Long Term Care 2018-02-11T19:55:06+00:00

Long-Term Care Resources

The vast majority of the over 40 million older adults in the United States live independently in the community (Federal Interagency Forum on Aging-Related Statistics, 2012). Working with older adults requires specialized competencies and skills (c.f. Molinari, 2011); however, the long-term care (LTC) environment is often home to a unique subset of the older adult population. These individuals are often differentiated from their community-dwelling counterparts based on their advanced age, disability status, and fewer resources for living independently (Hill, Thorn, Bowling, & Morrison, 2002). Working with such a population poses a unique challenge for mental health providers, as various medical, familial, and societal factors must be simultaneously considered. Psychologists working in the LTC environment may be consulted for a variety of issues, such as health and behavioral concerns, end-of-life issues, or mood disorders. Regardless of the intervention needed, collaborating with multiple professionals is a vital skill. The resources outlined below offer guidance for psychological practice in a LTC setting and highlight considerations and methods for interventions of commonly found issues in the LTC environment.

General

American Psychological Association Presidential Task Force on Integrated Health Care for an Aging Population. (2008). Blueprint for change: Achieving integrated health care for an aging population. Washington DC: American Psychological Association. http://www.apa.org/pi/aging/programs/integrated/integrated-healthcare-report.pdf

American Psychological Association Presidential Task Force on Integrated Health Care for an Aging Population. (2008). Blueprint for change: Achieving integrated health care for an aging population. Washington DC: American Psychological Association. http://www.apa.org/pi/aging/programs/integrated/integrated-healthcare-report.pdf

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Bartels, S. J., Miles, K. M., Dums, A. R., & Levine, K. J. (2003). Are nursing homes appropriate for older adults with severe mental illness? Conflicting consumer and clinician views and implications for the Olmstead decision. Journal of the American Geriatrics Society, 51(11), 1571.

Bartels, S. J., Miles, K. M., Dums, A. R., & Levine, K. J. (2003). Are nursing homes appropriate for older adults with severe mental illness? Conflicting consumer and clinician views and implications for the Olmstead decision. Journal of the American Geriatrics Society, 51(11), 1571.

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Hyer, L., Carpenter, B., Bishman, D., Wu, H. (2005). Depression in long term care. Clinical Psychology: Science and Practice, 12 , 280-299.

Hyer, L., Carpenter, B., Bishman, D., Wu, H. (2005). Depression in long term care. Clinical Psychology: Science and Practice, 12 , 280-299.

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Karel, M.J. (2008). Ethical issues. In E. Rosowsky, J. Casciani & M. Arnold (Eds.) Geropsychology and long term care: A practitioner’s guide (pp. 111-123). New York: Springer.

Karel, M.J. (2008). Ethical issues. In E. Rosowsky, J. Casciani & M. Arnold (Eds.) Geropsychology and long term care: A practitioner’s guide (pp. 111-123). New York: Springer.

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Lazer, D. (2000). Adding value to long term care: An administrator’s guide to improving staff performance, patient experience, and financial health . San Francisco: Jossey-Bass.

Lazer, D. (2000). Adding value to long term care: An administrator’s guide to improving staff performance, patient experience, and financial health . San Francisco: Jossey-Bass.

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Lichtenberg, P. A., Smith, M., Frazer, D., Molinari, V., Rosowsky, E., Crose, R., et al. (1998). Standards for psychological services in long-term care facilities. The Gerontologist, 38 , 122-127. http://www.pltcweb.org/subject.php?target=standards

Lichtenberg, P. A., Smith, M., Frazer, D., Molinari, V., Rosowsky, E., Crose, R., et al. (1998). Standards for psychological services in long-term care facilities. The Gerontologist, 38 , 122-127. http://www.pltcweb.org/subject.php?target=standards

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Molinari, V. [Ed.] (2000). Professional Psychology in Long Term Care. New York: Hatherleigh.

Molinari, V. [Ed.] (2000). Professional Psychology in Long Term Care.  New York: Hatherleigh.

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Molinari, V., Merritt, S., Mills, W., Chiriboga, D., Conboy, A., Hyer, K., & Becker, M. (2008). Serious mental illness in Florida nursing homes: Need for training. Gerontology and Geriatrics Education, 29 (1), 66-83.

Molinari, V., Merritt, S., Mills, W., Chiriboga, D., Conboy, A., Hyer, K., & Becker, M. (2008). Serious mental illness in Florida nursing homes: Need for training. Gerontology and Geriatrics Education, 29 (1), 66-83.

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My Better Nursing Home website. Resources to create long term care where everybody thrives.

My Better Nursing Home website.  Resources to create long term care where everybody thrives.

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Norris, M., Molinari, V., & Ogland-Hand, S. (Eds.) (2002). Emerging trends in psychological practice in long term care. Binghamton, New York: Haworth Press.

Norris, M., Molinari, V., & Ogland-Hand, S. (Eds.) (2002). Emerging trends in psychological practice in long term care. Binghamton, New York: Haworth Press.

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Assessment

Chodosh, J., Edelen, M. O., Buchanan, J. L., Yosef, J. A., Ouslander, J. G., Berlowitz, D. R. et al. (2008). Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status. Journal of the American Geriatrics Society, 56, 2069-2075.

Chodosh, J., Edelen, M. O., Buchanan, J. L., Yosef, J. A., Ouslander, J. G., Berlowitz, D. R. et al. (2008). Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status. Journal of the American Geriatrics Society, 56, 2069-2075.  *Note:  the BIMS is a required part of the MDS-3.0 completed in all nursing homes.

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Hadjistavropoulos, T., Dever Fitzgerald, T. & Marchildon, G. (2010). Practice guidelines for assessing pain in older persons who reside in long-term care facilities. Physiotherapy Canada, 62 , 104-113.

Hadjistavropoulos, T., Dever Fitzgerald, T. & Marchildon, G. (2010). Practice guidelines for assessing pain in older persons who reside in long-term care facilities. Physiotherapy Canada, 62 , 104-113.

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Molinari, V., Chiriboga, D., Branch, L.G., Greene, J., Schonfeld. L., Vongxaiburana, E., & Hyer, K. (2013). Effect of mental health assessment on prescription of psychoactive medication among new nursing home residents. Clinical Gerontologist, 36, 33-45.

Molinari, V., Chiriboga, D., Branch, L.G., Greene, J., Schonfeld. L., Vongxaiburana, E., & Hyer, K. (2013). Effect of mental health assessment on prescription of psychoactive medication among new nursing home residents. Clinical Gerontologist, 36, 33-45.

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Pachana, N.A., Helmes, E., Byrne, G.J.A., Edelstein, B.A., Konnert, C.A., & Pot, A.M. (2010). Screening for mental disorders in residential aged care facilities. International Psychogeriatrics, 22 (7), 1107-1120.

Pachana, N.A., Helmes, E., Byrne, G.J.A., Edelstein, B.A., Konnert, C.A., & Pot, A.M. (2010). Screening for mental disorders in residential aged care facilities. International Psychogeriatrics, 22 (7), 1107-1120.

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Reiss, N.S. & Tishler, C.L. (2008). Suicidality in nursing home residents: Part I. Prevalence, risk factors, methods, assessment, and management. Professional Psychology: Research and Practice, 39(3), 264-270. doi: 10.1037/0735-7028.39.3.264

Reiss, N.S. & Tishler, C.L. (2008). Suicidality in nursing home residents: Part I. Prevalence, risk factors, methods, assessment, and management.  Professional Psychology: Research and Practice, 39(3), 264-270. doi: 10.1037/0735-7028.39.3.264

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Treatment

Brown, L. M., Bruce, M. L., Hyer, K., Mills, W. I., Vongzaiburana, E., & Polivka-West, L. (2009). A pilot study evaluating the feasibility of psychological first aid for nursing home residents. Clinical gerontologist, 32 , 293-308.

Brown, L. M., Bruce, M. L., Hyer, K., Mills, W. I., Vongzaiburana, E., & Polivka-West, L. (2009). A pilot study evaluating the feasibility of psychological first aid for nursing home residents. Clinical gerontologist, 32 , 293-308.

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Carpenter, B., Ruckdeschel, K., Ruckdeschel, H., & Van Haitsma, K. (2004). Restore, Empower, Mobilize: Psychotherapy for treating depression in long-term care residents with dementia. Manual available: http://www.abramsoncenter.org/pri/documents/REMmanual.pdf

Carpenter, B., Ruckdeschel, K., Ruckdeschel, H., & Van Haitsma, K. (2004). Restore, Empower, Mobilize: Psychotherapy for treating depression in long-term care residents with dementia. Manual available:   http://www.abramsoncenter.org/pri/documents/REMmanual.pdf

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Casciani, J.M. (2010). Handbook of health and behavior: Psychological treatment strategies for the nursing home patient . San Diego: Concept Healthcare

Casciani, J.M. (2010). Handbook of health and behavior: Psychological treatment strategies for the nursing home patient.  San Diego: Concept Healthcare.

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Cully, J.A., Paukert, A., Falco, J., & Stanley, M.A. (2009). Cognitive-behavioral therapy: Innovations for cardiopulmonary patients with depression and anxiety. Cognitive and Behavioral Practice, 16 , 394-407.

Cully, J.A., Paukert, A., Falco, J., & Stanley, M.A. (2009). Cognitive-behavioral therapy: Innovations for cardiopulmonary patients with depression and anxiety. Cognitive and Behavioral Practice, 16 , 394-407.

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Hyer, L. & Intrieri, R. C. (2006). Geropsychological interventions in long term care . New York: Springer Publishing.

Hyer, L. & Intrieri, R. C. (2006). Geropsychological interventions in long term care . New York: Springer Publishing.

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Qualls, S.H., & Knight, B.G. (2006). Psychotherapy for depression in older adults . [Wiley Series in Clinical Geropsychology]. Hoboken, N.J.: John Wiley & Sons.

Qualls, S.H., & Knight, B.G. (2006). Psychotherapy for depression in older adults . [Wiley Series in Clinical Geropsychology]. Hoboken, N.J.: John Wiley & Sons.

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Reiss, N.S. & Tishler, C.L. (2008). Suicidality in nursing home residents: Part I. Prevalence, risk factors, methods, assessment, and management. Professional Psychology: Research and Practice, 39(3), 264-270. doi: 10.1037/0735-7028.39.3.264

Reiss, N.S. & Tishler, C.L. (2008). Suicidality in nursing home residents: Part I. Prevalence, risk factors, methods, assessment, and management.  Professional Psychology: Research and Practice, 39(3), 264-270. doi: 10.1037/0735-7028.39.3.264

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Sorocco, KH & Lauderdale, S. (2001). Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings . New York, NY: Springer.

Sorocco, KH & Lauderdale, S. (2001). Cognitive Behavior Therapy with Older Adults: Innovations Across Care Settings . New York, NY: Springer.

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Street, D., Molinari V., & Cohen, D. (in press). State policies for nursing home residents with Serious Mental Illness. Community Mental Health Journal. doi: 10.1007/s10597-012-9527-9

Street, D., Molinari V., & Cohen, D. (in press). State policies for nursing home residents with Serious Mental Illness. Community Mental Health Journal. doi: 10.1007/s10597-012-9527-9

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