Exploring stakeholder perspectives on antipsychotic use for challenging behaviours in intellectual disabilities using a World Café approach

Aims: Adults with intellectual disability frequently experience challenging behaviours and are prescribed antipsychotics (AP). Management of challenging behaviours remains controversial and AP use is often based on low-quality evidence. Our study explores the development of educational resources with healthcare workers and paid carers regarding the use of AP. Method: A mixed-methods approach utilised a “World Café Event”. Thematic analysis and descriptive analysis were conducted. Results: Participants reported the importance of training that explores the balancing of the risks and benefits of AP use and the setting of a pluralistic approach towards treatment. We identified the need for further education of caregivers to improve confidence in AP prescribing to facilitate correct protocols and dose tapering where possible. Clinical implications: Engaging mixed disciplines to discuss medication safety is feasible using a World Café approach and useful to create shared values, identify knowledge gaps and promote change via a social movement.