This session presents an overview of key clinical and administrative issues of psychiatric care in long term care. Two common yet challenging clinical issues will be explored with case examples, namely sexually inappropriate behaviors and the use of atypical antipsychotics in dementia. In addition, a model of care involving psychiatrists and advanced practice nurses will be discussed, including implications for both medical directors and attending physicians.
Describe sexual behaviors in nursing homes using cases to illustrate dementia related inappropriate sexual behaviors as well as institutional biases toward sexual expression
Formulate practical applications for using atypical antipsychotics in the context of recent safety and efficacy questions using case examples
Recognize the role of the medical director in the provision of psychiatric services to the nursing homes
Demonstrate an interdisciplinary model of psychiatric services in the nursing home, involving advanced practice nurses, psychiatrists and psychologists