Person-Centered Care Practices Using the CARES® Approach

Consultation Summaries,Serious Mental Illness (SMI)

Implementing the CARES® Serious Mental Illness Online Training Program to meet the mental health needs of residents with diverse behavioral health needs.

Case Description: The leadership of a nursing facility corporation identified many nursing facilities that would benefit from the CARES® Serious Mental Illness™ Online Training Program. One of those facilities has an extremely high population of residents with a serious mental illness (SMI) and substance use disorder (SUD). The administrator stated that the standard dementia training offered in long-term care facilities was insufficient to meet the needs of residents with diverse behavioral health needs.

Unique Challenges: “… I had a significant reportable event while still at [Nursing Facility] that led to a root-cause analysis of the underlying issue. I felt that if we had been properly meeting the mental health needs of all our residents, that situation may have been avoidable. We immediately implemented a program for residents with SUDs and then offered the CARES® Serious Mental Illness™ Online Training to our entire staff. Many residents with a SUD also have an SMI, so it was important to meet both sets of needs.” -Nursing Facility Administrator

CO-NF Solution: The regional behavioral specialist (RBS) completed the behavioral health assessment and determined that this facility would benefit from the CARES® Serious Mental Illness™ Online Training Program. The RBS coordinated setting up the training for the entire staff. In total, 72 staff at [Nursing Facility] completed the training.”

Outcome/Benefits: After completing the training, the facility administrator commented, “I definitely feel that our staff are now more aware of the needs of their residents and understand how caring for them properly can lead to better outcomes. I’ve seen a decrease in the number of negative outcomes from those residents with SUDs, and I feel like the staff knows better how to relate to their feelings. This program is amazing, and I’m so grateful we had the opportunity to share it with our entire team!” Staff can apply the CARES Approach to better manage residents with SMI and SUD and have a better understanding of how SMI differs from dementia.

the center of excellence for behavioral health in nursing facilities (COE-NF)

Established by the Substance Abuse and Mental Health Services Administration (SAMHSA), in partnership with the Centers for Medicare and Medicaid Services (CMS), the COE-NF offers Certified Medicare and Medicaid Nursing Facility Staff a centralized resource hub with easy access to trainings, technical assistance and additional resources, at no cost.

What We Do

We help nursing facilities to improve the quality of life and care provided for residents who are experiencing a variety of behavioral health disorders, with a focus on Serious Mental Illness (SMI), Substance Use Disorder (SUD) and Co-Occurring Disorders (COD).

Who We Help

We provide direct technical assistance, evidence-based training, and resources that are appropriate for every member of your long-term care facility — from those providing day-to-day direct care, to clinical and administrative staff.