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Geriatric Psychiatry and the Choosing Wisely Canada 2015 Recommendations

09 Jul 2015 2:21 PM | CAGP (Administrator)

The Canadian Academy of Geriatric Psychiatry (CAGP) released two recommendations for the Choosing Wisely Canada campaign as part of a series of 13 evidence-based recommendations made by the Canadian Psychiatric Association (CPA) in collaboration with the CAGP , the Canadian Academy of Child and Adolescent Psychiatry (CACAP).

 Choosing Wisely Canada (CWC) is a campaign to help physicians and patients engage in conversations about unnecessary tests, treatments and procedures, and to help physicians and patients make smart and effective choices to ensure high-quality care.

 The two CWC statements from the CAGP and CPA are:

  •          STATEMENT 1: Do not use antipsychotics as first choice to treat behavioural and psychological symptoms of dementia.
  •         STATEMENT 2: Do not use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia.

 A small subcommittee of the CAGP was organized, with input from representatives from the CAPM and the Canadian Geriatrics Society (CGS). The group reviewed the recommendations made by members of a CPA membership survey, as well as the CGS, AGS and the American Psychiatric Association’s (APA) recommendations for Choosing Wisely. Two recommendations were selected and discussed, and minor revisions were made to the paragraphs underneath the recommendations. The CAGP also focused the recommendation about benzodiazepines and other hypnotics on insomnia, rather than on a variety of conditions.

 Thanks to Drs. Nathan Herrmann, Benoit Mulsant, Carol Ward, Bonnie Schroeder, Leslie Wiesenfeld, Kiran Rabheru, Dallas Seitz, Andrea Iaboni, and Sanjeev Sockalingam for their input on the CAGP recommendations.

The press materials for CWC and CPA indicate:

 “To date, nearly 100 national and provincial medical specialty societies, regional health collaboratives and patient and community partners have joined the conversations about appropriate care. With the release of these new lists, the campaign will have covered more than 150 tests and procedures that the specialty society partners say are overused and inappropriate, and that physicians and patients should discuss.”

 “Conversations about what care patients truly need is a shared responsibility among all members of the health care team,” says Wendy Levinson, MD, Chair of Choosing Wisely Canada. “The Canadian Psychiatric Association’s Choosing Wisely Canada list will help psychiatrists across the country engage their patients in a dialogue about what care is best for them, and what we can do to reduce waste and overuse in our health care system.”

 “To learn more about Choosing Wisely Canada and to view the complete lists and additional details about the recommendations and evidence supporting them, visit”

Mark Rapoport, MD, FRCPC

Please find below postcards on “13 Things Physicians and Patients Should Know.”

Postcard- English

Full Version- English

Postcard- French

Full Version- French


Choosing Wisely Canada Press kits and Communication Toolkits

Embargoed Press Kit- English

Embargoed Press Kit- French

Comprehensive Communications Toolkit- English

Comprehensive Communications Toolkit- French

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