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Sustaining that progress depends on supporting teams to adapt care in ways that better reflect each resident’s needs.","text",{"type":15,"attrs":303},{"textAlign":53},[246],[69,106,32,76],[307,343,374,434,451,492],{"id":16,"_uid":308,"content":309,"component":342},"06ba5f05-ea44-4fb5-a381-3dd1482e6817",[310],{"_uid":311,"content":312,"component":341},"f3f59f16-f561-42f0-a41a-7a574059a715",{"type":12,"content":313},[314,321,326,331,336],{"type":315,"attrs":316,"content":318},"heading",{"level":317,"textAlign":53},2,[319],{"text":320,"type":301},"A shared priority and a complex reality",{"type":15,"attrs":322,"content":323},{"textAlign":53},[324],{"text":325,"type":301},"Despite years of focused improvement efforts, the use of antipsychotics in long-term care continues to raise important questions about quality of life, safety and person-centred care. Today, approximately one in four residents in long-term care in Canada are prescribed antipsychotics without a diagnosis of psychosis. While these medications can be appropriate in certain situations, concerns remain when they are used without a clear clinical need or when the risks outweigh the benefits.",{"type":15,"attrs":327,"content":328},{"textAlign":53},[329],{"text":330,"type":301},"Targeted initiatives have led to measurable progress in appropriate use, but recent increases following the pandemic highlight how difficult it can be to sustain change over time without continued support.",{"type":15,"attrs":332,"content":333},{"textAlign":53},[334],{"text":335,"type":301},"Across this work, one aspect has become clear: improving how antipsychotics are used is closely tied to how care is understood and delivered.",{"type":15,"attrs":337,"content":338},{"textAlign":53},[339],{"text":340,"type":301},"Through its work with partners across the country, Healthcare Excellence Canada supports teams in applying the Appropriate Use of Antipsychotics (AUA) approach in practice. First developed in Manitoba, this evidence-informed, person-centred approach to AUA helps teams assess responsive behaviours, review medications and explore alternatives that better reflect each resident’s lived experience. 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Of those targeted residents, 66% were able to safely stop (38%) or reduce (28%) their use of antipsychotics, and there was a 30% reduction in daily physical restraints.",{"type":15,"attrs":410,"content":411},{"textAlign":53},[412],{"text":413,"type":301},"These changes were also reflected in how teams approached care, including more frequent medication reviews, stronger engagement with families and greater use of non-pharmacological approaches.",{"type":15,"attrs":415,"content":416},{"textAlign":53},[417],{"text":418,"type":301},"Aligning with provincial efforts, homes in Manitoba successfully made progress towards AUA goals through participation in the program.",{"type":15,"attrs":420,"content":421},{"textAlign":53},[422],{"text":423,"type":301},"At East Gate Lodge Personal Care Home, nearly all targeted residents had their antipsychotic medications discontinued. Families described their loved ones as more alert, more interactive and more engaged in daily life.",{"type":15,"attrs":425,"content":426},{"textAlign":53},[427],{"text":428,"type":301},"At Riverview Health Centre, teams worked alongside residents and care partners to co-develop educational materials. This helped build a shared understanding of appropriate use and more informed decisions about deprescribing.",{"type":15,"attrs":430,"content":431},{"textAlign":53},[432],{"text":433,"type":301},"At Wawanesa Health Centre, daily routines were redesigned to better reflect residents’ lived experiences. 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Coaching, peer learning and practical tools help make these changes part of daily care, alongside the time and space needed to review medications, engage with families and test different approaches.",{"type":15,"attrs":469,"content":470},{"textAlign":53},[471,473,485],{"text":472,"type":301},"In Manitoba, this work is now being supported through the ",{"text":474,"type":301,"marks":475},"Manitoba Appropriate Use of Antipsychotics in Long-Term Care Collaborative",[476],{"type":390,"attrs":477},{"href":478,"uuid":479,"anchor":53,"custom":480,"target":395,"linktype":396,"story":481},"/programs/manitoba-aua-long-term-care-collaborative","1e30feb0-bfb9-42fb-b1c4-739ecfc04434",{},{"name":474,"id":482,"uuid":479,"slug":483,"url":484,"full_slug":484,"_stopResolving":401},170494747332047,"manitoba-aua-long-term-care-collaborative","programs/manitoba-aua-long-term-care-collaborative",{"text":486,"type":301},", in partnership with Shared Health Manitoba. Building on what was established through Sparking Change, this provincial initiative offers structured support to strengthen person-centred practices and sustain improvements over time. 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",{"_uid":521,"link":522,"image":528,"title":474,"component":512,"description":530},"938cc913-184f-4fca-ba6b-21528bd5b233",[523],{"_uid":524,"link":525,"label":527,"component":509},"d937a054-9b6b-40bc-9ce6-59f7b4123313",{"id":479,"url":16,"linktype":396,"fieldtype":502,"cached_url":484,"story":526},{"name":474,"id":482,"uuid":479,"slug":483,"url":484,"full_slug":484,"_stopResolving":401},"Learn more",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":529},{},{"type":12,"content":531},[532],{"type":15,"attrs":533,"content":534},{"textAlign":53},[535],{"text":536,"type":301},"Details on the Manitoba collaborative, including timeline, participation and how the work will be supported.",{"_uid":538,"link":539,"image":549,"title":546,"component":512,"description":551},"8cbc8a98-d65a-4d73-b265-349ec869db04",[540],{"_uid":541,"link":542,"label":527,"component":509},"ab4488cd-1c8f-45b1-bd5e-0a3252c1c3f6",{"id":543,"url":16,"linktype":396,"fieldtype":502,"cached_url":544,"story":545},"599fa17c-123e-4aa8-a600-781d37965f52","programs/appropriate-use-of-antipsychotics",{"name":546,"id":547,"uuid":543,"slug":548,"url":544,"full_slug":544,"_stopResolving":401},"Appropriate Use of Antipsychotics",123451315324109,"appropriate-use-of-antipsychotics",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":550},{},{"type":12,"content":552},[553],{"type":15,"attrs":554,"content":555},{"textAlign":53},[556],{"text":557,"type":301},"The Appropriate Use of Antipsychotics (AUA) approach focuses on leveraging person-centered approaches to care as a means to deprescribe antipsychotics that no longer benefit and potentially cause harm for people living with dementia.","Related Resources and Programs","ressources-redirection",{"type":12,"content":561},[562],{"type":15},[129,115,143,150,136,122],"hec-page-update","scaling-what-works-to-improve-the-use-of-antipsychotics-in-long-term-care","updates/scaling-what-works-to-improve-the-use-of-antipsychotics-in-long-term-care",-9180,[],114595414941747,"aa80665f-1520-46a1-8d82-5e1caecaa31e","2026-06-01T22:00:35.114Z","default",[],[575],{"path":576,"name":577,"lang":578,"published":401},"actualites-et-perspectives/utilisation-appropriee-des-antipsychotiques-en-soins-de-longue-duree","Maintenir l’élan vers une utilisation appropriée des antipsychotiques en soins de longue durée","fr",1780405800,[],[582,583,584,585],{"name":474,"id":482,"uuid":479,"slug":483,"url":484,"full_slug":484},{"name":546,"id":547,"uuid":543,"slug":548,"url":544,"full_slug":544},{"name":387,"id":398,"uuid":393,"slug":399,"url":400,"full_slug":400},{"name":505,"id":506,"uuid":501,"slug":507,"url":503,"full_slug":503},[587],{"id":287,"alt":288,"content_length":588,"content_type":589,"copyright":16,"created_at":590,"deleted_at":53,"focus":16,"is_private":292,"title":16,"updated_at":591,"s3_filename":592,"meta_data":593},1120577,"image/jpeg","2026-05-25T13:13:17.705Z","2026-05-25T13:13:18.767Z","f/850807391887861/4275x2850/ff75c3c150/scaling-what-works-to-improve-the-use-of-antipsychotics-in-long-term-care.jpg",{"alt":288,"title":16,"source":16,"copyright":16,"alt__i18n__fr":594},"Membres du personnel de la santé assis autour de tables, examinant ensemble des documents imprimés, échangeant sur leur contenu et pointant certains éléments lors d’une séance collaborative.",[248],1780408754054]