Facilitators and barriers to the deprescribing of benzodiazepines and Z-drug hypnotics in patients under 65 on adult mental health wards Article Swipe
Sonia Filmer
,
Ian Maidment
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-025-25261-4
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-025-25261-4
There is a place for the use of benzodiazepines/z-hypnotics on adult mental health wards, but they are often continued beyond a length of time where they are beneficial. This can result in dependence and withdrawal effects if stopped. Timely deprescribing of these medicines is encouraged, but there is limited evidence available as to what can be a facilitator or barrier to deprescribing benzodiazepines/z-hypnotics on these wards. Semi-structured interviews, with twenty-nine NHS healthcare professionals from eleven different NHS organisations, involved in the use of benzodiazepines/z-hypnotics on adult mental health wards, were conducted and recorded on Microsoft Teams and transcribed. Themes were generated via thematic analysis on NVIVO software, informed by a grounded, inductive approach, to identify similarities and differences in participants perceptions. The four main themes identified from participants’ experiences were: Culture (shared values, beliefs and practices). Patient factors. Practical measures to facilitate deprescribing of benzodiazepines/z-hypnotics on adult mental health wards. Primary/secondary care interface. Deprescribing culture, rather than being led nationally, is more influenced by local factors. Some patient behaviour patterns can be a barrier to deprescribing but many of these can be overcome by promoting patient-centred care, allowing patients to feel involved and enabled to make informed decisions around their care. Access to non-pharmacological methods to de-escalate behaviour, promote wellbeing and improve sleep on adult mental health wards can support deprescribing. Cohesive multi-disciplinary team working aids deprescribing, but staff pressures can hinder this by reducing access to appropriately trained staff. Effective discharge planning is important but not always achieved. Good communication post discharge can facilitate continued deprescribing. Overcoming the barriers and developing the facilitators identified could improve benzodiazepine/z-hypnotic deprescribing on adult mental health wards. Changes to national NHS culture and priorities are required to influence local culture. Otherwise, deprescribing practices will remain greatly influenced by local factors on individual wards. Good practice exists but further research and funding is needed to disseminate this throughout the NHS.
Related Topics
Concepts
Deprescribing
Facilitator
Mental health
Thematic analysis
Medicine
Enabling
Nursing
Polypharmacy
Health professionals
Health care
Psychological intervention
Psychiatry
MEDLINE
Mental healthcare
Patient safety
Vulnerability (computing)
Psychology
Qualitative research
Mental health care
Medication adherence
Harm
Medication therapy management
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41598-025-25261-4
- https://www.nature.com/articles/s41598-025-25261-4.pdf
- OA Status
- gold
- References
- 72
- OpenAlex ID
- https://openalex.org/W7106264864
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106264864Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1038/s41598-025-25261-4Digital Object Identifier
- Title
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Facilitators and barriers to the deprescribing of benzodiazepines and Z-drug hypnotics in patients under 65 on adult mental health wardsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-21Full publication date if available
- Authors
-
Sonia Filmer, Ian MaidmentList of authors in order
- Landing page
-
https://doi.org/10.1038/s41598-025-25261-4Publisher landing page
- PDF URL
-
https://www.nature.com/articles/s41598-025-25261-4.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.nature.com/articles/s41598-025-25261-4.pdfDirect OA link when available
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Deprescribing, Facilitator, Mental health, Thematic analysis, Medicine, Enabling, Nursing, Polypharmacy, Health professionals, Health care, Psychological intervention, Psychiatry, MEDLINE, Mental healthcare, Patient safety, Vulnerability (computing), Psychology, Qualitative research, Mental health care, Medication adherence, Harm, Medication therapy managementTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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72Number of works referenced by this work
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| primary_location.raw_source_name | Scientific Reports |
| primary_location.landing_page_url | https://doi.org/10.1038/s41598-025-25261-4 |
| publication_date | 2025-11-21 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W2150983533, https://openalex.org/W3185612359, https://openalex.org/W2089800404, https://openalex.org/W2140107414, https://openalex.org/W1689758616, https://openalex.org/W2063995940, https://openalex.org/W2588465053, https://openalex.org/W2183308483, https://openalex.org/W2734711267, https://openalex.org/W2984247997, https://openalex.org/W2805417315, https://openalex.org/W2101957332, https://openalex.org/W2130086144, https://openalex.org/W2089366259, https://openalex.org/W2888684935, https://openalex.org/W2153054970, https://openalex.org/W2168053015, https://openalex.org/W2098818823, https://openalex.org/W4386284828, https://openalex.org/W2043252480, https://openalex.org/W1964140017, https://openalex.org/W2085842968, https://openalex.org/W4288074285, https://openalex.org/W4321503894, https://openalex.org/W2610021354, https://openalex.org/W2011884929, https://openalex.org/W2095770373, https://openalex.org/W3159609326, https://openalex.org/W3005021111, https://openalex.org/W2138664283, https://openalex.org/W1979290264, https://openalex.org/W604972776, https://openalex.org/W2156843744, https://openalex.org/W1884137727, https://openalex.org/W3018752326, https://openalex.org/W2736195884, https://openalex.org/W4392742948, https://openalex.org/W3041675115, https://openalex.org/W2337388369, https://openalex.org/W2897476902, https://openalex.org/W3133649206, https://openalex.org/W2981382486, https://openalex.org/W2092619819, https://openalex.org/W4385891976, https://openalex.org/W4380052098, https://openalex.org/W4386347769, https://openalex.org/W4391326190, https://openalex.org/W2023023761, https://openalex.org/W2414943007, https://openalex.org/W2797260623, https://openalex.org/W4399171234, https://openalex.org/W3203364067, https://openalex.org/W2129344959, https://openalex.org/W4296050799, https://openalex.org/W1978681909, https://openalex.org/W4206355465, https://openalex.org/W2006446916, https://openalex.org/W4386601977, https://openalex.org/W2578315243, https://openalex.org/W3203779517, https://openalex.org/W2125741794, https://openalex.org/W4387948717, https://openalex.org/W4206262095, https://openalex.org/W4210343249, https://openalex.org/W3174205126, https://openalex.org/W2136608905, https://openalex.org/W1947970289, https://openalex.org/W2572630214, https://openalex.org/W2115593575, https://openalex.org/W2160693004, https://openalex.org/W2007233978, https://openalex.org/W1526704262 |
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