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 long-term care facilities. Reducing financial hardship Combating poverty in nursing homes would have to address adequately funding … Read more
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 distress and, more frequently, a teammate comes to me for a referral for herself or a family … Read more
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, weak or nonexistent support networks and unstable prior housing situations. This column focuses on why the severely mentally ill (SMI) … Read more
In my last column, “How to quit like a shrink,” I outlined ways to exit a nursing home that solidify the connections made there and offer the opportunity for healing. Assuming you’re not independently wealthy, what follows after leaving one position is beginning another. The start of a new job, while exciting and hopeful, also … Read more
Cold weather. An uncertain world. Rogue shrinks making the rest of us caring, diligent professionals look bad. I don’t know about you, but I need a mood lifter. I came across an article that suggests that exercise of all kinds, even small movements, can make us feel less depressed. In “Get up and move. It … Read more
Here’s my latest article on McKnight’s Long-Term Care News: Calming fears of floods and other catastrophes By now it’s likely that you, your staff, the residents and their families have seen the incredibly disturbing photo of assisted living residents in Dickinson, TX, sitting in waist-high floodwaters. Thankfully, all the older women in the picture have … Read more
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 up at night, a January 2019 article in the New York Times, “Why … Read more
As I developed a training program on violence prevention, I reflected on a scenario I’ve witnessed many times in my career. A resident who had been physically aggressive toward aides and nurses got sent to the hospital only after he hit the attending physician. Situations like this send the message to nursing department staff that … Read more
In preparing for a webinar on suicide prevention, I came across startling statistics about suicide rates among older adults. Despite the concern we often hear about teen suicide, the rate for elders is even higher. While older adults make up 12% of the U.S. population, they account for 18% of all suicide deaths. In 2014, … Read more
With the high-profile deaths this month of designer Kate Spade and chef Anthony Bourdain, the crisis of suicide has been thrust into the spotlight. Suicide deaths in the United States have increased 25% between 1999 and 2016, with an estimated 45,000 occurring per year. I’ve written about suicide prevention in older adults and protocols for … Read more