This document discusses evaluating and treating patients with mental illness in long-term care settings. It outlines several challenges in evaluating patients with mental illness, both from the patient and therapist perspective. It recommends establishing rapport, being patient, and not reacting negatively to behaviors. The document also provides examples of areas to assess, tools to use, treatment approaches like limit setting and redirection, safety considerations, documenting progress and goals, and discharge planning. The overall message is that patients with mental illness require compassionate and skilled intervention to address their needs.