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AMDA Long Term Care Medicine - 2014


321 - The Social Focus Cohort: A Novel Trans-disciplinary Approach to the Care of Patients with Co-morbid Psychiatric and Medical Illness


Mar 1, 2014 4:00pm ‐ Mar 1, 2014 5:30pm

Standard: $24.00

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates this Internet Enduring Material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of management 1.5 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session will introduce attendees to a novel program at the San Francisco VA Community Living Center/ Skilled Nursing Facility which provides integrated mental health care to residents with psychiatric and medical comorbidities. This session will review the conception and development of the program as well as its current components, with a focus on the trans-disciplinary nature of the team. Members of the team (MD, Psych CNS, SW and RT) will present a case which demonstrates programmatic goals of improved patient functioning and quality of life as well as decreased staff burnout. Time will be available at the end of the session for these same members to field questions from the audience regarding their own challenging patients.

Learning Objective(s):

  • Recognize residents in your facility that could benefit from a trans-disciplinary approach to medical and mental health care.
  • Identify the successful components of a trans-disciplinary team and program for residents with psychiatric and medical co-morbidities.
  • Articulate trans-disciplinary goals and treatment modalities for residents with psychiatric and medical-comorbidities.
  • Describe how community re-integration outings can benefit residents as well as staff.

Speaker(s):
Laura J. Collins, MD; Lynn Martin, RN, MS, CNS; Anne French, LCSW; Cindy Chan, RTC, CTRS

Disclosure(s):
None

Reference(s):
Fullerton, Catherine Anne, MD, MPH, et. al. Trends in mental health admission to nursing homes: 1999-2005. Psychiatry Serv. 2009 July. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759604/ Kane, John, MD. Creating a Health Care Team to Manage Chronic Medical Illnesses in Patients With Severe Mental Illness: The Public Policy Perspective. Journal of Clinical Psychiatry 2009:70 (suppl 3) Physicians Postgraduate Press, Inc. Psychiatrist.Com Bagchi A.D., Verdier J.M., Simon SE. (2009) How many nursing home residents live with a mental illness? Psychiatric Services. Retrieved from http://ps.psychiatryonline.org/article.aspx?articleid=100603 Bartels J., Moak G., Dums, A.R. (2002) Mental health services in nursing homes: Models of mental health services in nursing homes: A review of the literature. Psychiatric Services 2002; doi 10.1176/appi.ps.53.11.1390. Borson, S., Reichman, W., Coyne, A., Rovner, B., Sakauye, K., (2000) Effectiveness of Nursing Home Staff as Managers of Disruptive Behavior: Perceptions of Nursing Directors. American Journal of Geriatric Psychiatr. Retrieved from http://mw2ej3rp7m.search.serialssolutions.com/?V=1.0&pmid=10910425 Bowersox N.W., Szymanski B.J., McCarthy J.F. (2013) Associations Between Psychiatric Inpatient Bed Supply and the Prevalence of Serious Mental Illness in Veterans Affairs Nursing Homes. American Journal of Public Health. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23078462 Lemke S.P., Schaefer J.A. (2010) Recent changes in the prevalence of psychiatric disorders among VA nursing home residents. Psychiatr Serv. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20360274McCarthy J.F., Blow F.C., Kales H.C. (2004) Disruptive behaviors in Veterans Affairs nursing home residents: how different are residents with serious mental illness? Journal of American Geriatric social Worker. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15571538 Basco, M.R. (2005) The Bipolar Workbook: Tools for Controlling Your Mood. New York, NY: The Guilford Press. Basco, M.R., Rush, J.A. (2007) Cognitive Behavior Therapy for Bipolar Disorder, 2nd Ed. New York, NY: The Guilford Press. Burns, D.D. (1999) The Feeling Good Handbook (Rev). New York, NY: Plume. Burns, D.D. (1999) Feeling Good: The New Mood Therapy (Reprint). New York, NY: Harper. Bellack, A. S., et al. (2004) Social Skills Training for Schizophrenia: A Step By Step Guide, 2nd Ed. New York, NY: The Guilford Press. Colom, F., Vieta, E. (2006) Psychoeducation Manual for Bipolar Disorder. New York, NY: Cambridge University Press. Frank, E. (2007) Treating Bipolar Disorder: a Clinician’s Guide to Interpersonal and Social Rhythms Therapy. New York, NY: The Guilford Press. Hanh, T.N. (1992) Peace Is Every Step. New York, NY: Bantam Books. Kabat-Zinn, J. (2009) Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain and Illness, 15th Anniversary Edition. New York, NY: Bantam Dell. Koerner, K. (2012) Doing Dialectical Behavior Therapy: A Practical Guide. New York, NY: The Guilford Press. Laidlaw, K., et al. (2003) Cognitive Behaviour Therapy with Older People. West Sussex, England: Wiley. Leahy, R.L., et al. (2011) Emotion Regulation in Psychotherapy: A Practitioner’s Guide. New York, NY: The Guildford Press. Linehan, M.M. (1993) Skills Training Manual for Treating Borderline Personality Disorder. New York, NY: The Guilford Press. MacKay, M. et al. (2007) The Dialectical Behavior Therapy Skills Workbook. Oakland, CA: New Harbinger Publications, Inc. Neff, K. (2009). Ways to Increase Self Compassion. www.self-compassion.org. Retrieved 1-3-12 from http://www.self-compassion.org/. Soroco, K.H., Lauderdale, S. (2011) Cognitive Behavior Therapy with Older Adults. New York, NY: Springer Publishing Company, LLC. Wright, J., et al. (1993) Cognitive Therapy with Inpatients: Developing a Cognitive Milieu. New York, NY: The Guilford Press Author & Date Unknown. Catch It, Check It, Change It. www.downloads.bbc.co.uk/health/factsheets/catch.pdf. Retrieved 3-28-13 from http://downloads.bbc.co.uk/health/factsheets/catch.pdf

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