A multi-level ecological model of psychotropic prescribing to adults with intellectual disability

Abstract

Purpose

Simple linear accounts of prescribing do not adequately address reasons “why” doctors prescribe psychotropic medication to people with intellectual disability (ID). Greater understanding of the complex array of factors that influence decisions to prescribe is needed.

Design/methodology/approach

After consideration of a number of conceptual frameworks that have potential to better understand prescribing of psychotropic medication to adults with ID, an ecological model of prescribing was developed. A case study is used to outline how the model can provide greater understanding of prescribing processes.

Findings

The model presented aims to consider the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The utility of the model is illustrated through a consideration of the case study.

Research limitations/implications

The model presented is conceptual and is as yet untested.

Practical implications

The model presented aims to capture the complexity and multi-dimensional nature of community-based psychotropic prescribing to adults with ID. The model may provide utility for clinicians and researchers as they seek clarification of prescribing decisions.

Originality/value

The paper adds valuable insight into factors influencing psychotropic prescribing to adults with ID. The ecological model of prescribing extends traditional analysis that focuses on patient characteristics and introduces multi-level perspectives that may provide utility for clinicians and researchers.

Citation

Edwards, N., Bain, C., Mutch, A., Dean, J. and Lennox, N. (2014), "A multi-level ecological model of psychotropic prescribing to adults with intellectual disability", Advances in Mental Health and Intellectual Disabilities, Vol. 8 No. 1, pp. 24-31. https://doi.org/10.1108/AMHID-01-2013-0001