“CFHI’s Reducing Antipsychotic Medication Use in Long Term Care is one of the most interesting and exciting quality initiatives to have happened in Canadian healthcare recently ”

—John Hirdes, Professor, School of Public Health and Health Systems, University of Waterloo; Senior Canadian fellow for interRAI; and lead member of the Seniors Quality Leap Initiative


About the Collaborative

To support the efforts to eliminate or significantly reduce the use of antipsychotics, CFHI provided long term care facilities across the country with:

  • Resources: seed funding, tools to guide the gradual reduction of medication use
  • Training: interactive webinars and face-to-face workshops
  • Coaching: content and improvement experts from across Canada and the U.S.
  • Cross-team sharing: online learning, peer review and idea exchanges

LTC homes designed, implemented, evaluated and spread changes across their facilities. The collaborative started with 15 LTC homes and spread to 56 facilities.

To lower their antipsychotic use, LTC homes focused on strategies that included:

  • Holding regular inter-professional team huddles
  • Having regular medication reviews
  • Engaging residents, families and allied providers
  • Using data for care planning
  • Applying recreational and other therapies for residents
  • Involving and activating commitment from leadership