bathurst 
Foyer Notre-Dame de Saint-Léonard Inc., Saint Léonard 
Foyer St. Thomas (Memramcook), Memramcook 
Fundy Nursing Home, Black’s Harbour 
Grand Falls Manor Inc./Villa des Chutes/Falls Villa, Grand Falls 
Grand Manan Nursing Home Inc., Grand Manan 
Jordan Lifecare Centre Inc., The Glades 
Kiwanis Nursing Home Inc., Sussex 
Les Résidences Jodin Inc., Edmundston 
Lincourt Manor Inc., St. Stephen 
Manoir Edith B. Pinet, Paquetville 
Manoir Saint-Jean-Baptiste Inc., Bouctouche 
Mill Cove Nursing Home Inc., Mill Cove 
Miramichi Senior Citizens Home Inc., Miramichi 
Nashwaak Villa Inc., Stanley 
Orchard View, Gagetown 
Résidence Mgr. Melanson Inc., Saint-Quentin 
Résidences Inkerman Inc., Inkerman 
Résidences Mgr. Chiasson Inc., Shippagan 
Rexton Lions Nursing Home Inc., Rexton 
River View Manor Inc., Bath 
Tabusintac Nursing Home, Tabusintac 
The Kenneth E. Spencer Memorial Home Inc., Moncton 
The Salvation Army Lakeview Manor, Riverview 
Tobique Valley Manor Inc., Plaster Rock 
Turnbull Nursing Home Inc., Saint John 
Villa Beauséjour Inc., Caraquet 
Villa Maria Inc., St.-Louis-de-Kent 
Villa Providence Shédiac Inc., Shédiac 
Villa Sormany Inc., Robertville 
W.G. Bishop Nursing Home, Minto 
Wauklehegan Manor Inc., McAdam 
White Rapids Manor Inc., Fredericton Junction 

“We are extremely pleased to have played a supporting role with CFHI and the Government of New Brunswick in bringing this innovation opportunity to New Brunswick Nursing Homes. The nursing home teams fully embraced the process for this care improvement, and we congratulate them on their leadership and staff commitment. It is very exciting to see the residents experience an improved quality of life.”

– Jodi Hall Executive Director of the New Brunswick Association of Nursing Homes (2019)  

 

1Of those still participating in the program at the end of Phase 1 and Phase 2.