Appropriate Use of Antipsychotic Medication in Long-Term Care: Riverview’s Story
Riverview is committed to ensuring antipsychotic medications are used safely and only when truly necessary. To support this work, the CD3 personal care community at Riverview participated in Healthcare Excellence Canada’s Sparking Change in the Appropriate Use of Antipsychotics (AUA) Award Program 2025.
How We’re Improving
- Clinical Practice Change: Daily Safety Huddles, Weekly Rounds, and Quarterly Medication Reviews were used to support appropriate antipsychotic use.
- Staff Training: 100% of staff completed Person Directed Living training.
- Community Education: 200+ residents, families, and care partners received AUA education through information sessions, our newsletter, and new brochure.
Positive Outcomes
Nineteen (19) residents living in the CD3 community were supported through this AUA initiative. This included thoughtful reductions, increases, and discontinuations tailored to each resident to promote well-being and quality of life. Most residents showed no change in behaviours or symptoms, while a few experienced worsening symptoms that were managed through collaborative, individualized strategies. Others experienced improvements, including decreased drowsiness and increased participation.
National Recognition
Healthcare Excellence Canada has recognized CD3 with both the Progress Award and Impact Award, totaling $15,000 through the Sparking Change in the Appropriate Award Program. Part of the funding has already supported the purchase of two new recliner chairs to give residents a place to relax, rest, and feel at home.
Why This Matters
Appropriate antipsychotic use supports:
- Better quality of life
- Greater mobility and independence
- Improved engagement and connection
- Stronger relationships among residents, staff, and families
- Reduced stress for caregivers and teams
What Can I Do To Support?
- Share with staff what helps bring comfort and what causes stress. This helps staff create a care plan that is person directed.
- Watch for changes and let staff know if the medication is helping of there are concerns.
- Talk with staff periodically about whether antipsychotic use is appropriate.
Where Can I Find More Information?
Talk to your health care team about any questions or concerns you may have. Additional resources include: