PASRR

Behavioral healthcare in all sectors face staffing, administration challenges, consumer expectations, and regulatory standards. As we near the age where more of the baby boomer population are join nursing and long term care facilities, there is a struggle to retain staff. There is also a challenge faced in the diversity that includes care of the elderly in behavioral health, as well as the care of the joining juveniles into behavioral healthcare services. Changes in health insurance have slowly started to incorporate behavioral healthcare, and a person cannot be denied insurance for a disorder. Baby boomers are the largest consumers of Medicare, and come

No caretaker would leave their loved one in a facility with rude, unqualified, untrained, or even outnumbered staff members. This consideration is something Superior Residences of Brandon prides itself on, and with good reason to. The training of the staff at Superior Residences is top notch – the employees must undergo 16 hours of training prior to employment, obtain a certification in CPR, participate in monthly employee meanings, obtain certification in Alzheimer’s Level 1 and 2, and continuing education courses provided by the state. Also unique to this facility, all employees are cross-trained and are certified Resident Aides (RA’s), which means they can approach any worker, for example a janitor, with a question or need and that employee would be able to assist (Andrew, J., personal communication, October 28th, 2016). As Jill Andrew’s stated, there are at least 4 RA’s in the building at all times for 70 residents, and although there are no nurses required under the license, they do have 5 nurses on staff. Another principle unique to Superior Residences was their dual licenses, having both an Extended Congregate Care license, which allows residents to age in place (Andrew, J., personal communication, October 28th, 2016) and a Limited Nursing Services license, which enables the facility to provide a select number of nursing services.

In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.

Team B chose to cover Emeritus at Harbour of Pointe Shores, a senior community located in Ocean Shores, Washington. The team was interested in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these

NDCC 25.03.2-06 creates admission criteria for psychiatric residential treatment facilities, or also known as residential treatment centers. The main criteria outlined is a diagnosis of an mental illness or emotional disturbance by a psychiatrist or psychologist, which cannot be treated at a lower level of care. While in general a seemingly good policy with positive aspects, there are a few issues with NDCC 25.03.2-06 that both policy makers and social workers working in PRTFs should be aware of. This paper will analysis the policy in further depth to determine if changes should be made.

The third weeks of my level II FW has been good. I got to meet new two to three of the old Senior plus member who had not be coming since I started my FW. Howard County Office of Aging is designed for seniors from 18 years and above with mental or physical disabilities. However, the seniors must be independent or need Min A in some area. The seniors live in different places such as, long term care facilities, communities, live independently or with families and attend the program for socialization in order to maintain their present level of functioning. More so, they have different diagnoses such as Parkinson’s disease, Dementia, Intellectual Developmental

The healthcare industry is comprised of a wide range of interdependent but self-sustaining organizations, facilities and care providers. In light of this complex and multilayered system, overarching regulatory conditions are a necessity. This is reflected in the three distinct organizations selected for discussion. In Scripps Mercy Hospital Skilled Nursing Facility, the Alvarado Parkway Institute La Mesa on Behavioral Health and the Naval Medical Center San Diego Radiology Department, we are presented with three organizations of different functions but beholden to similar or overlapping standards. Scripps Mercy is a skilled nursing facility specializing in inpatient treatment procedures. Alvaredo Parkway is an inpatient and outpatient psychiatric facility and the Naval Medical Center is a radiology and screening outpatient facility. All three serve the San Diego Metropolitan Community.

My two objectives for this meeting were to gain an understanding of the process of how a Behavioral Health is discussed at the state level and to analyze the effect that Medicaid and long term care has on governmental issues. These objectives related

The majority population of long-term health facilities is comprised of geriatric patients with complex comorbidities. Studies show that one-third of these patients have cognitive impairments, and over one-half have physical limitations (Tjia, Bonner, Briesacher, McGee, Terrill & Miller, 2009). It is important to know geriatric patients have increased vulnerabilities. When patients are poor historians and family is unavailable, the nurse often becomes their only advocate during facility admissions. Adequate discharge planning is imperative for patient safety and successful transitions from hospitals to long-term care facilities. It is the equal responsibility of both care

An interesting finding by Huskamp and Iglehart (2016) is that between the Mental Health Parity Act (MHPA) and the Affordable Care Act (ACA), there should be a rise in people with mental illness seeking services, however, services are underutilized more than ever (Huskamp & Iglehart, 2016). According to Bendant (2014), in 2013 a total of 47 million people uninsured and 25% of those suffer mental illness (Bendant, 2014). These numbers are staggering for a service that is more inclusive now more than ever. The Center for Medicare & Medicaid Services (CMS) site indicates that the MHPA is regulated differently depending on the state (CMS, n. d.). The Department of Labor (DOL) has identified a few problems with the MHPA and addressed these issues to Congress via a 2017 report (DOL, n.

Because states needed Medicaid reimbursement from the federal government, they had no option but to transfer patients with mental diseases from state hospitals to nursing homes and community psychiatric facilities. It is these alternative

Under the Employee Retirement Income Security Act (ERISA) and the Mental Health Parity and Addiction Equity Act (MHPAEA), plan participants and providers are entitled to receive access to certain plan information, reasons for denial of coverage or benefits, and copies of the medical necessity criteria used to make benefit determinations. In order to facilitate these document requests, NYSPA prepared form letters that can be used by psychiatrists and patients. Through document requests and sharing of materials, they hope to identify ongoing patterns and practices of discrimination, the next step in ensuring full enforcement of the parity laws.

In the mid twenty first century, 80 percent of persons with maladjustment had some type of open or private medical insurance coverage. This level of scope mirrored the extension of advantages for mental health care inside of private insurance, and additionally the spread of Medicaid and Medicare. However, individuals with psychological well-being issues will probably be uninsured than others in the all inclusive community (Garfield et al, 2011; McAlpine and Mechanic 2000).Even those

Mental disorders are becoming more prevalent in today's society as people add stress and pressure to their daily lives. The elderly population is not eliminated as a candidate for a disorder just because they may be retired. In fact, mental disorders affect 1 in 5 elderly people. One would think that with disorders being rather prevalent in this age group that there would be an abundance of treatment programs, but this is not the case. Because the diagnosis of an individual's mental state is subjective in nature, many troubled people go untreated regularly (summer 1998). Depression in the elderly population is a common occurrence, yet the diagnosis and treatment seem to slip

Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.