Quote from nutribeat
And what consequences, if the medication is still refused and the behavior is not improving, would you suggest?
It depends what the clinical setting is, and what the behavior is. There are oh so many variables.
But knowing what your GOAL is para mount:
In these cases, medication compliance obviously isn't a patient centered goal. It's a means to some other goal: Decreased agression, prevent self-injury, increased interaction, return to community, etc
A lot of times this needs to be brought to a staffing/care conference.
Sorry I'm not being more specific.
While not pertaining to medications, this article on alternatives to restraints may have some helpful information: