{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:38:24Z","timestamp":1777855104122,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T00:00:00Z","timestamp":1753574400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intellect Disabil"],"abstract":"<jats:p>\n                    <jats:bold>Aims:<\/jats:bold>\n                    Challenging behaviour in individuals with intellectual disabilities affects quality of life and often results in antipsychotic use, despite guidelines recommending non-drug approaches as the first line. This study explores healthcare team perspectives on managing challenging behaviour, barriers to reducing antipsychotic overprescription, and possible solutions.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A cross-sectional qualitative study using thematic analysis of an online team discussion and survey. Findings were used to develop a driver diagram of proposed strategies.\n                    <jats:bold>Results:<\/jats:bold>\n                    Three themes were identified: (1) varied views on current prescribing practices, with concerns about overuse and limited awareness of guidance; (2) key barriers including staffing shortages, reluctance to reduce medication, poor communication, lack of structured reviews, and absence of outcome measures; and (3) proposed solutions such as family involvement, regular reviews, improved outcome tracking, staff education, and clear care pathways.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Addressing system-level barriers through coordinated team-based approaches may reduce reliance on antipsychotics and improve care.\n                  <\/jats:p>","DOI":"10.1177\/17446295251362348","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T04:16:25Z","timestamp":1753676185000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI would prefer to be prescribing less\u201d: Perceptions on antipsychotics and challenging behaviour"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0213-2612","authenticated-orcid":false,"given":"Caitlin","family":"Norris-Grey","sequence":"first","affiliation":[{"name":"Haringey Learning Disabilities Partnership, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aileen","family":"Carmen","sequence":"additional","affiliation":[{"name":"Haringey Learning Disabilities Partnership, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,27]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-022-04479-w"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/TLDR-09-2023-0020"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.13070"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-019-00175-9"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.53841\/bpsfpid.2006.4.3.16"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.5771\/0943-7444-2017-8-668"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192417095"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2012.01631.x"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.97"},{"key":"e_1_3_5_12_1","volume-title":"Public Health England","author":"Gyles Glover P. 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