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Nursing Home Consulting

Lakewood Health System’s Behavioral Health Department contracts with long-term care facilities to provide in-facility psychiatric consultation and clinical services to the residents in need. These services are designed to manage a resident’s psychiatric and behavioral health issues that are unique to the individual.

Services include psychiatric assessment and evaluation by a psychiatric nurse practitioner or psychiatrist and regular psychiatric medication evaluations that are designed to reduce the dose or use of psychotropic medications whenever possible and meet long term care facility regulations. Psychological testing, behavioral modification, and staff training can also be part of these contracts. Billing for these services is done through Lakewood, and a fee for regular visitation and on-call professional availability is established to meet the needs of your facility.

If your facility is interested in pursuing this level of care within your facility, contact us online or call 218-894-8852 for more information.

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Signs and symptoms of behavioral health issues can vary depending on the disorder, circumstances and other factors. They can affect emotions, thoughts, and behaviors. Some common symptoms include:

  • Loss of interest or pleasure in doing typical activities
  • Feeling down, depressed, or hopeless for long periods of time
  • Excessive anxiety or worry
  • Panic attacks
  • Sleep difficulties
  • Prolonged periods of fatigue or low energy
  • Difficulties with appetite
  • Concentration difficulties
  • Recurring academic, relationship, or work difficulties
  • Thoughts or actions related to suicide or self-harm

The above information should only be used to help determine if you should seek additional clinical support. If you have any of these symptoms, please talk to your primary care provider for a referral to Behavioral Health.

 

Just as there are different types of physical health providers who specialize in various areas of medicine, there are also different types of behavioral and mental health providers. Below are brief descriptions of the varying types of clinic behavioral health providers at Lakewood.

 

Licensed Psychologist

A licensed psychologist is a doctoral level provider in psychology, which is the scientific study of the brain and behavior. Psychologists have completed five to seven years of graduate school after college, which includes a one-year internship or residency, and one to two years of postdoctoral supervised clinical experience. After all their schooling and clinical training, a psychologist will have earned a doctoral degree (Ph.D., PsyD, or EdD). Psychologists are trained to conduct evaluations, administer and interpret psychological tests and assessments, and conduct psychotherapy. The appropriate services and techniques are chosen by the psychologist to best address each individual’s needs. Psychologists do not prescribe medication. If medication might be beneficial, the psychologist works closely with the patient’s medical providers to determine the best course of action. Psychotherapy, or talk therapy, is used to help treat most mental health conditions. Patients may need assistance coping with stress, managing mood difficulties, or overcoming barriers that may prohibit them from reaching their personal health goals.

 

Psychiatric Mental Health Nurse Practitioner

A psychiatric mental health nurse practitioner (PMHNP) has specialty training in the biological and neurological factors of mental health disorders. They must earn a four-year degree in nursing and then complete either a Master’s of Science in Nursing or Doctor of Nursing Practice program. Their background in medicine means they can prescribe medications when it is in the best interest of the patient’s treatment. Additionally, psychiatric nurse practitioners may conduct various types of psychotherapy as part of their overall treatment plan.

 

Licensed Independent Clinical Social Worker

A licensed independent clinical social worker (LICSW) is a mental health professional who has a master’s degree in social work and who has completed two or more additional years of clinical training. They are licensed to practice independently using the principles of social work, combined with counseling and psychotherapy, to help patients achieve better, more satisfying and productive social adjustments to their daily life. Clinical social workers can also provide case management and work as an advocate for patients and their families. Like psychologists, clinical social workers do not prescribe medication, so they also work closely with medical providers regarding medication if deemed necessary.