Appropriate Use of Antipsychotics in Long-Term Care Toolkit

Appropriate Use of Antipsychotics in Long-Term Care Self-Assessment

Step 1 of 9

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This short, multiple-choice assessment gathers information on eight key elements that promote successful implementation of appropriate use of antipsychotics in long-term care homes.

Your participation is voluntary. Results from the assessment will be sent to the email provided. HQBC will also store results as part of the overall appropriate use of antipsychotics in LTC provincial initiative. Results will only be used for the purpose of improvements.

The assessment should only take 5-10 minutes to complete.

About Your Long-Term Care Home

Long-Term Care Home Name(Required)

Health Region of Long-Term Care Home(Required)

Number of Beds(Required)

Does your care home have a special care unit(Required)

If you selected other, please describe.(Required)

Do you have clinical pharmacy support(s) participating in medication reviews at your care home?(Required)

If you selected other, please describe.(Required)

Ownership Type of Long-Term Care Home(Required)

If you selected other, please describe.(Required)

About You

Your Name(Required)

First Last

Your Role(Required)

Your Email(Required)

Enter Email Confirm Email

Key Element #1: Leadership Support

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

Leadership at all levels prioritize improving the appropriate use of antipsychotics at your LTC home.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #2: Interdisciplinary Team – Supporting Medication Management for Behavioural and Psychological Symptoms of Dementia (BPSD)

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

LTC home has an active Interdisciplinary Team who supports medication management for residents with Behavioural and Psychological Symptoms of Dementia (BPSD).(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

LTC home has a Clinical Nurse Leader(s) or designate with allocated time in their role to coordinate efforts towards the appropriate use of antipsychotics.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #3: MDS-RAI/interRAI Assessments

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

Clear processes are established to ensure timely and accurate MDS-RAI/interRAI assessments are completed for each resident on a quarterly basis.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #4: Medication Reviews and Management

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

LTC home has a standardized behaviour tracking process established to review and document all residents on antipsychotics without a diagnosis within 6 weeks of admission.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Once a resident is stable, LTC home has a standardized behaviour tracking process established to review and document all residents on antipsychotics without a diagnosis on a quarterly basis.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #5: Care Planning and Documentation

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

Upon admission, clear processes are in place to include family and caregivers with developing and updating a care plan that best prevents or responds to distressed reactions and triggers.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

All residents have an effective person-centered, individualized care plan that is updated on a quarterly basis.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #6: Family Engagement

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

Families and caregivers are provided education on dementia care and risks of using antipsychotics.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

LTC home has a process in place to ensure informed consent is received by resident or substitute when antipsychotic medications are used as part of a health care treatment.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #7: Staff Training and Culture

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

All staff who interact with residents receive onboarding and ongoing education for person-centered approach to care delivery (e.g. DementiAbility, GPA, PIECES, UFirst, Palliative Care approach).(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

All staff who interact with residents embed person-centered approaches to care delivery into daily practice and workplace culture.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Key Element #8: Non-Pharmacological Approaches to Care

Please respond to each question using the scale below, reflecting current practices at your LTC home.

1 – Never – 0% of the time

2 – Almost Never – 1-20% of the time

3 – Rarely – 21-40% of the time

4 – Sometimes – 41-60% of the time

5 – Often – 61-80% of the time

6 – Almost Always – 81-100% of the time

All staff are trained to know that non-pharmacological interventions are best practice to managing behaviours and the use of medications to manage specific behaviours (e.g., extreme aggressiveness, agitation) are used as a last resort, and only to be considered when all other interventions have been exhausted and a clinical assessment rules out remedying other possible causes (e.g., pain, discomfort, urinary tract infection, delirium).(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

All staff support, model and prioritize non-pharmacological interventions before using medications to manage behaviours.(Required)

1 = Never

2 = Almost Never

3 = Rarely

4 = Sometimes

5 = Often

6 = Almost Always

Comments

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Appropriate Use of Antipsychotics in Long-Term Care Self-Assessment

Appropriate Use of Antipsychotics in Long-Term Care Self-Assessment

About Your Long-Term Care Home

About You

Key Element #1: Leadership Support

Key Element #2: Interdisciplinary Team – Supporting Medication Management for Behavioural and Psychological Symptoms of Dementia (BPSD)

Key Element #3: MDS-RAI/interRAI Assessments

Key Element #4: Medication Reviews and Management

Key Element #5: Care Planning and Documentation

Key Element #6: Family Engagement

Key Element #7: Staff Training and Culture

Key Element #8: Non-Pharmacological Approaches to Care

Find out first about our news and events!

Territorial Acknowledgement

About Us

Improve Care

Sharpen Your Skills

Improve Culture

Patient & Community Voices

QualityForum2025

BC Quality Awards

Upcoming Events

Appropriate Use of Antipsychotics in Long-Term Care Self-Assessment

Appropriate Use of Antipsychotics in Long-Term Care Self-Assessment

About Your Long-Term Care Home

About You

Key Element #1: Leadership Support

Key Element #2: Interdisciplinary Team – Supporting Medication Management for Behavioural and Psychological Symptoms of Dementia (BPSD)

Key Element #3: MDS-RAI/interRAI Assessments

Key Element #4: Medication Reviews and Management

Key Element #5: Care Planning and Documentation

Key Element #6: Family Engagement

Key Element #7: Staff Training and Culture

Key Element #8: Non-Pharmacological Approaches to Care

Find out first about our news and events!

Territorial Acknowledgement

Quality
Forum
2025