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Clinical Corner- Psychotropic Medications in Long Term Care

Clinical Corner – April: Psychotropic Medication Management & Compliance With Jessica Casanova, BSW, MSW, LSW Effective psychotropic medication management is essential for ensuring resident safety, regulatory compliance, and optimal clinical outcomes. This month, we’re focusing on key elements of psychotropic oversight, including: ✅ Behavior Monitoring & Documentation – Accurate, ongoing documentation of behaviors is critical to justify the use of psychotropic medications and assess their effectiveness. Ensure that progress notes, behavior tracking logs, and care plans reflect clinical rationale and interventions. ✅ Psychotropic Pharmacy Reviews – Regular pharmacist-led reviews help identify opportunities for dose adjustments, deprescribing, or alternative non-pharmacological interventions. These reviews are a crucial part of regulatory compliance and quality care. ✅ Informed Consents – Facilities must obtain and maintain signed, informed consents for all psychotropic medications, ensuring residents and/or their representatives understand risks, benefits, and alternatives. ✅ Gradual Dose Reduction (GDR) – Per CMS regulations, facilities must attempt GDRs for residents on psychotropic medications unless clinically contraindicated. Proper documentation of physician rationale for maintaining dosages is essential. Proactive psychotropic medication management supports regulatory compliance while promoting resident well-being. Ensure your teams are aligned with best practices to mitigate risk and improve outcomes! 📌 Disclaimer: This video is intended for educational purposes and does not replace professional judgment or official CMS/state guidance.