I live in New York City, the COVID-19 epicenter of the U.S. There are long lines for the few open supermarkets, the parks are closed and the nursing homes in New York are now mandated to accept COVID residents from local hospitals. I’m in touch with psychologist colleagues from around the area. Some facilities have … Read more
A resolution to serve physical and mental health Ah, January — a moment to consider plans and directions for the upcoming months. Like many people, one of my personal goals is to recommit to mindful eating and wise food choices. While some residents like to rethink their diets as a New Year’s resolution, there are … Read more
Getting ‘hygge’ with it, at the holidays and year-round I know, I know, that’s not how the word is pronounced. But as soon as I read about the Danish concept of coziness, I got that darn Will Smith song (“Gettin Jiggy With It”) in my head and I can’t get it out. Hygge (actually pronounced … Read more
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 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 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
Life on the road as an LTC shrink Last week I flew from New York City to Indianapolis to speak at a conference on severe mental illness in long-term care. From there, I drove to Chicago to offer my thoughts about behavioral health at a risk management event. It wasn’t exactly a world tour, but … Read more
What worries me about trauma-informed care I was relieved last month when I saw that my fellow Psychologists in LTC member, Lisa Lind, Ph.D., had written an article for McKnight’s about Preparing for trauma-informed care in LTC. As McKnight’s resident behavioral health expert, I was feeling like I should write something on the subject, but … Read more
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
Ageism of elders affects their LTC experience “There’s no one here to talk to,” a new resident, Claire, said to me, “They’re all so old!” Claire was in her early 80s but thought of herself as two decades younger. She, like most residents I’ve encountered, have their own prejudices about aging and older adults. It … Read more