Find the right resources for you.

COE Fact Sheet

Center of Excellence for Behavioral Health in Nursing Facilities – Frequently Asked Questions

Understanding Bipolar Disorder

SAMHSA informational pamphlet about bipolar disorder’s definition, signs/symptoms, types and treatment

Understanding Schizophrenia

SAMHSA informational pamphlet about schizophrenia’s definition, signs/symptoms and treatment

Psychological Services in Long Term Care Resource Guide

APA resource guide provides a set of resources that capture the state of the art in psychological services to older adults and especially to those in long-term care. These materials cover individual, family and organizational interventions as well as psychological and neuropsychological assessment of older adults.

Substance Use Treatment for People with Co-occurring Disorders

SAMHSA Treatment Improvement Protocol provides extensive detailed evidenced based practices for Substance Use Treatment for People with Co-Occurring disorders

Opioid Use in Long-Term Care Settings

HHS report on findings of a study of use of opioids in the post-acute long term care setting

The Care of Residents with Opioid and Stimulant Use Disorders in Long-Term Care Settings

Toolkit from Massachusetts Department of Public Health will assist in efforts to care for residents diagnosed with OUD and StUD while addressing timely coordination of care among OTPs, OBOTs/OBATs, hospitals and LTCFs.

The Cycle of Alcohol Addiction

NIAAA pamphlet on stages of the addiction cycle

Medications for Opioid Overdose, Withdrawal and Addiction

NIDA infographic of medications for Opioid Overdose, Withdrawal and Addiction

Benzodiazepines DEA Drug Sheet

DEA fact sheet about definition, origin, street names, how they look, overdose and legality

Substance Use Disorders and Mental Health in Older Adults

Screening, Treatment and Important Conversations: Alliance for Aging Research pamphlet with information on Screening tools, conversations, and getting help for older adults with substance use disorders or mental health concerns.

SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

SAMHSA publication that develops a framework for trauma informed approach applicable to a variety of settings

State Operations Manual Appendix PP – Guidance to Surveyor for Long Term Care Facilities

CMS publication that interprets nursing facility regulations including those related to behavioral health services, anti-psychotic use, trauma informed care.

Comfort Menu

Use ideas from the Comfort Menu to identify ways to reduce anxiety, discomfort and pain without using medications.

Tips to Manage Challenging Situations

Tips to help manage fear and anxiety

Mindfulness Moment

How can we help

For any questions on our services, or to find out more about how we can help, please provide some basic information on your facility by clicking on the link below.

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

Established by the Substance Abuse and Mental Health Services Administration (SAMHSA), 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), Co-Occurring Disorders (COD) and Serious Emotional Disturbance (SED).

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.