{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T22:26:24Z","timestamp":1788215184015,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,19]],"date-time":"2023-02-19T00:00:00Z","timestamp":1676764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009128","name":"Research for Patient Benefit Programme","doi-asserted-by":"publisher","award":["PBPG\u20100817\u201020010"],"award-info":[{"award-number":["PBPG\u20100817\u201020010"]}],"id":[{"id":"10.13039\/501100009128","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Overprescribing of off\u2010licence psychotropic medications, particularly antipsychotics, for challenging behaviours in people with intellectual disabilities without a psychiatric disorder is a significant public health concern. In the United Kingdom, the National Health Service England launched an initiative in 2016, \u2018STopping Over\u2010Medication of People with learning disabilities, autism or both (STOMP)\u2019, to address this concern. STOMP is supposed to encourage psychiatrists in the United Kingdom and elsewhere to rationalise psychotropic medication use in people with intellectual disabilities. The current study aims to gather UK psychiatrists' views and experience of implementing the STOMP initiative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online questionnaire was sent to all UK psychiatrists working in the field of intellectual disabilities (estimated 225). Two open\u2010ended questions allowed participants to write comments in response to these questions in the free text boxes. One question asked about the challenges psychiatrists faced locally to implement STOMP, and the other asked for examples of successes and positive experiences from the process. The free text data were analysed using a qualitative method with the help of the NVivo 12 plus software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010eight (estimated 39%) psychiatrists returned the completed questionnaire. The qualitative analysis of free\u2010text data has shown variation within services in the experience and views of the psychiatrists. In areas with good support for STOMP implementation provided through adequate resources, psychiatrists reported satisfaction in the process with successful antipsychotic rationalisation, better\u00a0local multi\u2010disciplinary and multi\u2010agency working, and increased awareness of STOMP issues among the stakeholders such as people with intellectual disabilities and their caregivers and multidisciplinary teams, and improved quality of life caused by reduced medication\u2010related adverse events in people with intellectual disabilities. However, where resource utilisation is not optimum, psychiatrists seemed dissatisfied with the process with little success in medication rationalisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Whereas some psychiatrists are successful and enthusiastic about rationalising antipsychotics, others still face barriers and challenges. Much work is needed to achieve a uniformly positive outcome throughout the United Kingdom.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.13083","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T01:33:22Z","timestamp":1676856802000},"page":"594-603","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The <scp>UK<\/scp> psychiatrists' experience of rationalising antipsychotics in adults with intellectual disabilities: A qualitative data analysis of free\u2010text questionnaire responses"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1300-8103","authenticated-orcid":false,"given":"Shoumitro","family":"(Shoumi) Deb","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Brain Sciences Imperial College London  Truro Cornwall UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3532-0640","authenticated-orcid":false,"given":"Bharati","family":"Limbu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Brain Sciences Imperial College London  Truro Cornwall UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Nancarrow","sequence":"additional","affiliation":[{"name":"University of Exeter Medical School  Truro Cornwall UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gerrard","sequence":"additional","affiliation":[{"name":"NHS England and NHS Improvement  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-6933","authenticated-orcid":false,"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[{"name":"Cornwall Intellectual Disability Equitable Research (CIDER), University of Plymouth Peninsula School of Medicine  Truro Cornwall UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.1.42"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.13070"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2788.1996.772772.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-02-2018-0004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12736"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2788.1999.00182.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192315637"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2012.01631.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jir.12385"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcph.1271"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-95720-3_11"},{"key":"e_1_2_12_14_1","first-page":"521","volume-title":"Diagnostic manual\u2014Intellectual disability: A textbook of diagnosis of mental disorders in persons with intellectual disability","author":"Deb S.","year":"2016"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/hup.470090405"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2009.tb00248.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037912"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413161"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19169988"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpsy.2021.10.002"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/bja.2022.61"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-95720-3_7"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3156.2011.00707.x"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03391755"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1108\/AMHID-12-2018-0051"},{"key":"e_1_2_12_26_1","article-title":"Prescribing of psychotropic drugs to people with learning disabilities and\/or autism by general practitioners in England","author":"Glover G.","year":"2015","journal-title":"Public Health England"},{"issue":"1","key":"e_1_2_12_27_1","first-page":"4","article-title":"Positive behavioural support in the UK: A state of the nation report","volume":"12","author":"Gore N. 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