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

Substance Abuse and Mental Health Services Administration (SAMSHA) lead public health and service delivery efforts that promote mental health, prevent substance misuse, and promote recovery. Find resources on a variety of behavioral health topics.

CMS Behavioral Health Strategy will strive to support a person’s whole emotional and mental well-being and promotes person-centered behavioral health care. Find additional guidance from CMS on Addressing and Improving Behavioral Health.

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

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

NIAAA pamphlet on stages of the addiction cycle

NIDA infographic of medications for Opioid Overdose, Withdrawal and Addiction

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

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.

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

Tips to help manage fear and anxiety

Mindfulness is a great tool to use when feeling overwhelmed, anxious, or stressed. Check out the flyer for some simple steps that anyone can take to practice mindfulness.

Gain a better understanding of older adult mental illness and learn new skills with this free, three-episode video training series. The videos are intended to boost your confidence when caring for older adults and help you learn basic skills you can use to prevent and de-escalate mental health crises.

The training series includes a facilitator guide, fact sheets, checklists, and other tools viewers can download and print. Each video includes a ten-question quiz along with a quiz checker with the correct answers and a corresponding time stamp where the question topic is presented in the video.

This material was prepared by Stratis Health for Superior Health Quality Alliance, a Quality Innovation Network-Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Used with permission.

This flyer provides a visual depiction of the effects of alcohol consumption on the different parts of the body. It is suitable for posting or sharing with staff and residents to help educate them about how alcohol use can harm the body.

This flyer is suitable for sharing and using with residents and staff that are trying to manage anxiety or stress. Grounding is a way to calm worried thoughts by using your five senses. When your thoughts are calm, your body is more relaxed.
During periods of stress, you may find your thoughts spinning. When you feel like your thoughts are going round and round, like your brain is on a merry-go-round, try ‘grounding’ techniques to refocus your thoughts.

Naloxone is a drug that reverses respiratory depression caused by opioid overdose. Having naloxone readily available in nursing homes is an opioid harm reduction best practice that can save lives. ShapeShapeShapeShapeShapeShapeShapeShapeShapeShapeShapeThe Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) has developed this checklist of questions to support nursing homes when implementing the use of naloxone or evaluating existing naloxone policies and procedures.

This material provides an introduction to Naloxone, explains why nursing facilities should have it available, provides tips on establishing a naloxone program in a nursing facility, and shares warning signs of an opioid overdose and how to respond.

This flyer is a brief reference guide for nursing facility staff responding to a resident with a potential opioid overdose. This flyer is suitable for sharing with all staff or having available in each care area.

This guide discusses the health effects of nursing home residents drinking alcohol, provides proactive steps that staff can take when unauthorized alcohol use occurs in nursing facilities.

Trauma-informed care starts with learning and understanding as much as we can about a resident’s lived experiences. Display this flyer as a daily reminder of ways staff can take a trauma-informed approach.

This resource describes signs and symptoms of alcohol withdrawal and provides a guide to detox strategies for nursing facilities.

This resource provides links to virtual recovery meetings for substance use and mental health.

This document reduces the stigma associated with substance use. Here is a list of preferred words.

This resource offers guidance on how to incorporate substance use recovery supports for residents in nursing facilities.

Major depressive disorder (MDD) is much more than feeling sad or having a bad day. It is a serious mental illness (SMI) that requires understanding, compassion, and medical care. This resource is available to assist the Nursing Facility staff with information to further aid in supporting their residents with Major Depression Disorder.

This resource is a guide giving detail on why substance use screening is important in nursing facilities, recommends steps to take to set up successful screening regiments and suggest evidenced based screening tools.

This document discusses the risk of prescribing an opioid and a benzodiazepine.

PCSS provides free waiver training to prescribers so they can obtain their waiver to prescribe buprenorphine for opioid addiction.

Use these 6 simple questions from the Columbia Protocol to Identify whether a resident is at risk for suicide. assess the severity and immediacy of that risk and determine the level of support the resident needs.

Discover practical ways you can support residents living with schizophrenia. Learn about common schizophrenia symptoms and the risks and benefits of antipsychotic medications.

This 15-minute module will give you the tools needed to support residents living with the complex disorder of schizophrenia. You’ll learn how to identify symptoms of schizophrenia, conditions that can be mistaken as schizophrenia as well as treatment strategies.

This flyer provides check points to validate the accuracy of a schizophrenia diagnosis.

This introductory fact sheet explains Co-occurring Disorders, provides treatment strategies and practical tips for treating residents diagnosed with a Co-occurring disorder.

Here are 10 tips for supporting a resident diagnosed with schizophrenia.

Schizophrenia is a complicated brain disorder with a range of symptoms. Learn the facts about schizophrenia.

Learn the facts about bipolar disorder.

Learn the signs and symptoms of bipolar disorder.

This course will equip you with foundational knowledge of bipolar disorder, explore the potential causes, and the impact it can have on residents.

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.

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Get all the latest information from the Center of Excellence for Behavioral Health in Nursing Facilities.

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.