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Transforming Long-Term Care

Expanded Roles for Mental Health Professionals
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Most people fear the idea of living in a long-term care facility. Yet, there is potential for joy and meaning in these settings. This book highlights expanded roles and services that mental health professionals can provide in long-term care for older adults, offering the potential to improve the quality of care for residents. Beyond assessments and individual therapy, the authors make a case for mental health providers to help improve the long-term care environment for both residents and staff, thus having a greater impact on systems, culture, and ultimately, patient well-being. Readers who wish to add or expand their services for older adults will find helpful guidance, including detailed instruction on Medicare policies and reimbursement practices. The authors also present an innovative model of wrap-around care that involves the array of staff and family members who are present to the individual all day, every day. This comprehensive approach, called the Eldercare Method, positions the mental health professional to serve in the roles of teacher, consultant, role model, advocate, and clinician. With numerous case examples to illustrate common scenarios and ethical dilemmas, this practical resource will help readers envision new ways to apply their skills in the rapidly growing field of long-term care for older adults.
Preface Introduction I. The Current State of Long-Term Care and Mental Health Services Within Long-Term Care* A Snapshot of the Long-Term Care Environment* Providing Traditional Mental Health Services in Long-Term Care* Medicare Policy and Reimbursement for Direct Mental Health Services II. A Vision for Long-Term Care and the Role of Mental Health Professionals* Emerging Best Practices and Envisioned Change in Long-Term Care* Expanded Opportunities for Mental Health Care in Long-Term Care Settings* Innovative Professional Practice: The Eldercare Method as an Illustration* Conclusion: A Call for Partnership and Action Appendix: Resources for Clinical Care, Applied Research, Advocacy, and Professional Development References Index
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