dr. helen kales is director of the center for positive aging. a study published of 90,000 patients of veterans administration, kales found the risk of dying from antipsychotics was much higher than was recently felt. haldol causes an spra extra death, an additional death for 27 patients with dementia. and seraquel, one more death for every 50. and the study only looked at what happened over a six month period. many nursing homes give residents with dementia these drugs for years. >> the phrase is if all you have is a hammer, everything looks like a nail. so out in the field, we have most providers are actually not psychiatrists. most people that see people with dementia are primary care physicians and they've probably received a little bit of training on these psychiatric medications in their training but they haven't received the kind of training that we think is necessary on what are the underlying causes of these symptoms. >> medicare in 2012 launched a program to help nursing homes address symptoms without antipsychotics. and this year, medi