Serious and Persistent Mental Illness and Dementia
PDF Version of DQA 07-011
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Serious and Persistent Mental Illness and Dementia
This memo provides information on resources and educational opportunities
available for people who work with individuals experiencing serious and
persistent mental illness or dementia.
In 2006, mental health issues were identified as an emerging concern for
assisted living facilities and nursing homes in the State of Wisconsin. The
subject was discussed at Nursing Home Industry/Bureau of Nursing Home
Resident Care collaborative meetings, the FOCUS 2006 ("Collaborating
for Quality; Ideas To Action") Assisted Living Panel, and Wisconsin
Assisted Living Association Wisconsin Healthcare Regional Workshops.
In response, Sinikka Santala, Administrator of the Division of Long Term
Care, assembled two collaborative workgroups (one to address assisted living
facilities and one to address nursing homes) to identify specific issues,
recommend strategies, and develop materials to assist staff serving
individuals with mental illness or dementia.
The Mental Health Training for
Assisted Living Providers' Workgroup included representatives from the
Division of Quality Assurance (DQA), the Division of Mental Health and
Substance Abuse Services, the Wisconsin Mental Health Association, and the
Wisconsin Assisted Living Association.
The Nursing Home Challenging
Behaviors Workgroup included representatives from DQA, the Division of Long
Term Care, nursing homes, the Board on Aging and Long Term Care, Disability
Rights Wisconsin, Wisconsin Association of Homes and Services for the Aging,
Wisconsin Health Care Association, County Psychiatric Hospital Association,
and Association of County Homes.
As a result of work and recommendations from these two workgroups, DQA is
proud to announce the availability of resources and educational
opportunities for health care and DQA staff who work with people with
serious and persistent mental illness and dementia.
DQA, in collaboration with healthcare providers, advocacy groups,
Department of Health and Family Services staff, and Dr. Abhilash Desai; has
developed a two-part Mental Health web cast series designed for nursing
home, assisted living, and DQA staff. The web cast includes:
"Part One: Serious and Persistent Mental Illness" -- This
multifaceted program addresses diagnosis and treatment of serious and
persistent mental disorders in healthcare settings; such as schizophrenia,
bipolar disorder, and recurrent, major depression.
These disorders are
prevalent, under-recognized, and under-treated in most health care
settings in the United States, and can cause immense suffering. They are
also associated with high morbidity and mortality, including suicide.
one discusses the implementation of evidence-based, individualized,
comprehensive treatment plans with innovative approaches (both
pharmacological and non-pharmacological) that can dramatically improve the
quality of life for individuals with mental disorders.
"Part Two: Alzheimer's Disease and Related Disorders" -- This
presentation will define dementia and discuss the different types. The
presentation will also include a discussion of pharmacological and
non-pharmacological interventions to enhance the quality of life for
individuals with dementia.
The presenter for both web casts is Dr. Desai, a geriatric psychiatrist
and Medical Director of the Alzheimer's Center of Excellence, ThedaCare
Behavioral Health, in Appleton, Wisconsin. Dr. Desai completed medical
school in India and a psychiatry residency at Hahnemann University School of
Medicine in Philadelphia, Pennsylvania.
"Part One: Serious and Persistent Mental Illness" is currently
available for viewing. "Part Two: Alzheimer's Disease and Related
Disorders" will be available for viewing after July 23, 2007. For a
direct link to these web casts, visit: http://www.dhs.wisconsin.gov/rl_DSL/Training/index.htm.
After viewing the web casts, a certificate of viewing can be printed from: http://www.dhs.wisconsin.gov/rl_DSL/Training/index.htm.
Below is a list of additional resources and educational sessions that can
be added to reference collections or quality improvement libraries:
A Brief Overview of Mental Illness
This presentation covers common mental illness diagnoses with a
description of symptoms and discussion of an individual's experience of the
illness. Treatment approaches, including common medications and side
effects, are discussed. Link: http://media1.wi.gov/DHFS/Viewer/?peid=82e009bb-6f77-491a-a23a-c724c114e44e
Working with Angry People and Chronic Callers
This is a short presentation about the psychology of anger and methods of
effectively responding to individuals who experience anger. Dr. Diamond
discusses avoidance of power struggles and methods for allowing individuals
to feel heard. Link: http://media1.wi.gov/DHFS/Viewer/?peid=6c32ca36-75aa-4b61-beef-428aaa4e49ab
Risk Assessment: Suicide and Violence
This presentation discusses assessment of an individual's risk for
suicide or other violent behavior. This segment is targeted at clinical
staff with ongoing relationships with patients. Link: http://media1.wi.gov/DHFS/Viewer/?peid=db0e716a-c2a2-429f-ace0-b0f9eb869f2e
If you have questions about this memorandum, please contact Dinh Tran at
(608) 266-6646, or firstname.lastname@example.org.
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