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Background The need to improve the quality of psychotropic medication prescribing for adults with intellectual disability is reflected in Government policy. Medication optimisation is a multi-faceted approach that aims to ensure the safest, most effective, and least wasteful use of prescribed medication. Aim To investigate the application of medication optimisation to psychotropic medication prescribing for adults with intellectual disability. Methods 1) Multi-stakeholder qualitative study including adults with intellectual disability, paid and family carers, and psychiatrists. Data were collected in individual semi-structured interviews or focus groups and analysed using thematic analysis. 2) Systematic review and meta-analysis of peer-reviewed research reporting delivery and outcomes of psychotropic medication review. Studies were identified by searches of electronic databases, assessed independently, and appraised according to standard quality checklists. 3) Single-arm feasibility study of a structured web-based psychotropic medication review tool in community psychiatric services for adults with intellectual disability. Results 1) Psychotropic medication use can be a contentious topic. Collaborative medication decisions are achievable, but not always experienced by adults with intellectual disability and carers. Factors operating at individual, relational, and systems levels influence opportunities for stakeholder involvement in medication decision-making. 2) Psychotropic medication review is associated with reduction in medication prescribing but clinical, patient-reported, and economic benefit has not been consistently demonstrated. Quality of evidence is variable and studies are at risk of bias. 3) Feasibility metrics demonstrate that a definitive future trial of a medication review tool is possible. Participants made suggestions for future tool development. Conclusions Forms of shared decision-making can be further developed to ensure that adults with intellectual disability and their carers are involved in psychotropic medication discussions and decisions. Structured psychotropic medication review offers a potential practical means of improving the quality of psychotropic medication use and outcomes may be tested in a full-scale clinical trial.

The role of the press in society, what role the press played in 1971 and what sort of role, ideally speaking, it ought to be playing are examined. Sheehan feels the news media is not nearly critical enough of government and the other major institutions of society. (Reprint 1971).

On this edition of Meet the Press: John Kerry, lieutenant in the United States Navy, speaks out against the war in Vietnam.

\"The tragic story of Vietnam is not, in truth, a tale of malevolent men bent upon conquest for personal gain or imperial glory. It is the story of an entire generation of leaders (and an entire generation of followers) so conditioned by the tensions of the Cold War years that they were unable to perceive in 1965 (and later) that...

There are some events that can be understood only with the perspective of time. The war in Vietnam is one.