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Heslop, Folkes and Roger's article about the knowledge and experiences of people with learning disabilities and their carers of psychiatric drugs, and Lim's audit of prescription regimes in a hospital for people with severe learning disabilities in Hong Kong, add weight and substance to a substantial body of evidence which suggests that people with learning disabilities are often prescribed inappropriate, and at times excessive, amounts of psychotropic medication and that many staff/carers lack sufficient knowledge and skills to monitor and manage such medications (Singh et al, 1996). A number of years ago we wrote a review of the use of psychotropic drugs for people with learning disabilities (Stenfert Kroese et al, 2001) which included a number of recommendations. The Heslop et al and Lim papers bring up many issues which were relevant to these recommendations.

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