Mental health services in nursing homes: A survey of nursing home administrative personnel

Abstract

Administrators report a variety of mental health services provided by a diverse group of professionals in NHs, and are generally satisfied with the treatment provided.

Providing Behavioral Health Services in Nursing Homes Is Difficult: Findings From a National Survey

“…Two recent surveys of BH services were conducted in NHs in Florida and Hawaii . Administrators in Florida NHs reported being highly satisfied with BH service availability/quality.…”

Assessment and treatment of behavior problems in dementia in nursing home residents: a comparison of the approaches of physicians, psychologists, and nurse practitioners

“…For PhDs, current comparison data remain sparse. Although their presence is increasing (Molinari et al , 2009), until recently, PhDs were rare in NHs (Molinari and Hartman‐Stein, 2000). This is reflected in the comparatively small population of PhDs surveyed compared with the other providers.…”

Impact of serious mental illness online training for certified nursing assistants in long term care

“…Quality of life and adaptive functioning in the NH setting have been consistently related to personalized care, flexible routines, optimal physical environment, and participation in meaningful activities that promote residents’ skill development, autonomy, and family involvement (Logsden, 2000; Rosen, 1997; Timko, Nguyen, Williford, & Moos, 1993). However, in one study utilizing focus groups comprised of NH staff members, it was discovered that non-psychiatry specialty NHs may employ staff with biased views of the mentally ill that interfere with optimal care (Molinari et al, 2009). Negative actions include refusing to admit residents with SMI, segregating them from the rest of the NH population, fearing them, inappropriately hospitalizing them if they experience any acute episodes, or refusing to re-admit them to the NH after hospitalization.…”

“…Residents with dementia, however, experience steady and irreversible cognitive decline, with or without acute psychotic episodes. According to Molinari et al (2009), CNAs caring for both sets of residents usually cannot discern or interpret differences in clinical presentations between SMI and dementia. Research shows that caregiver behavior has a strong effect upon those with SMI for good or ill, and resident relapse into psychotic episodes correlates with high emotionally expressive caregivers, and hostile care services and environments (Butzlaff & Hooley, 1998; McDonagh, 2005; Weardon, Tarrier, Barrowclough, Zastowny, & Rahill, 2000).…”