New Brunswick Appropriate Use of Antipsychotics Collaborative (NB-AUA)
The Canadian Foundation for Healthcare Improvement (CFHI) (now amalgamated with the Canadian Patient Safety Institute as Healthcare Excellence Canada), the New Brunswick Association of Nursing Homes (NBANH) and Government of New Brunswick collaborated to support the province-wide expansion of the Appropriate Use of Antipsychotics (AUA) approach to all 58 nursing homes in New Brunswick.
The NB-AUA collaborative implemented the AUA approach in two phases over a 16-month period:
- Phase 1, May 2016 to May 2017, with 15 nursing home teams participating.
- Phase 2, May 2017 to August 2018, spreading the AUA approach in an additional 43 long-term care homes in the province.
Over the two phases, more than half of participating residents1 who were prescribed antipsychotics without a diagnosis of psychosis had these medications safely reduced or discontinued. The benefits for residents included these final results:
- 52 percent of participating residents either had their antipsychotic medication dose reduced (18 percent) or discontinued entirely (34 percent).
- These residents experienced no increase in aggressive behaviours, such as resistance to care, and/or physically or verbally abusive behaviours.
Following the collaborative, some of the participating teams from New Brunswick joined CFHI’s Momentum Challenge – an invitation-only program that assisted teams to expand the reach of the AUA approach and sustain its impact.
The Teams
Drew Nursing Home, Sackville
Embassy Hall (Shannex RLC Ltd.), Quispamsis
Foyer Saint-Antoine, Saint-Antoine
Foyer Ste. Élizabeth Inc., Baker Brook
Kings Way LifeCare Alliance, Saint John
Loch Lomond Villa Inc., Saint John
Mount St. Joseph of Chatham, Miramichi
Passamaquoddy Lodge Inc., St. Andrews
Pine Grove Nursing Home, Fredericton
Résidences Lucien Saindon Inc., Lamèque
Rocmaura, Saint John
Victoria Glen Manor Inc., Perth-Andover
Villa Saint-Joseph Inc., Tracadie-Sheila
Westford Nursing Home, Port Elgin
Campbellton Nursing Home Inc., Campbellton
Campobello Lodge, Welshpool
Carleton Kirk Lodge, Saint John
Carleton Manor Inc., Woodstock
Central Carleton Nursing Home Inc., Hartland
Central New Brunswick Nursing Home Inc, Boiestown
Church of St. John & St. Stephen Home Inc., Saint John
Dr. V.A. Snow Centre Inc., Hapton
Forest Dale Home Inc., Riverside/Albert
Foyer Assomption, Village de Rogersville
Foyer Notre-Dame de Lourdes Inc., Bathurst
Foyer Notre-Dame de Saint-Léonard Inc., Saint Léonard
Foyer St. Thomas (Memramcook), Memramcook
Fundy Nursing Home, Black’s Harbour
Grand Falls Manor Inc./Villa des Chutes/Falls Villa, Grand Falls
Grand Manan Nursing Home Inc., Grand Manan
Jordan Lifecare Centre Inc., The Glades
Kiwanis Nursing Home Inc., Sussex
Les Résidences Jodin Inc., Edmundston
Lincourt Manor Inc., St. Stephen
Manoir Edith B. Pinet, Paquetville
Manoir Saint-Jean-Baptiste Inc., Bouctouche
Mill Cove Nursing Home Inc., Mill Cove
Miramichi Senior Citizens Home Inc., Miramichi
Nashwaak Villa Inc., Stanley
Orchard View, Gagetown
Résidence Mgr. Melanson Inc., Saint-Quentin
Résidences Inkerman Inc., Inkerman
Résidences Mgr. Chiasson Inc., Shippagan
Rexton Lions Nursing Home Inc., Rexton
River View Manor Inc., Bath
Tabusintac Nursing Home, Tabusintac
The Kenneth E. Spencer Memorial Home Inc., Moncton
The Salvation Army Lakeview Manor, Riverview
Tobique Valley Manor Inc., Plaster Rock
Turnbull Nursing Home Inc., Saint John
Villa Beauséjour Inc., Caraquet
Villa Maria Inc., St.-Louis-de-Kent
Villa Providence Shédiac Inc., Shédiac
Villa Sormany Inc., Robertville
W.G. Bishop Nursing Home, Minto
Wauklehegan Manor Inc., McAdam
White Rapids Manor Inc., Fredericton Junction
– Jodi Hall Executive Director of the New Brunswick Association of Nursing Homes (2019)
1Of those still participating in the program at the end of Phase 1 and Phase 2.
