As the older adult population grows, there is an increased need for trained mental health professionals to provide effective treatment in the long-term care setting. Provision of mental health services can particularly have a notable impact on those who reside in skilled nursing facilities. There is a high prevalence of psychiatric disorders or diagnoses in this setting, including schizophrenia, psychotic disorders, depression, dementia and anxiety. In addition, the majority of SNF residents exhibit behavioral disturbances, which can significantly affect an individual's quality of life, increase caregiver stress, and may have been a primary cause of placement in a long-term care facility initiated by their loved ones. With the overall increase of the aging population, we can continue to expect a dramatic increase in the number of persons residing in long term care settings with such conditions.

Since the enactment of the OBRA regulations of 1987, multiple revisions over the years to the F-Tag Medication Usage standards, and initiation of the 5-Star Rating System, there has been a push to treat these behavioral disturbances and psychiatric disorders/diagnoses by using the least intrusive interventions and to reduce the use of psychotropic medications, as well as physical and chemical restraints. The new SNF Mega Rules instituted in 2018 brought even greater changes to behavioral health services.

This 7-part live webinar series will provide an overview of the recent changes to CMS regulatory guidelines governing the use of psychotropic medications in long term care settings. We will share strategies providers can implement to enhance documentation and compliance. Participants will gain knowledge of behavior and non-pharmacological management.

t principles with a focus on dealing with difficult behaviors. We will also address pharmacological management of common psychiatric conditions and appropriate approaches to treatment.

Series Goals

• An adequate knowledge base on the use of psychoactive medications to treat common psychiatric and behavioral conditions.
• An overview of the F-740 through F-758 Guidelines, 5 Star Rating System, and recent updates to the use of psychoactive medications and strategies for compliance with the new SNF regulations.
• An adequate knowledge base to develop the most effective non-pharmacological treatment plans that are behaviorally sound.
  

Series Objectives

Learners will be able to:

• Understand pharmacological management of common psychiatric conditions.
• Understand the F-740 through F-758 Tags and regulatory guidelines when using psychoactive agents and strategies to enhance documentation compliance.
• Understand behavior and non-pharmacological management principles.
• Conduct thorough behavioral and environmental assessments.
• Develop treatment plans that are ethical and least intrusive to improve the quality of life and independent functioning of their residents.
• Promote the implementation of and adherence to the treatment plans through staff training.
• Promote interdisciplinary coordination of care through behavioral committee meetings and suggested documentation examples.
• Monitor the effectiveness of the treatment plans.
• Summarize causes and contributing factors of behavior disturbances.
• Describe and integrate a biopsychosocial approach when addressing patients within their everyday practice.
• Summarize appropriate assessment and integration of assessment tools when identifying behavioral health needs.
• Identify and utilize both verbal and nonverbal interventions when addressing and managing behavioral health disorders and psychosocial disturbances.
• Describe OBRA guidelines and previous standards
• Describe the various changes and specific F-tag revisions.
• Identify specific new standards for appropriate pharmacological management and strategies to enhance facility compliance.
• Identify Primary Causes of Dementia.
• Describe the difference between irreversible and reversible dementia
• Describe how brain changes affect the way a person functions and behaves.
• Discuss the importance of individualized care when treating someone diagnosed with dementia.
• Describe Dementia
• Explain the behavior(s) associated with Dementia
• Identify general and specific strategies to provide care in the NH setting to individuals with Dementia
• Describe Common Psychological Disorders of Aging
• Explain depression in the elderly
• Explain anxiety and other psychological disorders in the elderly
• Describe Psychological Testing
• Explain how to assess cognition in the elderly
• Describe how to assess depression, agitation, anxiety and other psychological disorders in the elderly
  

This series will feature Intermediate level social work content

Schedule

Mark your calendars and plan to join us for one or all of the following live webinars:

Agenda

All Webinars will begin at 1:00 pm EST and conclude between 2:00 and 2:30 pm EST.
Each live webinar will be 1 to 1.5 hours each.

Presenters

Anthony E. Bunin, Vice President
Behavioral Care Solutions
Michael Goldsmith, Regional Coordinator
Behavioral Care Solutions
Dr. Robert Lacoste, Psychiatric Medical Director
Ascension Crittenton Hospital and Behavioral Care Solutions

Thank you to Behavioral Care Solutions, a LeadingAge Michigan Business Partner, for generously supporting the webinar series.

Registration Rates

To receive continuing education credit you must be a registered participant, provide a unique email address during the online registration process and log in via GoToWebinar for each live session.

Target Audience

Administrators, Directors of Nursing, Nurse Managers, Social Workers, Department Heads & Supervisors, any team member involved in managing operations and regulations for their organization.

Continuing Education

Administrators: LeadingAge Michigan Educational Foundation has applied for continuing education contact hours with the Michigan Board of Nursing Home Administrators.
Nurses: LeadingAge Michigan Educational Foundation (WNA-0558-001) is an approved provider of continuing education by the Wisconsin Nurses Association, as accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Social Workers: This Organization LeadingAge Michigan Educational Foundation is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org through the Approved Continuing Education (ACE) Progarm. The LeadingAge Michigan Educational Foundation maintains responsibility for the program. ASWB Approval Period: 4/12/2018 - 4/12/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Social workers participating in this course will receive 6 Clinical continuing education clock hours.

Depending on length of each webinar, 1 or 1.5 continuing education hours will be awarded for the successful completion of each live webinar.

Completion Requirements

• Registration with unique email address
• Attendance at the entire event
• Log in via GoToWebinar at the beginning of the event
• Completion of online evaluation
• Once the Evaluation is complete you can access your certificate on LeadingAgeMI.org, we will also be sending the certificate out via email to the email you provided us with at registration. 

Interaction
This live webinar series is offered in real time, including live interaction between participants and presenter(s).

Cancellation and Grievance Policy

Click Here to view the LeadingAge Michigan Cancellation & Grievance Policy.

Need Assistance

If you have any special circumstances that impact your ability to view the webinar please contact LeadingAge Michigan at 517-323-3687.

Planning Committee

Laura Funsch, RN, BSN, MSA; Laura Fuller, CMP; Dalton Herbel, BS; and Foua Hang, BS

Disclosures

The planners and presenters agree to ensure the content for this educational activity is evidence-based or based on the best-available evidence, and is presented free from bias. There is no conflict of interest and the content does not promote the products or services of any individual presenter or organization.