Prescribing Trends and Associated Outcomes of Antiepileptic Drugs in US Nursing Homes Surrounding the COVID-19 Pandemic

Inclusion Criteria: * All long-stay nursing home residents will be included. We define long-stay nursing home residents as all individuals residing in a nursing facility place of service for more than 100 days * All nursing home clinicians prescribing psychoactive drugs will be included. Exclusion Criteria: * Limited to nursing home residents with continuous fee-for-service or Medicare Advantage plans as well as continuous Part D coverage. * Residents without continuous fee-for-service insurance (less than 3 percent of nursing home population) will be excluded. * Less than 0.2% of nursing home residents are children; still, this study will be restricted to those \> 21 years of age. * Nursing home residents who are discharged before the end of the quarterly study periods will also be excluded. * Residents with discharges for acute hospitalizations followed by facility reentry on the same record will not be excluded. * Non-prescribing clinicians and clinicians that do not prescribe psychoactive medications will be excluded.