1. MENUE OF SERVICES PROVIDED TO NURSING HOMES
The overall objectives of the services are to conduct comprehensive psychiatric and neurobehavioral
evaluations, provide limited on-site mental health treatment services and strengthen the overall ability of
the facility to manage residents with psychiatric, developmental and neurobehavioral problems by
improving staff knowledge, skills and competencies in these areas.
Comprehensive diagnostic evaluations which identify the cause of the problem behavior:
functional mental illness, delirium, developmental disorder, neurobehavioral problem or
dementia. And based on that accurate diagnosis, make specific psychiatric medication
recommendations and offer detailed behavior management strategies.
Routine telephone consultation from 9:00am-6:00pm excluding holidays.
Emergency telephone consultation 24 hours a day 7 days a week including holidays.
Complete follow-up visits to titrate medication recommendations and behavioral approaches until
the presenting problem is resolved.
Engage residents in problem focused brief individual psychotherapy when indicated.
Teach clinical staff the Antecedent-Behavior-Consequence approach to treatment planning
Attend case conferences/treatment planning meetings and use specific cases under review to
teach staff about the diagnosis and treatment of the following: Dementia Lewy-body…
Vascular… Alzheimer’s, Delirium, Head Injury, Stroke, Autism,Mental Retardation,
Mental Illness Bipolar Disorder… Schizophrenia… Major depression… Anxiety disorder,
Personality Disorder and other related problems.
Meet with families of residents with mood and/or behavior problems who have questions
concerning their relative’s illness or care.
Offer in-service presentations on a variety of topics including but not limited to: “How to deal
with difficult families…Managing agitated and aggressive residents…Vascular Dementia…
Delirium…Lewy-body…Personality Disorders…Psychotropic Medications…Stroke”
Assist with the creation of relevant policies and procedures, plans of correction and other tasks as
requested by facility administration.
Conduct weekly supportive group psychotherapy with a nurse or a social worker as a co-
therapist. Co-therapists will rotate and over time there will be an adequate number of nurses and
social workers trained to run the group independent of The CONSULTANT.
