Recent Blog Posts

Parting thoughts, and a pricey problem
Nine years ago, when I started writing “The World According to Dr. El,” McKnight’s Editor Jim Berklan reassured me that I’d always find something to say. I was surprised to discover that not only was this true, in fact the opposite was often the case — many weeks I’ve...

Mental health, everywhere
These days, mental health in long-term care is getting far more attention than it used to. After 25 years as a nursing home psychologist, it’s pretty exciting to see. I perused the April print edition of McKnight’s Long-Term Care News and found articles on the impact...

Breaking news I want to hear
I have to admit that when I saw the news headline last week, “BREAKING: CMS cuts SNF pay rates by net $320 million,” I felt a kick-’em-while-they’re-down discouragement. I’m concerned, like others, about how facilities currently struggling financially are going to...

A conversation about mental health in LTC
I had the pleasure of being interviewed recently by Susan Ryan, senior director of The Green House Project, for her Elevate Eldercare podcast. As I remarked to her, what could be better than talking with someone kind and knowledgeable about something I’ve been...

Antipsychotic medication reduction and the severely mentally ill population
President Biden’s State of the Union address last week targeted several aspects of the long-term care industry, most of which have received more attention than his mention of reducing the inappropriate use of antipsychotic medications. As a long-term care psychologist...

The exhaustion epidemic
I was tempted to listen to the STAT News event, “The exhaustion epidemic: Examining the COVID-19 burnout crisis in health care,” while lying prone on the couch. Instead, I took notes and considered how this hospital-heavy analysis might apply to the long-term care...