Surreal illustration depicting overmedication in aged care.

Is Your Loved One Overmedicated? Understanding Psychotropic Drug Use in Aged Care

Nico Varela in Health & Wellness August 2025 • 4 min read.

"A deeper look into the use of psychotropic drugs in residential aged care facilities and what you need to know to advocate for better care."

The use of psychotropic medications—drugs that affect mental state and behavior—in residential aged care facilities (RACs) is a growing concern. While these drugs can be beneficial in managing certain conditions, their widespread and sometimes inappropriate use raises serious questions about the well-being of elderly residents.

Studies have consistently shown a high rate of psychotropic drug prescriptions in RACs, far exceeding what would be expected for appropriate medical use. This overuse is particularly troubling given the limited evidence of their effectiveness in older adults and the increasing awareness of their potential adverse side effects, including impaired cognition, increased risk of falls, and even death.

This article aims to shed light on the complex issue of psychotropic drug use in aged care. We will explore the reasons behind the high prescription rates, the potential risks and benefits, and, most importantly, what you can do to advocate for the appropriate and safe care of your loved ones.

Why Are Psychotropic Drugs So Commonly Prescribed in Aged Care?

Surreal illustration depicting overmedication in aged care.

Several factors contribute to the high rates of psychotropic drug prescriptions in RACs. It's essential to understand these underlying issues to address the problem effectively:

One of the primary reasons is the prevalence of behavioral and psychological symptoms of dementia (BPSD). Conditions like agitation, aggression, anxiety, and depression are common in individuals with dementia, and psychotropic drugs are often seen as a quick and easy solution to manage these challenging behaviors.

Staffing shortages and time constraints: Understaffed facilities may rely on medication to manage behaviors rather than providing individualized care and non-pharmacological interventions.
Lack of access to non-pharmacological therapies: Many RACs lack resources for alternative therapies like cognitive behavioral therapy, music therapy, or aromatherapy, which can be effective in managing BPSD.
Diagnostic challenges: Accurately diagnosing the underlying causes of behavioral changes in elderly residents can be difficult, leading to reliance on medication as a blanket solution.
Prescribing habits and culture: Some physicians may be more inclined to prescribe psychotropic drugs due to habit, perceived lack of alternatives, or pressure from facility staff.

The original research paper highlights that residents with dementia were more likely to receive medication for agitation and psychosis, underlining the tendency to use these drugs to manage dementia-related behaviors. This reinforces the need for careful assessment and consideration of non-pharmacological approaches first.

Advocating for Appropriate Care

The high rates of psychotropic drug use in aged care are a serious concern, but awareness and advocacy can lead to positive change. By understanding the risks, asking the right questions, and working collaboratively with healthcare providers, you can help ensure your loved ones receive the safe, effective, and compassionate care they deserve. Remember, a holistic approach that prioritizes individualized care, non-pharmacological therapies, and careful medication management is the key to improving the well-being of elderly residents in aged care facilities.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

Everything You Need To Know

What are psychotropic drugs, and why is their use in aged care facilities a growing concern?

Psychotropic drugs are medications designed to affect mental state and behavior. Their use in Residential Aged Care facilities (RACs) is concerning due to the high prescription rates, which often exceed what's medically appropriate. This widespread use raises questions about the well-being of elderly residents, considering the potential risks and the limited evidence of effectiveness in this population.

What are the potential risks associated with the use of psychotropic drugs in aged care?

The potential risks include impaired cognition, which can affect memory, thinking, and judgment. There's also an increased risk of falls, leading to injuries, and, in some cases, even death. These adverse effects highlight the importance of careful assessment and monitoring when psychotropic drugs are prescribed to elderly residents in RACs.

Why are psychotropic drugs so frequently prescribed in Residential Aged Care facilities (RACs)?

Several factors contribute to the high prescription rates. The prevalence of Behavioral and Psychological Symptoms of Dementia (BPSD) like agitation, aggression, anxiety, and depression is a significant driver, as psychotropic drugs are often seen as a quick solution. Other factors include staffing shortages and time constraints, lack of access to non-pharmacological therapies, diagnostic challenges, and prescribing habits.

Besides medication, what other approaches can be used to manage Behavioral and Psychological Symptoms of Dementia (BPSD) in aged care?

A holistic approach is key. Non-pharmacological therapies such as cognitive behavioral therapy, music therapy, or aromatherapy can be effective in managing BPSD. Individualized care and careful medication management are also crucial. These approaches prioritize the well-being of residents by addressing the underlying causes of behavioral changes rather than relying solely on medication.

How can I advocate for appropriate psychotropic drug use and better care for my loved one in a Residential Aged Care facility (RAC)?

You can advocate for your loved one by understanding the risks associated with psychotropic drugs and asking healthcare providers informed questions. Ensure that a holistic approach is prioritized, which includes individualized care, non-pharmacological therapies, and careful medication management. Collaboration with healthcare providers is essential to ensure your loved one receives safe, effective, and compassionate care. Remember to question the use of psychotropic medications, especially when other methods may be more suitable.