A multidisciplinary clinic was also established in response to these difficulties. The clinic was anticipated to affect care in several areas, including admissions to the hospital, appropriate use of health care resources, and management of the progressive deterioration that occurs among patients with Huntington's. The clinic is held on a quarterly basis and comprises a general practitioner, psychiatrist, neurologist, and a regional care advisor (a specialist nurse) from the Huntington's Disease Association, as well as managers and nursing staff from the private nursing home. The progress and management of patients are discussed at the meetings, and detailed quarterly management plans are created. Important components of management include ongoing assessment of the patient's physical and mental health, use of multiple medications, and attempts to balance effective control of movement disorders and psychiatric illnesses for which some of the medications may overlap. Comprehensive summaries of the patients' histories, prepared with psychiatric and general practitioner notes as well as patient interviews, provide supportive documentation to the clinic.