Secret shoppers in LTC Posing as customers, “secret shoppers” deliver the inside scoop to management about their experiences with various service providers. They can be invaluable to management in all kinds of situations, including long-term care, though there are special challenges there. Secret shoppers are perhaps best known for retail settings. But they’re also used … Read more
If toileting were a billable service … The other day over lunch a colleague said to me, “Imagine how things would change if toileting were a billable service.” I laughed, briefly considered that fanciful notion and continued eating my meal. As I gave the idea further reflection, however, it might not be as laughable as … Read more
It’s the week of Independence Day and freedom is on my mind. Residents frequently speak to me of their dissatisfaction with the limitations on their liberty, from being told to sit in a communal room when they want to be alone, to needing a family member to sign them out on pass. “Me and the … Read more
Anne Marie Barnett, in her June 10, 2008 guest column, wrote about the disruptive effects of younger residents on long-term care facilities. As a psychologist who has worked with many younger residents over the years, I’d like to offer my perspective and some suggestions about how to create an environment in which younger residents can … Read more
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
Jane Gross’ recent post Seeing the ‘Invisible Patient’ in the “New Old Age” blog of the New York Times discusses how professionals often ignore the needs of caregivers of the elderly because they are focused on their identified patient. As the author states, “Not once in the years I cared for my mother did any of … Read more
The Five-Star Quality Rating System reports the results of health inspections, staffing and quality measures. I suggest we replace the current staffing measure with one tracking staff retention. Here’s my logic: The existing staffing score is the ratio of nursing staff to residents, taking care needs into account. In allowing for self-reporting of the data, … Read more