Sparking Change in the Appropriate Use of Antipsychotics
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- Topics
- Aging in place
- Long-term care
- Patient safety
- Audience
Healthcare leader
Point of care provider
Policy advisor or analyst
The Sparking Change in the Appropriate Use of Antipsychotics Awards Program supports long-term care homes across Canada to use person-centred approaches and reduce the potentially inappropriate use of antipsychotics for people living with dementia
Sparking Change in the Appropriate Use of Antipsychotics Awards Program (Sparking Change) provides resources, coaching and financial award opportunities to up to 500 teams in long-term care (LTC) settings working to decrease the potentially inappropriate use of antipsychotic medications without a diagnosis of psychosis. Prescribing rates rose during the COVID-19 pandemic and remain high in many LTC homes, making this work more important than ever.
Improvement with impact
Long-term care homes enrolled in Sparking Change in AUA are already seeing meaningful change by rethinking how they respond to behaviours and centring care around each resident’s individual needs.
At Chartwell Crescent Gardens in British Columbia, the team reduced inappropriate antipsychotic use by 33 percent through individualized care plans, staff training and strong family engagement.
At Lewisporte Health Centre in Newfoundland and Labrador, two residents regained the ability to speak, eat and engage in daily life after antipsychotics were discontinued.
How we're supporting teams
Sparking Change recognizes the important work already underway in long-term care homes across the country. More than just a quality improvement initiative, the program offers a meaningful opportunity to:
Improve safety, engagement, and quality of life for residents
Build staff skills and confidence in deprescribing
Reduce medication-related risks and adverse events
Join a pan-Canadian network of LTC teams working toward the same goals
Running until February 2026, Sparking Change supports participating teams through a flexible program model and the chance to earn financial awards for their efforts. Teams can opt in and out to best suit their goals, based on their interest and capacity. The program curriculum includes:
Award opportunities ranging from $2,000 to $10,000 per home
Step-by-step tools to implement AUA practices
Dedicated coaching to guide your progress
Peer learning and knowledge sharing with other LTC teams
All long-term care (LTC) homes in Canada were eligible to join. Read the full Terms and Conditions (PDF) of the program.
While registration is now closed (as of October 1, 2025), the program continues to provide support and resources to participating teams.
Participating teams
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A total of 341 teams across 11 provinces and territories are part of Sparking Change in the Appropriate Use of Antipsychotics.
Teams include long-term care homes from across the country all focusing on person centred care to improve quality of life and reduce the potentially inappropriate use of antipsychotic medications for people living with dementia.
Together, these teams are part of a growing community of changemakers who continue to share ideas, learn together, and lead meaningful improvements in care for residents across Canada.
Proven Impact of the AUA approach
In Quebec, the OPUS-AP program reduced or discontinued antipsychotic use in over 85% of participating residents with major neurocognitive disorders, without an increase in behavioural symptoms or falls
German-Canadian Care Home (PDF) in British Columbia cut antipsychotic use from 44% to 31.6% in just over a year
In Newfoundland and Labrador, 52% of participating residents had their antipsychotic medications reduced or discontinued, without an observed increase in aggressive behaviours
Check out our AUA Toolbox which contains resources that have helped to guide LTC homes to successful deprescribing initiatives.
Why this work matters
Antipsychotic medications are often used to manage responsive behaviours in dementia, but they can cause serious side effects like confusion, stroke, and even death.
From 2014 to 2020, the rate of potentially inappropriate antipsychotic use in LTC homes across the country fell from 27.2% to 20.2%. But the COVID-19 pandemic reversed that trend. By 2022–2023, usage rates had climbed back to 24.5%, where they remain today.
Deprescribing these medications when they no longer benefit or cause harm can improve safety and quality of life, especially with supportive care strategies. Person-centred care is a proven and safer alternative that addresses the root causes of responsive behaviors benefitting residents, care partners and care providers.
Expand your participation — and your impact
This offering is part of Care Forward, a larger initiative that provides funding and learning supports to drive impact on four key priorities: expanding care access, supporting aging in place, advancing person-centred long-term care and strengthening the health workforce. Teams are encouraged to explore various Care Forward offerings to boost their skills and amplify their impact.
Awards and Key Dates
Long-term care teams across Canada are making meaningful strides to improve how antipsychotics are used in their homes, with a focus on safe, appropriate and person-centred approaches. The Sparking Change in the Appropriate Use of Antipsychotics Awards Program recognizes and supports this work through funding, visibility and opportunities to learn from others. Whether you're just getting started or have measurable results to share, there's an award category for you.
Registration for this program is now closed, but you can still explore the AUA Approach to support your work.
30 awards of 1,000 CAD each
Award submission opens February 19, 2026
Deadline to submit: March 6, 2026, at 11:59 p.m. ET
25 awards of 1,000 CAD each
Award submission opens June 8, 2026
Deadline to submit: June 26, 2026, at 11:59 p.m. ET
Supporting early momentum by rewarding teams who take the first step in their improvement journey.
30 awards of $2,000 CAD
The Kickstarter Award recognizes teams who take early initiative by registering for the program and preparing to improve the appropriate use of antipsychotics in their care settings. This award is a great way to kick-start your team’s efforts, gain early recognition and receive support for your commitment to positive change.
There’s no separate submission form required. Each team registered in the program receives one ballot.
First Kickstarter Award winners
Theodore Health Centre
MDAA Parc de la Montagne
Loch Lomond Villa
Valleyhaven
Parkland Place
Gateway Lodge
The Agnes Pratt Home
St. George Community
Gemstone Care Centre
Kennebec Manor Nursing Home
Christina Cole Memorial Residence
Centre Hospitalier du Pontiac
NL Grand Falls-Windsor LTC Centre
AgeCare Sagewood
Swan Valley Lodge Interior Health
Kings Way Care Centre
Whitemouth PCH
Chenchenstway Care Home
St Patrick's Mercy Home
Apotex Jewish Home for the Aged
Bayside Personal Care Home
Garry J. Armstrong
Nakile Home for Special Care
Thomson Centre
Pavillon Landry
St Angela Merici Residence
Weyburn Special Care Home
Kipling Integrated Health Centre
Centre d'accueil Champlain
Fisher Personal Care Home
Wynyard Golden Acres
Dunrovinc Park Lodge
Bethany Cochrane
Blue Crest Nursing Home
Caribou Memorial Veterans Pavilion
Gordon Hall
Three Links Manor
Glen Hill Strathaven
Weston Terrace Commlunity
The Saul & Claribel Simkin Centre
Big River Health Center
Eriksdale Personal Care Home
Prince Edward Home
Lions Manor NH
Foyer d'Youville
Midland Gardens
Hamilton Village Care Centre
Frederick Hall Shannex
Betel Home Foundation - Gimli
Notre Dame By Memorial Health Centre LTC
Bethany Harvest Hills
Centre Vallee-de-la-Lievre
Pleasant View Towers
Outlook & District Health Center
Riverview Manor
Second Kickstarter Award winners
Franklin Gardens LTCH
Extendicare Bonnyville
Stuart Nechako Manor
Saint Vincent Langara
Dr. Hugh Twomey Health Centre
Corner Brook Long Term Care
Ocean View Continuing Care Centre
Bonnyville Health Centre
Youville Residence
Clayton Heights Care Community
Mont St. Joseph Home
Arborg Personal Care Home
River Park Gardens
Lakeside Manor Care Home
Extendicare Leduc
Fillmore Health Centre
Monarch Hall
Stewart Memorial Home
Extendicare Mapleview Sault Ste Marie
Chancellor Park
Sherbrooke Community Centre
A.M. Guy Memorial Health Centre
St. Paul's Home
Glen Rouge Community - Sienna Senior Living
Pioneers Lodge
The Elliott Community
Flin Flon Personal Care Home
Musquodboit Valley Home for Special Care Braeside
Park Lane Terrace
CHSLD Petite-Nation
Acknowledging care teams who lay the groundwork for meaningful antipsychotic reduction through collaborative planning.
30 awards of $5,000 CAD each
The Improvement Plan Award recognizes teams that develop thoughtful, inclusive plans to improve the appropriate use of antipsychotics in care settings.
Evaluation Criteria
To be eligible, teams must submit a detailed Improvement Plan Submission Form, evaluated based on the following criteria:
Team Approach: Clearly defined roles and responsibilities, diverse perspectives and alignment with HEC’s AUA Approach. Consideration is given to resident, family or essential care partner involvement.
Background, Aim Statement & Change Ideas: Background context, a problem description and a SMART aim statement. Change ideas align with the AUA Approach, emphasizing person-centred care and workforce safety.
Measures & Data Collection: Clearly defines the targeted population, selects measures that demonstrate impact (including balancing measures) and outlines feasible data collection strategies.
Creativity & Innovation: Showcases originality and innovative approaches to improving antipsychotic use.
Project Management: Includes realistic timelines, resource considerations, plan–do–study–act cycles and change management strategies.
Improvement Plan Award winners
Yorkton & District Nursing Home
Cohen Hall
CHSLD Petite-Nation
Saint Luke's Home
CHSLD Hôpital de Papineau
Three Links Manor
Tideview Terrace
CHSLD La Pietà
Lewisporte Health Centre
Rexton Lions Nursing Home
The Agnes Pratt Home
Loch Lomond Villa
Central Haven
CHSLD de la Côte Boisée
Misericordia Place
St Angela Merici Residence
Deerview Lodge
Caribou Memorial Veterans Pavilion
Victoria Glen Manor
East Gate Lodge PCH
The Meadows
Whistle Bend Place
Souris PCH
Wentworth Manor
The Hamlets at Duncan
The Saul & Claribel Simkin Centre
Bonne Bay Health Centre
Parkstone Enhanced Care
Czorny Alzheimer Center
Tucker Hall
Celebrating initiatives that put residents and their care partners at the centre of decision-making to improve care quality.
30 awards of $5,000 CAD each
The Person-Centred Care (PCC) Award recognizes teams that have successfully implemented person-centred initiatives that reduce the use of antipsychotics while improving the overall experience of care. Eligible submissions must focus on one of the following areas:
Care Planning & Implementation: Integration of PCC principles into care planning and execution, showing how personalized plans reduce antipsychotic use as part of holistic care.
Staff Training & Practice Change: Programs that educate staff on PCC, non-pharmacological strategies and sustainable practice change, with evidence of improved outcomes.
Resident and Family Engagement: Initiatives that involve residents, families and essential care partners in care decisions, strengthening support systems and fostering collaboration.
Team Collaboration: Cross-functional teamwork that enhances communication, coordination and shared decision-making in the delivery of person-centred care.
Person-Centred Care Award winners
Tideview Terrace
Pleasant View Towers
Lions Manor Nursing Home
Saint Luke's Home
The Agnes Pratt Home
Rexton Lions Nursing Home
Gemstone Care Centre
Midland Gardens
AgeCare Sagewood
Cohen Hall
Hamilton Village Care Centre
Loch Lomond Villa
Caribou Memorial Veterans Pavilion
Glen Hill Strathaven
Kipling Integrated Health Centre
Estevan Regional Nursing Home
Bethany Cochrane
CHSLD Du Pontiac
Pioneers Lodge
Grand Prairie Care Centre
Bridgeview Hall
Gables Lodge
Sherbrooke Community Centre
Arrowsmith Lodge
Cedarstone Enhanced Care
St. Paul's Home
Harbourstone Enhanced Care
Dr. Hugh Twomey Health Centre
The Harrison at Elim Village
Perley Health
Recognizing teams that are beginning to see measurable improvements in the appropriate use of antipsychotics.
30 awards of $5,000 CAD each
The Progress Award celebrates teams that are actively working toward improving the appropriate use of antipsychotics and can show early, measurable progress. Submissions should demonstrate change using program indicators, supported by at least three months of data following the baseline.
Award Criteria
Quantitative Progress: Demonstrates improvement through outcome and balancing measures, such as a reduced rate of potentially inappropriate antipsychotic use or the discontinuation of medications where appropriate.
Progress Narrative: A clear story of change, aligned with the AUA Approach. Qualitative evidence should complement the data, including resident and family voices.
Sustainability & Spread Potential: A plan for continuing and expanding the initiative, with strategies to support implementation.
Clarity: Submission is clear, concise and includes the necessary details for evaluation.
Progress Award winners
Calder Health Care Center
Calvary Place PCH
Idlewyld Manor
Private Josiah Squibb Memorial Pavilion
Riverview Health Centre
Rosewood Manor
St Joseph's Hospital Foundation - LTC
St. Mary's Villa
St. Michael's Long Term Care Centre
The Kiwanis Pavilion
Trillium Community and Retirement Living
Valley Vista Long Term Care Home
Caribou Memorial Veterans Pavilion
CHSLD Du Pontiac
CHSLD Hôpital de Papineau
CHSLD La Pietà
Cohen Hall
Corner Brook Long Term Care
East Gate Lodge PCH
Lewisporte Health Centre
Loch Lomond Villa
MDAA Parc de la Montagne
Musquodboit Valley Home for Special Care Braeside
St Angela Merici Residence
The Agnes Pratt Home
The Elliott Community
The Hamlets at Duncan
The Harrison at Elim Village
The Meadows
Tideview Terrace
Highlighting practical, innovative actions that are making care settings safer for staff and residents alike.
30 awards of $5,000 CAD each
The Workforce Safety Award celebrates long-term care teams that are making meaningful improvements to workplace safety through innovative, practical actions. Teams submit a photo essay with 5–10 photos and captions that showcase how their AUA initiative is fostering a safer, more supportive environment.
Eligible submissions focus on:
Small Changes, Big Impact: Everyday improvements, such as better communication or equipment, that lead to significant safety gains.
Non-pharmacological Interventions: Approaches like music therapy, sensory stimulation or personalized care plans that reduce medication use and improve safety.
Creating a Culture of Safety: Team efforts such as training, open communication and leadership that make safety a core workplace value.
Workforce Safety Award Winners
St. Mary's Villa
The Hamlets at Penticton
The Hamlets at Duncan
Wentworth Manor
Crocus Court
Lewisporte Health Centre
Bayside Personal Care Home
Mainprize Manor & Health Centre
Glen Hill Strathav
Holy Family Hospital LTC
Caribou Memorial Veteran's Pavilion
Victoria Glen Manor
St. Michael's Long Term Care Centre
Youville Residence
Rexton Lions Nursing Home
Lions Manor Nursing Home
Wawanesa Health Centre
Gemstone Care Centre
Bethania Mennonite Personal Care Home
Calder Health Care Center
Loch Lomond Villa
Fillmore Health Centre
St. Joseph's Special Care Home
Private Josiah Squibb Memorial Pavilion
CHSLD Ernest-Brisson (CISSSO)
St. Paul's Home
Arborg Personal Care Home
The Hamlets at Westsyde
Mountain Lea Lodge, LTC Facility
Rufus Guinchard Health Centre
Highlighting teams who have achieved measurable, sustained improvements in antipsychotic use and care experience.
25 awards of $10,000 CAD each
The Impact Award recognizes teams that have achieved measurable, sustained improvements in the appropriate use of antipsychotics. Submissions should reflect both strong data and compelling stories that highlight the real-world impact of these improvements on residents, families and staff.
Award Criteria
Quantitative Results: Demonstrates measurable improvements across required and additional indicators. Must show reduction in antipsychotic use and alignment with the initiative’s aim.
Impact Narrative: Tells the story behind the data, including resident and family experiences. Aligned with the AUA Approach and focused on improving dementia care.
Sustainability & Spread Potential: Presents a feasible plan to continue and expand results beyond the initial setting.
Clarity: Submission is organized, specific and easy to evaluate.
Impact Award winners
Hamilton Village Care Centre
The Elliott Community
Sunnybank Centre
CHSLD de Saint-Joseph de Sherbrooke
The Agnes Pratt Home
Evergreen Hamlets at Fleetwood
St Angela Merici Residence
The Hamlets at Duncan
MDAA Parc de la Montagne
Rosewood Manor
Corner Brook Long Term Care
Riverview Health Centre
Tideview Terrace
The Hamlets at Vernon
Gemstone Care Centre
Copper Ridge Place
Whistle Bend Place
Musquodboit Valley Home for Special Care Braeside
Glen Hill Strathaven
Unité de soins de longue durée Centre hospitalier du Pontiac
Apotex Jewish Home for the Aged
CHSLD La Pietà
East Gate Lodge PCH
Loch Lomond Villa
Tucker Hall
The Harrison at Elim Village
The Wellington Nursing Home
Hawthorne Place Care Centre
Perley Health
Wawanesa Health Centre
Frequently Asked Questions
All long-term care (LTC) homes in Canada, whether public or private (for-profit or not-for-profit), are eligible to participate in this program. LTC homes include residential care spaces which provide a wide range of health and personal care services for residents with medical or physical needs who require access to 24-hour nursing care, personal care and other therapeutic and support services.
Sites are not eligible to participate if they are:
A retirement home
Located outside of Canada
A department or agency of the Government of Canada
Do not otherwise satisfy the requirements set out in the Terms and Conditions (PDF 492 KB)
Sites located in British Columbia must be pre-approved by Health Quality BC to register for the program. For more information on the registration of sites from British Columbia, please contact longtermcare@healthqualitybc.ca.
Your team can register here, anytime up until October 1, 2025. We encourage you to register early to take advantage of all program offerings and opportunities.
Joining the program is simple and can be done in under 10 minutes!
Registration will open on November 20, 2024, at 12:00 a.m. Eastern Time (ET) and close on October 1, 2025, at 11:59 p.m. ET. The team lead(s) will be required to complete the registration process for their team through the program portal. The team lead(s) will be required to submit the:
name and contact information of the team lead(s);
name and contact information of the site that will be associated with the team;
name and contact information of the senior officer or director within the site, demonstrating endorsement of participation in the program;
name and contact information of each team member that will be associated with the team;
organization (business name) that will receive the award(s), if successful; and
name and contact information of the financial contact within the organization who can provide all necessary banking information for depositing award funding, if successful.
Additional team members can be added to the team at any point during the program.
Yes, multiple LTC homes that belong to the same organization or corporation can register for the program. Each home must register as a single site with an established team. Team members can register to participate on more than one team.
Yes, each site must register separately. Since the structure of the program supports activities and rewards progress at a site level, each home must apply as a single site with an established team. This means that multi-site teams, including multiple homes that belong to one organization or corporation will not be accepted into the program as a group.
Yes, we encourage all teams to join – whether you have already begun working towards improving the appropriate use of antipsychotics in your home, have a well-established AUA initiative in place, or are just getting started on a new AUA initiative.
For the two awards that require data reporting, teams are not evaluated solely on the amount of improvement shown in their AUA outcome measures. The scoring criteria assesses the project's overall approach and impact. There are five awards that will be determined by random draw.
Teams joining the program at any point in their AUA journey have the opportunity to win all the awards they submit to, and all participants will gain valuable insights from coaches, experts and other teams.
An individual can begin registration but will need to assemble a team to be eligible and meet all the eligibility requirements as outlined in the Terms and Conditions (PDF 492 KB).
A team lead must satisfy the conditions outlined in the Terms and Conditions (PDF 492 KB). These include being a resident of Canada, having reached the legal age of majority in their province or territory, and having the authority and approval of site and team members associated with their team. The team lead is required to register their site into the program and identify their team members. There is also the option to share the team lead role with a second person (referred to as a co-lead).The team lead(s) will:
be the primary point(s) of contact for Healthcare Excellence Canada (HEC) and for team members throughout the program
act as coordinator(s) for all the team’s activities (including, but not limited to, submission before the appropriate deadlines, cooperation in any verification process and award distribution)
be responsible for the team’s registration
agree to receive correspondence on behalf of the team at the email address(es) provided at registration, which serves as the primary mechanism through which HEC communicates with the team.
To register, a site must have:
a team lead (see the “Who can be a team lead?” answer above)
a senior officer or director from the site’s organization and can approve the site’s participation in the program on behalf of the organization
Additional roles and expertise in areas such as provision of care, resident and/or family engagement, pharmacology and measurement and data collection may be beneficial. A quality improvement team should generally have five to eight people (at least three) to support diverse opinions and experiences, as well as to share the work, making it a team effort. See Section 3 of the Terms and Conditions (PDF 492 KB) for more information.
Yes, additional team members can be added to the team at any point during the program.
The program will provide content via webinars and coaching to assist teams on how to assess progress in a quality improvement initiative and specifically for the appropriate use of antipsychotics.
Teams are not required to report data to HEC to be eligible to participate in the program. However, to be eligible for an Improvement Plan Award, Progress Award and/or Impact Award, a team must submit the reported data to HEC in accordance with Section 10 of the Terms and Conditions (PDF 492 KB).
Teams are also encouraged to track and report additional outcome, balancing and process measures that support monitoring progress towards the aims of their initiatives and will have the opportunity to share this progress with HEC as part of the applicable award submissions.
Required Measure | Required Data Collection Period |
|---|---|
Required Outcome Measures:
| Three (3) continuous months between:
|
Required Balancing Measure:
|
Each site is required to submit unique, site-specific data, and must not utilize data from any other sites within the same organization. Each team must rely solely on the data collected at their respective location. The submission of duplicative data is not accepted. Please refer to Section 10 of the Terms and Conditions (PDF 492 KB) for further details.
Healthcare Excellence Canada (HEC) is a not-for-profit organization funded by Health Canada. HEC collects information as required by our Contribution Agreement with Health Canada. Data is reported in an aggregate format across all programming in our Performance Measurement Framework. This information is collected to contribute to HEC’s indicator on “potential population reach” and will not be used as baseline data for the registering home. Baseline data will only be collected by HEC from registered homes who submit for awards.
Please refer to CIHI’s indicator library for the definition, inclusion and exclusion criteria related to the potentially inappropriate use of antipsychotics in LTC to calculate the current number of residents prescribed antipsychotics without a diagnosis of psychosis at the home.
Awards will be determined either by random draw or by adjudication using a pre-determined set of evaluation criteria. For full details on each award, please see Section 8 of the Terms and Conditions (PDF 492 KB).
The sooner your team registers, the more award opportunities you will have to win! In fact, your team could potentially be awarded up to $32,000, if you are able to maximize all that the program offers. The odds of being selected as an award recipient depends on the number of eligible submissions to each award.
Please refer to Section 8 of the Terms and Conditions (PDF 492 KB) for more information.
No, there are no criteria for how the award recipient (LTC home) may use the funds.
Each participating team will be assigned a coach (in their preferred language of English or French) who will be available to provide guidance and expertise related to their AUA project as well as upcoming award opportunities.
Coaches will bring a range of knowledge, experience and expertise related to AUA and other areas such as QI and change management. Teams will be able to connect with their coach via:
Coaching hub sessions (alongside other teams) at the start of each award period
By requesting additional support or asking questions via a coaching support form
Occasional one-on-one calls
Coaching support is not mandatory but is a valuable resource for all registered teams to utilize during the program.
Please contact us at AUA-UAA@hec-esc.ca. We look forward to hearing from you!
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