Available Services

For the last two years, I’ve been approaching eldercare from a different angle – that of adult daughter. While I’m still available for speaking engagements, I’ve shifted my work to a virtual private practice where I offer psychotherapy services (for those in New York State) and eldercare coaching for all. To set up a free … Read more

The Minister for Loneliness in LTC

The Minister for Loneliness in LTC According to researcher Julianne Holt-Lunstad of Brigham Young University, loneliness has a greater impact on health than smoking 15 cigarettes daily, or obesity, which is associated with 300,000 to 600,000 deaths a year in the United States alone. In England, the “loneliness epidemic” has reached such proportions that they’ve … Read more

The last-minute guide to trauma-informed care

The last-minute guide to trauma-informed care With trauma-related F-tags beginning in less than two weeks, many providers have spent months training their staff and feel quite prepared to manage this sensitive aspect of resident mental health care. For those who might not be completely ready for the Nov. 28 start date, I offer below some … Read more

How to apply the best antidepressant — other residents

How to apply the best antidepressant — other residents Centers for Medicare & Medicaid Services directives ask facilities to be more attentive to behavioral health issues such resident depression and trauma, and to manage dementia and other behavioral problems while reducing or eliminating psychotropic medications. Providers wondering how to accomplish this tall order might consider … Read more

Severely mentally ill residents: Staff training, teamwork needed

Severely mentally ill residents: Staff training, teamwork needed As I discussed in Severely mentally ill residents: A ‘perfect storm’ creates a SNF wave, long-term care has a growing population of severely mentally ill (SMI) residents, with the number of residents diagnosed with schizophrenia or bipolar disorder approaching 20% in some states as of 2017.1 In … Read more

What if nursing homes had a ‘well-being budget’?

Here’s my latest article on McKnight’s Long-Term Care News: What if nursing homes had a ‘well-being budget’? Last week, New Zealand passed the country’s first “well-being budget,” with billions in funding directed towards mental health, suicide prevention, addiction treatment and combatting poverty. This development had me considering what a “well-being budget” would look like in … Read more

Sleep deprivation and pain

Here’s my latest article on McKnight’s Long-Term Care News: Sleep deprivation and pain Despite the fact that my search for column inspiration took place at 3 a.m., I chose the topic of sleep deprivation because residents regularly tell me about their own sleep disturbances. They also discuss their pain. Though their aches often keep them … Read more

Severely mentally ill residents: A ‘perfect storm’ creates a SNF wave

Here’s my latest article on McKnight’s Long-Term Care News: Severely mentally ill residents: A ‘perfect storm’ creates a SNF wave Long-term care facilities are admitting more residents with longstanding psychiatric illnesses. Such individuals enter the nursing home for physical rehabilitation but are difficult to discharge back to the community due to their mental health needs, … Read more

A truly healing yarn

Here’s my latest article on McKnight’s Long-Term Care News: A truly healing yarn “No,” Diane said when I showed up at her door for our Thursday session. “I don’t want to talk to you. I’m too aggravated.” She turned her head and looked out the window for a moment. “I’m surprised.” I replied. “We had … Read more

How to support depressed workers and reduce absenteeism

Here’s my latest article on McKnight’s Long-Term Care News: How to support depressed workers and reduce absenteeism As a consulting psychologist, my official job is to provide psychological services to the residents of the nursing homes in which I work. Occasionally, though, I’m asked by a department head to informally assist a staff member in … Read more