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Behavioral Health Programming Guide for Skilled Nursing Facilities

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Behavioral Health Programming Guide for Skilled Nursing Facilities

written by  M. Celeste Chase, AC-BC, ACC, CDP,



Product Information

The New Behavioral Health Regulations F740-F744, F758 & F659 have become part of the 2018-2019 CMS.gov Survey Process for Skilled Nursing Facilities. The regulations are facility wide but the Activity Department is right in the middle of things.
This Programming Guide, written by  M. Celeste Chase, AC-BC, ACC, CDP, provides a Step by Step approach to help the Activity Professional and Staff to understand the challenges Behavioral Health presents and how to respond with activities that help redirect and reduce disruptive or unwanted behaviors.
Celeste has deconstructed the most common Behavioral Health issues into a language easy to understand, triggers, strategies, engagement, adaptations, interventions, samples and goals. This Programming Guide will help you and your facility become Behavioral Health Compliant with minimal stress.

Behavioral Health - Behavioral health encompasses a resident’s whole emotional and mental well-being, which include, but is not limited to the prevention and treatment of mental and substance use disorders.
Not surprisingly, federal agencies such as the Centers for Medicare and Medicaid Services (CMS) support behavioral health and psychiatric well-being for individuals in senior care facilities. Specifically, the concern centers on the over-reliance of anti psychotic medication use for residents with disruptive behaviors. Unwanted behaviors must first be treated through behavioral interventions before psychoactive medications can be administered.

:::::: Behavior Management mandates requires:

§      Possess appropriate competencies and skill sets to care for residents diagnosed with mental and psycho-social disorders as well as those with a history of trauma and/or post-traumatic stress disorder (PTSD).
§      Provide treatment and services to correct the assessed problem or to attain the highest practicable mental and psycho-social well being for residents that display/diagnosed with;
  •     mental disorder
  •     psycho-social adjustment difficulty         
  •     history of trauma or post-traumatic          
  •     stress disorder (PTSD)

§      Monitor for patterns of behavior difficulties not previously diagnosed, assessed or revealed that decreases social interaction and/or increases withdrawn, angry, or depressive behaviors- unless the clinical condition demonstrates that development of such a pattern was unavoidable.
§      Provide a resident who displays or is diagnosed with dementia with appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psycho-social well-being.
§      Provide medically related social services to attain or maintain his or her highest practicable physical, mental, and psycho-social well-being.


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ sample ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


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  • both post support for the NAAPCC Credentialing Center
    Comments From Students
     Thank you for correcting the information that was released. I recently took the test for certification with NAAPCC and it was a very comprehensive and thorough test. It was not a simple easy test to get you certified. You had to know the information in order to complete and pass. I would recommend this avenue to anyone especially if finances are a struggle for MEPAP I & II. I did purchase the book for long-term care seventh edition and without that I would have struggled.
    Connie Gangwish, AP-BC Colorado
    reprinted with permission

    To: Activity Directors Network
    Celeste is awesome!! Anytime i have a question she gets right back with me and she is very informative. At first I didn't know if i was going to like the new course just for the fact my MEPAP course was the own pace and I work Full time plus have 3 kids. But i am loving it! It is very structured and with due dates I feel like i am holding myself more accountable for completed assignments sooner than later. It has actually been a beneficial change for me.. Thanks so much!!!
    L Williams reprinted with permission

    To: Activity Directors Network
    Good Evening I wanted to let you know that I had completed mepap 1 and had only a couple weeks left of mepap 2 so I had looked at path 2 and have taken the activities test and passed so just sending in the application. I wanted to thank you for giving all your time to us even while Kathy was ill. It didn't go unnoticed, you was a great support and helpful at ideas or even different ways of changing thoughts to positive while feeling defeated. Thank You Stacey Passa AP-BC
    reprinted with permission
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