Treatment of behavioral symptoms and unsettled relationships in clinically complex residents in the long-term care facility

Purpose Multifactorial etiology of behavioral symptoms (BS) and unsettled relationships (UR) in long-term care facility (LTCF) residents, who are characterized by comorbidity of somatic and mental diseases, makes the treatment process particularly difficult. The main goal of this study was to analyze a line of pharmacological and non-pharmacological treatment of clinically complex LTCF residents presenting BS and UR. Methods This was a cross-sectional study of 301 LTCF residents with the use of interRAI-LTCF questionnaire. Descriptive statistics provided frequencies of pharmacological and non-pharmacological interventions in residents presenting BS and UR. Logistic regression models identified potential factors associated with administering antipsychotics, sedatives and antidepressants. Results We found that residents with BS had a higher chance of being prescribed antipsychotics (OR 3.06; CI 1.59–5.86; p