Name: CHE Behavioral Health Services
Price range: $

Inpatient Mental Health Services

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Benefits of CHE
What is the Role of the Psychologist in Long-Term Care (LTC) Settings?
Why are Residents Referred to the Psychologist?
What are Signs of Emotional Distress?

CHE Behavioral Health Services provides confidential and accessible online therapy for individuals seeking support for behavioral and mental health issues. Connect with a licensed therapist today.

Benefits of CHE

Better quality of life for patients and improved transition to post-acute setting
Well-educated and supported front-line staff
Reduction of staff overturn
Reduced hospital readmissions
GDR strategies for psychoactive medication
Minimized fall risk
Improved individualized care plans
Improved regulatory compliance
Screenings for PDPM

Psychotherapy

Services for individuals and/or group therapy for residents who suffer from adjustment issues and various psychological disorders such as: depression, anxiety, behavioral disturbance, noncompliance. Our clinicians provide targeted interventions while incorporating supportive, trauma informed care, to assist patients in achieving their individual treatment goals.

Medication Management

Consistent services, providing GDR's, reviewing cross medication interactions and documentation with detailed history, current conditions and individualized treatment goals to encourage medication compliance.

Cognitive Evaluation

Capacity and Cognitive Evaluations to assist in differential diagnosis and treatment recommendations to improve patient care and functioning.

Non-Pharmacological Intervention & Documentation (F-Tag 758)

This collaborative effort with the facility's multidisciplinary team seeks to assist residents who may benefit from non-pharmacological psychological treatment, to assure compliance with current state regulations. PCC Integration with documentation.

Rehabilitation Support Services

This program utilizes short-term goal oriented therapy to support your rehab staff. Treatment goals include addressing barriers that may prohibit a full participation and completion in PT, OT or ST.

Inservice Trainings (F-Tag 949)

Staff in-services and training are provided by CHE for facility staff at all levels, covering a variety of topics ranging from: managing challenging resident behaviors/reactions, trauma-informed care, dementia, and stress management for staff.

What is the Role of the Psychologist in Long-Term Care (LTC) Settings?

CHE Behavioral Health Services has been providing psychological services in skilled, rehabilitation, and other long-term care facilities for over 25 years. At CHE, we recognize that best practices in behavioral health in LTC settings requires a "systems-level" approach. To that end, CHE psychologists, clinical social workers, and other qualified mental health specialists work to support not only the resident, but those invested in the resident's care and quality of life, including staff and family caregivers. By working as an essential and integral part of the interdisciplinary care team, the psychologist supports person-centered, individualized treatment recommendations that help maximize positive outcomes and improve the resident's emotional and physical well-being.

CHE psychological services provided in the nursing home reflect a comprehensive behavioral health practice that include initial diagnostic assessments, individual psychotherapy, group psychotherapy, family/couples therapy, cognitive/neuropsychological assessments, participation in interdisciplinary care plan meetings, and staff training.

Why are Residents Referred to the Psychologist?

Most residents admitted to LTC or rehabilitation setting experience difficult emotional and/or behavioral symptoms at some point during their admission. If we take a minute to put ourselves in the shoes of a persons admitted to a LTC or rehabilitation facility, we quickly appreciate the emotional challenges they face. Common reasons for referrals include:

Recent traumatic medical events (e.g. falls, fractures, serious illness) that impact independent functioning and increase health related anxieties
Chronic pain or difficulty coping with chronic illnesses that impact emotional and physical well-being
Difficult emotions related to a change in living environment, family support, routines, or other significant changes
Persons struggling with significant losses and complicated grief reactions or feeling overwhelmed by a life stressor or difficult situation
Persons with a pre-existing history of clinically significant depression, anxiety, trauma, or other mental health conditions, which may me exacerbated by recent and ongoing medical and psychosocial stressors.

When the resident, family, or staff caregiver identify clinically significant indicators of emotional distress, the patient's physician will often make a referral to the CHE psychologist for a more comprehensive assessment and follow-up treatment if indicated.

What are Signs of Emotional Distress?

While some people verbalize feeling depressed or anxious, others report different symptoms when experiencing emotional distress. These include feeling more irritable, chronic fatigue, emotional exhaustion, worsening experience of body aches and pains or other physical symptoms, and difficulty sleeping and eating. Further, residents in older cohorts or members of different ethnic and cultural groups may not use words like "depression" or "anxiety," Rather you may here statements such as: "I am in poor spirits," or "I do not feel like myself," "or my nerves are acting up."

Anxiety

Anxiety is a sense of unease, nervousness, or dread that may occur before or during certain events (such as public speaking or unfamiliar situations), or that may be more general--often coloring your whole life. A certain level of anxiety can be healthy, helping keep us alert, aware, and motivating us to solve problems and perform well; however, if anxiety becomes so overwhelming and debilitating that it prevents you from engaging in and enjoying your life, you may be suffering from an anxiety disorder.

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Depression

Depression can feel unshakeable - like no matter what you do, you just can't quite feel better. You may feel tired a lot and have little desire to engage in activities you normally enjoy. Often, there may be no clear reason why you started feeling this way. If you identify with these feelings, please know you are not alone. Depression is quite common, and psychotherapy with a qualified clinician can help. You have taken the first step already by asking questions and seeking out services.

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Grief

Grief is a strong, sometimes overwhelming emotion, that stems from a loss. Some examples of loss include the death of a loved one, the ending of a relationship, job loss, or other traumatic experiences of loss. Grief may initially involve feeling numb but may also involve a range of emotions from deep sadness to anger to guilt. While most people will experience a significant loss at some point, grief is a deeply personal experience that feels profound and overtakes one's life. It is important to remember: everyone grieves differently, and there is no right or wrong way to grieve or right or wrong way to feel.

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Stress

Stress is a feeling of emotional or physical tension that, over time, can wear you down. Stress can be acute (short-term) or chronic (long-term) and is often the result of situations that make you feel powerless, frustrated, afraid, or in danger. Small amounts of stress can motivate us to get things done and perform as needed; however, if we are faced with stressors we do not believe we can cope with or long term stress, these can negatively impact mental and physical health.

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Anger

Anger is a normal emotion we all experience. Anger is often an emotion you feel when you perceive someone has deliberately “done you wrong” or when you feel mistreated or injured. People vary greatly as to what makes them angry, how often they feel angry, and how intense the feelings of anger may be. Anger becomes a problem when it becomes so overwhelming that it negatively impacts your relationships, jobs, legal standing, or your emotional well-being. If you feel you have trouble controlling your anger, this is often an indicator that your anger may be out of your control.

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Self-Esteem

Self-esteem is a person's overall sense of self-worth or personal value. It entails a self-evaluation and one's beliefs and judgments about her/himself. Unhealthy self-esteem occurs when a person feels badly about her/himself and lacks confidence. People with low-self esteem are often more self critical and hard on themselves. If you have low self-esteem, you may find you avoid pursuing meaningful activities or social activities because you feel inferior to others or are worried about rejection. This may lead you to take less initiative in your education or career, prevent you from seeking out meaningful relationships, and be more accepting of poor treatment from your family, friends, and romantic partners.

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Relationship Difficulties

Relationships enhance our lives, but they aren't always easy. Conflicts with partners, spouses, friends, and family members can leave you feeling sad, angry, and frustrated with little idea of how to solve the problem. Examining negative and repetitive relationship patterns can help identify where you may be stuck and move your relationships forward in a way that feels joyful and healthier.

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Trauma

Trauma comes in many forms and can occur when an event or series of events overwhelms the body and psyche's ability to cope, resulting in an inability to move past the trauma. PTSD is the most well-known diagnosis (cluster of symptoms) that can result from severe forms of trauma; however, it is not the only one. Trauma is highly individual and what may be traumatic for one person may not necessarily be for another. If you feel frightened, overwhelmed, and are experiencing constant triggers, teletherapy can help.

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Systemic Oppression and Discrimination

Research consistently shows that our social environment and life experiences have a significant impact on mental health and that groups who suffer social disadvantage, discrimination, and oppression have higher rates of mental distress. Generally speaking, systemic oppression and discrimination occurs when the laws of a society create unequal treatment of specific groups of people (i.e, racial, gender, ethnic, sexuality, physical ability, to name a few). It is the mistreatment of groups of people enforced by the institutions of society. Because it is “systemic,” it can often go unrecognized.

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Other

Life difficulties can manifest in innumerable ways. If you feel you can benefit from support in the service of your mental health, you do not need a specific diagnosis to reach out. Teletherapy can help with any number of life stressors and conditions. Teletherapy is not just for the treatment of a specific disorder, though it can be for that as well. Teletherapy is also for those looking to explore their lives in fuller detail as a way of relieving patterns and symptoms that feel overwhelming and unwanted. Self-growth and understanding are often reasons people seek out therapy - to work on improving their relationships, understanding one's identity and values and living a life consistent with those values, and learning healthy ways to cope with life's inevitable ups and downs.