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Guidance on Best Practices in the Diagnosis and Treatment of Older Adults in Nursing Homes with Schizophrenia and Other Serious Mental Illnesses

Speakers: Stephen Bartels, MD, MS; Marcia Hunt, PhD; Susan Buehler, PhD; and David Farrell, MSW

Date: TBD

Time: 10-11:30AM PT / 11AM-12:30PM MT / 12-1:30PM CT / 1-2:30PM ET

The appropriate care provision for people with schizophrenia and other serious mental illnesses (SMI) residing in nursing homes has been an important focus of research and policy.  People with SMI are often placed in nursing homes due to severity or chronicity of their illness, but also due to limited housing and treatment options. Many older adults with SMI have psychosocial and psychiatric needs that are not well met in nursing homes. In response to these issues, SAMHSA funded the E4 Center to complete a systematic literature review on the care of older adults with SMI living in nursing homes and assembled an expert panel to develop guidance and recommendations for best practices.  This presentation will review the historical background of the treatment for people with SMI in nursing home settings, current concerns about diagnosis of SMI within a nursing home setting, and describe recommendations for improved care within this guidance.

Learning Objectives

Learners who participate in this learning activity will be able to:

  1. Recognize the barriers to care that older adults with SMI encounter, particularly for those who reside in nursing homes.
  2. Describe legislation and regulatory policy that have affect the care that older adults with SMI receive.
  3. List recommendations for best practices for the diagnosis and treatment of older adults with SMI in the nursing home setting.


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