Changed behaviours in dementia: Cannabinoids and other creative solutions
Changed behaviours, formerly known as BPSD, are almost ubiquitous in dementia, with prevalence rates up to 97%, although given that they are usually an expression of unmet need, the quality of care probably determines their prevalence. The recent Royal Commission into Aged Care Quality & Safety has shown us what we have known for almost 30 years, namely that there is widespread and inappropriate use of psychotropics. Notwithstanding this, the 2003 Brodaty triangle illustrating a 7-tiered model of service delivery showed a small but significant number of people with dementia who have severe or refractory changed behaviours. Moreover, the serious side effects of currently available psychotropics have necessitated a search for creative alternative solutions, such as cannabinoids. This presentation will briefly review these issues and explore the evidence for these creative solutions.