Professional Practice: Disciplines, Documentation, and Outcomes Measurement

  • Merla Arnold
  • John C. Colletti
  • Nicholas C. Stilwell


While the old and very old have been attended to by health care providers for centuries, the current climate for providing mental health services to older adults has primarily taken shape over the last 20–35 years. Since the deinstitutionalization of people with serious and persistent mental illness took place in the 1970s, the primary care specialties that have been treating larger numbers of older adults with mental health problems in the community, nursing homes, and assisted-living settings have been psychologists, social workers, nurses, and psychiatrists (and all too often, the primary care physician).

Each discipline has its own guidelines, rules, regulations and training paradigms, in addition to clinical roles and responsibilities. The first section of this chapter describes each of the mental health specialties providing services to older adults in long-term care (LTC) settings. Subsequent sections review the requirements for documenting services, record keeping...


Nursing Home Mental Health Service Complicated Grief Medical Necessity American Nurse Association 
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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Merla Arnold
  • John C. Colletti
  • Nicholas C. Stilwell

There are no affiliations available

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