New Brunswick Appropriate Use of Antipsychotics Collaborative (NB-AUA)
The Canadian Foundation for Healthcare Improvement (CFHI) (now amalgamated with the Canadian Patient Safety Institute as 日本无码), the New Brunswick Association of Nursing Homes (NBANH) and Government of New Brunswick collaborated to support the province-wide expansion of the Appropriate Use of Antipsychotics (AUA) approach to all 58 nursing homes in New Brunswick.
The NB-AUA collaborative implemented the AUA approach in two phases over a 16-month period:
- Phase 1, May 2016 to May 2017, with 15 nursing home teams participating.听
- Phase 2, May 2017 to August 2018, spreading the AUA approach in an additional 43 long-term care homes in the province.听
Over the two phases, more than half of participating residents1 who were prescribed antipsychotics without a diagnosis of psychosis had these medications safely reduced or discontinued. The benefits for residents included these final results:听
- 52 percent of participating residents either had their antipsychotic medication dose reduced (18 percent) or discontinued entirely (34 percent).听
- These residents experienced no increase in aggressive behaviours, such as resistance to care, and/or physically or verbally abusive behaviours.听
Following the collaborative, some of the participating teams from New Brunswick joined CFHI鈥檚 Momentum Challenge 鈥� an invitation-only program that assisted teams to expand the reach of the AUA approach and sustain its impact.
The Teams
Drew Nursing Home, Sackville听
Embassy Hall (Shannex RLC Ltd.), Quispamsis听
Foyer Saint-Antoine, Saint-Antoine听
Foyer Ste. 脡lizabeth Inc., Baker Brook听
Kings Way LifeCare Alliance, Saint John听
Loch Lomond Villa Inc., Saint John听
Mount St. Joseph of Chatham, Miramichi听
Passamaquoddy Lodge Inc., St. Andrews听
Pine Grove Nursing Home, Fredericton听
R茅sidences Lucien Saindon Inc., Lam猫que听
Rocmaura, Saint John听
Victoria Glen Manor Inc., Perth-Andover听
Villa Saint-Joseph Inc., Tracadie-Sheila听
Westford Nursing Home, Port Elgin听
Campbellton Nursing Home Inc., Campbellton听
Campobello Lodge, Welshpool听
Carleton Kirk Lodge, Saint John听
Carleton Manor Inc., Woodstock听
Central Carleton Nursing Home Inc., Hartland听
Central New Brunswick Nursing Home Inc, Boiestown听
Church of St. John & St. Stephen Home Inc., Saint John听
Dr. V.A. Snow Centre Inc., Hapton听
Forest Dale Home Inc., Riverside/Albert听
Foyer Assomption, Village de Rogersville听
Foyer Notre-Dame de Lourdes Inc., Bathurst听
Foyer Notre-Dame de Saint-L茅onard Inc., Saint L茅onard听
Foyer St. Thomas (Memramcook), Memramcook听
Fundy Nursing Home, Black鈥檚 Harbour听
Grand Falls Manor Inc./Villa des Chutes/Falls Villa, Grand Falls听
Grand Manan Nursing Home Inc., Grand Manan听
Jordan Lifecare Centre Inc., The Glades听
Kiwanis Nursing Home Inc., Sussex听
Les R茅sidences Jodin Inc., Edmundston听
Lincourt Manor Inc., St. Stephen听
Manoir Edith B. Pinet, Paquetville听
Manoir Saint-Jean-Baptiste Inc., Bouctouche听
Mill Cove Nursing Home Inc., Mill Cove听
Miramichi Senior Citizens Home Inc., Miramichi听
Nashwaak Villa Inc., Stanley听
Orchard View, Gagetown听
R茅sidence Mgr. Melanson Inc., Saint-Quentin听
R茅sidences Inkerman Inc., Inkerman听
R茅sidences Mgr. Chiasson Inc., Shippagan听
Rexton Lions Nursing Home Inc., Rexton听
River View Manor Inc., Bath听
Tabusintac Nursing Home, Tabusintac听
The Kenneth E. Spencer Memorial Home Inc., Moncton听
The Salvation Army Lakeview Manor, Riverview听
Tobique Valley Manor Inc., Plaster Rock听
Turnbull Nursing Home Inc., Saint John听
Villa Beaus茅jour Inc., Caraquet听
Villa Maria Inc., St.-Louis-de-Kent听
Villa Providence Sh茅diac Inc., Sh茅diac听
Villa Sormany Inc., Robertville听
W.G. Bishop Nursing Home, Minto听
Wauklehegan Manor Inc., McAdam听
White Rapids Manor Inc., Fredericton Junction
鈥� Jodi Hall听Executive Director of the New Brunswick Association of Nursing Homes (2019)听听
1Of those still participating in the program at the end of Phase 1 and Phase 2.
