How often should the Abnormal Involuntary Movement Scale (AIMS) be conducted for patients on antipsychotic medications?

The Abnormal Involuntary Movement Scale (AIMS) is a clinical tool used to assess involuntary movements that can be associated with the use of antipsychotic medications, particularly those that may cause tardive dyskinesia. The findings from the AIMS assessment can help in determining the risk of developing this side effect and guide treatment modifications, if necessary.

Conducting the AIMS at baseline and then yearly is a standard practice. This is because it allows for an assessment of any abnormal involuntary movements present at the time the patient begins treatment and serves as a reference point for assessments in subsequent visits. Annual follow-ups are typically sufficient for monitoring any potential changes in motor function that could indicate the onset of tardive dyskinesia, especially in stable patients who demonstrate no prior risk factors or symptoms.

Regular assessments, particularly at the initiation of antipsychotic therapy, are critical for timely interventions. However, frequent assessments, such as those proposed in choices that suggest monthly, weekly, or every six months, are generally reserved for patients who may have a higher risk or are showing concerning symptoms that warrant closer monitoring.

In summary, for the average patient on antipsychotic medications without additional risk factors, conducting the AIMS at