Section C Medication has been suggested

Alternatives to medication

Medication should not be the only option considered in response to challenging behaviour and should only be used if alternative strategies have not reduced the behaviour. There should be a clear rationale for prescribing the medication.

NICE guidance states that medication prescribed for challenging behaviour should only be given alongside other interventions and there is further guidance under the Mental Capacity Act (2005) for anyone who lacks capacity to make decisions about medication.

Under the Mental Capacity Act (2005), if someone lacks capacity then any decision made in their best interests should consider the least restrictive option for that person. This means that if two interventions are likely to be similarly effective, the intervention that allows the person the most freedom should be used.

Psychotropic medication, like physical intervention and seclusion, can be a restrictive practice. This is because it can limit someone’s freedom, for example if someone experiences sedation as a side effect, this impacts on their ability to go out and do the things they enjoy. Therefore, when medication is suggested, less restrictive options should also be considered.

There are many alternative interventions to medication, such as Positive Behaviour Support, Intensive Interaction or Active Support. There is more information about alternatives to medication and getting support right in Section G.

Examples of support in situations where medication is often suggested are given below. You may want to think about whether any of these could be useful for your relative and suggest trying alternative interventions before medication is prescribed or alongside medication.