Program Overview :

  • Appropriate Use of Antipsychotics

Newfoundland, PEI and SQLI Appropriate Use of Antipsychotics Quality Improvement Collaborative

The Canadian Foundation for Healthcare Improvement (CFHI) (now amalgamated with the Canadian Patient Safety Institute as Healthcare Excellence Canada) collaborated with the Government of Newfoundland and Labrador and Prince Edward Island to support the Appropriate Use of Antipsychotics (AUA) approach being implemented in:

  • all 39 publicly funded long-term care homes in Newfoundland and Labrador 
  • all nine publicly funded long-term homes in Prince Edward Island 
  • five long-term homes from the Seniors Quality Leap Initiative, a North American network of long-term care organizations focused on improving clinical and safety for seniors.  

The collaboration ran from 2018 to late 2019. 

More than half of participating residents1 who were prescribed antipsychotics without a diagnosis of psychosis had these medications safely reduced or discontinued. This improved their care experiences and lives while also reducing their risk of negative health outcomes. The benefits for residents included these final results: 

  • In Newfoundland and Labrador, 52 percent of participating long-term care residents either had their medication dosage reduced (22 percent) or discontinued entirely (30 percent). 
  • In Prince Edward Island, 53 percent of participating long-term care residents either had their medication dosage reduced (28 percent) or discontinued entirely (25 percent). 
  • There was no change in physical or verbal aggressive behaviours among these residents whose antipsychotic medication was reduced or discontinued. 

Participating teams joined CFHI’s Momentum Challenge – an invitation-only program that assisted teams to expand the reach of the AUA approach and sustain its impact. 

Following the success of the AUA collaborative in Prince Edward Island, Health PEI planned on spreading the AUA approach across the privately funded long-term care homes. 

The Teams 

Newfoundland and Labrador 

Eastern Health 

Blue Crest Inter Faith Home, Grand Bank Bonavista

Protective Community Residence, Bonavista

Caribou Memorial Veteran’s Pavilion, St. John’s 

Chancellor Park, St. John’s 

Clarenville Protective Community Residence, Clarenville 

Dr. Albert O’Mahoney Memorial Manor, Clarenville 

Dr. Walter Templeman Health Centre, Bell Island 

Golden Heights Manor, Bonavista 

Lion’s Manor Nursing Home, Placentia 

Pleasant View Towers, St. John’s 

Private Josiah Squibb Memorial Pavilion, Carbonear 

Saint Luke’s Homes, St. John’s 

Salvation Army Glenbrook Lodge, St. John’s 

St. Patrick’s Mercy Homes, St. John’s 

The Agnes Pratt Home, St. John’s 

U.S. Memorial Health Centre, St. Lawrence 

Waterford Hospital, St. John’s 

Central Health

M. Guy Memorial Health Centre, BuchansBaie Verte Health Centre, Baie Verte

Bonnews Lodge, New-Wes-Valley

Carmelite House, Grand Falls-Windsor

Connaigre Peninsula Health Centre, Harbour Breton

Dr. Hugh Twomey Health Centre, Botwood

Fogo Island Health Centre, Fogo Island

Lakeside Homes, Gander

North Haven Manor and Protective Community

Residence, Lewisporte

Notre Dame Bay Memorial Health Centre, Twillingate

Valley Vista Senior Citizen’s Home, Springdale 

Western Health 

Bay St. George Long Term Care Home, Stephenville

Crossing Bonne Bay Health Centre, Norris Point

Calder Health Centre, Burgeo

Corner Brook Long Term Care Home, Corner Brook

Dr. Charles L. Legrow Health Centre, Port aux Basques

Protective Community Residences, Corner Brook

Rufus Guinchard Health Centre, Port Saunders 

Labrador-Grenfell Health 

Labrador South Health Centre, Forteau Labrador

West Health Centre, Labrador City

Happy Valley Goose Bay Long Term Care Home, Happy Valley-Goose Bay

John M. Gray Health Centre & Complex, St. Anthony 

Prince Edward Island 

Beach Grove Home, Charlottetown

Colville Manor, Souris

Margaret Steward Ellis Home, O’Leary 

Maplewood Manor, Alberton

Prince Edward Home, Charlottetown

Riverview Manor, Montague

Stewart Memorial, Tyne Valley

Summerset Manor, Summerside

Wedgewood Manor, Summerside 

Seniors Quality Leap Initiative 

Bruyère Continuing Care (Élisabeth Bruyère Hospital), Ottawa, Ontario

Hebrew Senior Life, Roslindale, Massachusetts, USA

Perley & Rideau Veterans Health Centre, Ottawa, Ontario

Schlegel Villages, The Village of Sandalwood Park, Kitchener, Ontario

St. Andrew’s Village, Presbyterian Senior Living Community, Indiana, Pennsylvania, USA 

“We are very pleased with the progress to date, and would like to thank the families and staff of all our long-term care homes throughout the province for their commitment to the Appropriate Use of Antipsychotics‎ collaborative. Their commitment, and the support from CFHI, has resulted in improvements in care and quality of life for people living in long-term care. While this project has concluded, our commitment to improving outcomes in this area will continue.” 

– The Honourable John Haggie,  Minister of Health and Community Services, Government of Newfoundland and Labrador (2019) 

Of those who were still participating in the AUA program at the end of both Phase 1 and Phase 2.