Access to psychiatrists should be improved

doi:10.1136/bmj.312.7047.1667b

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Andrew F Tarbuck

Consultant in old age psychiatry St Andrew's Hospital, Thorpe St Andrew, Norwich NR7 0SS

EDITOR,—Inappropriate prescribing for elderly people remains a problem, and Alice McGrath and Graham Jackson have been successful in focusing media attention on the use of neuroleptic agents in nursing homes.1 The American legislation to which the authors refer has been criticised for penalising “incorrect” drug use while offering little guidance on alternative management.2 The American Geriatrics Society is concerned that the legislation may compromise the right to effective treatment for patients with serious mental disorders and dementia in …