STOMP and STAMP

This section includes standards, survey and resources linked to safe prescribing and deprescribing practice.

General information​

• NHS England Stopping over medication of people with a learning disability and autistic people (STOMP) and supporting treatment and appropriate medication in paediatrics (STAMP)​ provides an overview and links to resources for professionals, patients and their families​​
• Position-statement-ps0521-stomp-stamp.pdf is the Royal College of Psychiatrists (RCPsych) STOMP Position Paper.

Guidance​

• NICE NG11​ and Quality Standard 101​ are NICE Guidelines relating to challenging behaviour and learning disabilities and associated standards, highlighting the pathway for prevention and interventions for behaviour that challenges. This includes psychological and environmental interventions as well as medication​
• Stopping antidepressants is a Royal College of Psychiatry guide to stopping antidepressants including practical advice, schedules and safe practice
• GP prescribing leaflet outlines the role GPs and those working in GP practices have in prescribing, reviewing and deprescribing psychotropic mediation for people with a learning disability.

Resources to use by family and/or support staff

• Preparing to visit a doctor to talk about medication​ is designed for a support worker who is accompanying a person with​ a learning disability, autism or both to a GP or consultant appointment
• Medication Pathway​ is from the Challenging Behaviour Foundation (CBF) and is for families who have loved ones with more severe learning disability and whose behaviour can be thought to be challenging. It includes information on how to be included in decision-making and challenge long-standing medication no longer thought to be beneficial or is causing significant side effects
• STOMP STAMP family guide​ is a co-produced resource to help family carers to understand more about medication and suggests questions to ask clinicians, especially in relation to children and young people.​

Resources for patients​

• STOMP Everyone working together to stop the overuse of psychotropic medicines and to improve people's quality of life​. An easy read information leaflet ​
• NHS England STOMP – Stopping the over medication of people with a learning disability, autism or both – translations​. Easy Read information about STOMP translated into other community languages ​
• Stopping The Over-Medication of People – STOMP is a STOMP awareness guide for autistic adults and their families including explanations of words, guidance to manage health and medication and a workbook to help prepare for an appointment about medication.

Training​

• Link to Mind Ed training has 10 modules within the Mind ED training relating to psychotropic medication and STOMP STAMP, including awareness raising, impact of psychotropic prescribing, safely prescribing and deprescribing and service development.

People’s experiences ​

• Richards story part 2​ is a film about the challenges a person and their family experienced – the importance of nonmedical strategies, regular reviews and co-production​
• Shane's Story shows the use of non-medication strategies to safely deprescribe psychotropic medication
• Debbie and Lucy's Story shows how using non-medication strategies to prevent the prescribing of psychotropic medication for behaviour that challenges
• Ethan's Story shows how STOMP can be used to improve all aspects of health through quality medication optimisation
• Collaboration in Sunderland explains how working in true collaboration leads to more successful outcomes related to medicines.

NHS Futures (free but requires registration)​

• ​STOMP and STAMP - Futures​ is dedicated to highlighting and developing good practice relating to the most appropriate use of medication in people with a learning disability and autistic people – includes links to training webinars, resources, reports and access to a community of practice to ask questions and share good practice.