Nursing Home Social Services Directors Caring for Residents With Serious Mental Illness

Abstract Psychosocial care for residents with serious mental illness (SMI) requires understanding of co-morbidities and careful attention to needs, rights, and preferences. Analyses of social services directors (SSDs) responses (n=924) to the National Nursing Home Social Service Director Survey considered perceived roles and competence to provide care stratified by the percentage of NH residents with SMI. Depression screenings and biopsychosocial assessments were common roles regardless of the percentage of residents with SMI. About one-quarter lacked confidence to train colleagues in recognizing distinctions between depression, delirium and depression (23.4% unable) or to develop care plans for residents with SMI (26% unable). A bachelor’s degree (OR=0.64, 95% CI:0.43, 0.97) or less (OR= 0.47, 95% CI:0.25, 0.89) was associated with less perceived competence in care planning compared to those with a master’s degree. SSDs reported less involvement in referrals or interventions for resident aggression in homes with a high proportion of residents with SMI.

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Community care plans and the Mental Illness Specific Grant

Psychiatric Bulletin ◽

10.1192/pb.18.5.260 ◽

1994 ◽

Vol 18 (5) ◽

pp. 260-262 ◽

Cited By ~ 1

Author(s):

Jeff Doodson ◽

Sara Davies

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Social Services ◽

Community Care ◽

Planning System ◽

Care Planning ◽

Health And Social Services ◽

Care Plans ◽

System A ◽

Collaborative Working

Mental Illness Specific Grant was made available to local authorities for the care of people with severe mental illness, as part of care in the community. Although only a small sum of money it has had the effect of giving the newly created community care planning system a boost start. It has enabled professionals from all agencies to see tangible benefits from collaborative working. MISG is time limited but has already shown that health and social services can work together to make a reality of community care.

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Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

PsycEXTRA Dataset ◽

10.1037/e533112007-001 ◽

2006 ◽

Author(s):

Kathy Hyer ◽

Christopher Johnson ◽

Victor A. Molinari ◽

Marion Becker

Keyword(s):

Mental Illness ◽

Nursing Home ◽

Quality Of Care ◽

Serious Mental Illness ◽

Nursing Home Residents

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Serious Mental Illness in Nursing Homes: Roles and Perceived Competence of Social Services Directors

Journal of Gerontological Social Work ◽

10.1080/01634372.2021.1912241 ◽

2021 ◽

pp. 1-19

Author(s):

Denise Gammonley ◽

Xiaochuan Wang ◽

Kelsey Simons ◽

Kevin M. Smith ◽

Mercedes Bern-Klug

Keyword(s):

Mental Illness ◽

Nursing Homes ◽

Social Services ◽

Serious Mental Illness ◽

Perceived Competence

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Do care plans and annual reviews of physical health influence unplanned hospital utilisation for people with serious mental illness? Analysis of linked longitudinal primary and secondary healthcare records in England

BMJ Open ◽

10.1136/bmjopen-2018-023135 ◽

2018 ◽

Vol 8 (11) ◽

pp. e023135 ◽

Cited By ~ 3

Author(s):

Jemimah Ride ◽

Panagiotis Kasteridis ◽

Nils Gutacker ◽

Christoph Kronenberg ◽

Tim Doran ◽

...

Keyword(s):

Primary Care ◽

Mental Illness ◽

Physical Health ◽

Serious Mental Illness ◽

Care Quality ◽

Care Plan ◽

Care Plans ◽

Primary Care Quality ◽

Hospital Utilisation ◽

Reduced Risk

ObjectiveTo investigate whether two primary care activities that are framed as indicators of primary care quality (comprehensive care plans and annual reviews of physical health) influence unplanned utilisation of hospital services for people with serious mental illness (SMI).Design, setting, participantsRetrospective observational cohort study using linked primary care and hospital records (Hospital Episode Statistics) for 5158 patients diagnosed with SMI between April 2006 and March 2014, who attended 213 primary care practices in England that contribute to the Clinical Practice Research Datalink GOLD database.Outcomes and analysisCox survival models were used to estimate the associations between two primary care quality indicators (care plans and annual reviews of physical health) and the hazards of three types of unplanned hospital utilisation: presentation to accident and emergency departments (A&E), admission for SMI and admission for ambulatory care sensitive conditions (ACSC).ResultsRisk of A&E presentation was 13% lower (HR 0.87, 95% CI 0.77 to 0.98) and risk of admission to hospital for ACSC was 23% lower (HR 0.77, 95% CI 0.60 to 0.99) for patients with a care plan documented in the previous year compared with those without a care plan. Risk of A&E presentation was 19% lower for those who had a care plan documented earlier but not updated in the previous year (HR: 0.81, 95% CI 0.67 to 0.97) compared with those without a care plan. Risks of hospital admission for SMI were not associated with care plans, and none of the outcomes were associated with annual reviews.ConclusionsCare plans documented in primary care for people with SMI are associated with reduced risk of A&E attendance and reduced risk of unplanned admission to hospital for physical health problems, but not with risk of admission for mental health problems. Annual reviews of physical health are not associated with risk of unplanned hospital utilisation.

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An innovative model to coordinate healthcare and social services for people with serious mental illness: A mixed-methods case study of Maryland's Medicaid health home program

General Hospital Psychiatry ◽

10.1016/j.genhosppsych.2017.12.003 ◽

2018 ◽

Vol 51 ◽

pp. 54-62 ◽

Cited By ~ 9

Author(s):

Emma E. McGinty ◽

Alene Kennedy-Hendricks ◽

Sarah Linden ◽

Seema Choksy ◽

Elizabeth Stone ◽

...

Keyword(s):

Mental Illness ◽

Mixed Methods ◽

Social Services ◽

Serious Mental Illness ◽

Home Program ◽

Mixed Methods Case Study ◽

Innovative Model ◽

Health Home

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Medical Advance Care Planning for Persons With Serious Mental Illness

Psychiatric Services ◽

10.1176/appi.ps.56.5.576 ◽

2005 ◽

Vol 56 (5) ◽

pp. 576-584 ◽

Cited By ~ 21

Author(s):

Mary Ellen Foti ◽

Stephen J. Bartels ◽

Melanie P. Merriman ◽

Kenneth E. Fletcher ◽

Aricca D. Van Citters

Keyword(s):

Mental Illness ◽

Advance Care Planning ◽

Serious Mental Illness ◽

Care Planning ◽

Medical Advance ◽

Advance Care

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Nursing Home Social Services Directors' Roles and Self-Efficacy in Suicide Risk Management

Innovation in Aging ◽

10.1093/geroni/igab046.447 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 117-117

Author(s):

Xiaochuan Wang ◽

Kelsey Simons ◽

Denise Gammonley ◽

Amy Restorick Roberts ◽

Mercedes Bern-Klug

Keyword(s):

Risk Management ◽

Nursing Home ◽

Social Services ◽

Self Efficacy ◽

Suicide Risk ◽

Psychosocial Care ◽

Preparation Time ◽

Major Barrier ◽

A Minor ◽

Management Reporting

Abstract Nursing home (NH) residents face many risk factors for late life suicide, and transitions into and out of NHs represent risk periods for suicide. Based on data from the 2019 National Nursing Home Social Services Directors survey (n = 924), this presentation describes NH social services directors (SSDs) roles in managing suicide risk and factors that influence self-efficacy in this area. Nearly one-fifth (19.7%) of SSDs lack of self-efficacy in suicide risk management, reporting needing significant preparation time or being not able to train others on this topic. Results of ordinal logistic regression indicate that SSDs who consider insufficient social services staffing as a minor barrier (comparing with a major barrier) to psychosocial care, those who report greater involvement in safety planning for suicide risk, and those with Master’s degree, are more likely to perceive greater self-efficacy in suicide risk management. Implications for training and staffing will be discussed.

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The Contribution of Child and Adolescent Mental Health Specialists to Care Planning in Child Care Proceedings

Child Psychology and Psychiatry Review ◽

10.1017/s1360641798221654 ◽

1998 ◽

Vol 3 (3) ◽

pp. 135-138

Author(s):

Claire Sturge

Keyword(s):

Mental Health ◽

Social Services ◽

Adolescent Mental Health ◽

Child And Adolescent ◽

Care Plan ◽

Mutual Understanding ◽

Care Planning ◽

Care Plans ◽

Department Of Health

In September 1997 the President's Interdisciplinary Committee organised a conference to look at issues around Care Planning. As important as the content of the conference was the aim of fostering mutual understanding and the cross-fertilisation of ideas across disciplines. Papers were given by judges, social services directors, guardians, Department of Health representatives, researchers, and child and adolescent mental health specialists. Interdisciplinary workshop discussions followed each paper generating group views and papers. All the papers have just been published as a book (Clarke, 1998).Dominating themes were the question of what, if any, influence the judge can exert over the Care Plan, the possibility of refusing to make a Care Order because of an unsatisfactory Care Plan, the value of the Care Plan and the accuracy of its details as a way of furthering and protecting a child's needs, the uncertainty about the proportion of cases where the Care Plan is altered or abandoned for good or bad reasons or major drift occurs, and ways of improving the quality of Care Plans through interdisciplinary co-operation. Various ways of dealing with these issues were suggested.

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