The cost of skilled nursing care is slowly rising. Currently, the average cost of care in Arizona ranges from $3,500 to $4,500 per month. Skilled nursing facilities are great for seniors who require skilled nursing care by medical professionals such as registered nurses or physicians. However, is skilled nursing care appropriate for those who only require assistance with their activities of daily living (ADLs) such as bathing, dressing and going to the bathroom? Is it realistic for someone to pay $3,000 to $6,000 a month for skilled nursing care when their only requirement is assistance with their ADLs? Believe it or not, there are many seniors who do not require skilled nursing care and remain in nursing homes due to their lack of knowledge of the options available to them. There are affordable alternatives to nursing home care. When a senior requires long term care without 24 hour medical supervision, the preferred alternative is Assisted Living Homes.

You may ask, “What is an Assisted Living Home?” In Arizona, an Assisted Living Home is a regular home located within a residential neighborhood and licensed by the Arizona Department of Health Services to provide assistance 24 hours a day to those who need care outside of their own home. Assisted Living Homes are licensed for up to 10 residents. There are three levels of care an Assisted Living Home can be licensed for: Supervisory, Personal and Directed. Every Assisted Living Home is licensed for one or more of these levels of care. In sum, Assisted Living Homes are homes licensed to provide care for seniors who are no longer able to live alone, and do not require skilled nursing care.

What are the benefits of an Assisted Living Home? An Assisted Living Home gives residents a feeling of being at home instead of an institutionalized setting. Each caregiver and manager is required to become certified, and often times the caregiver or manager lives in the home full time. Each home provides 24 hours of care, 7 days a week. Many homes offer hospice care, respite care, Alzheimer’s/Memory Care, incontinence care, and therapeutic services under the direction of a physician. In addition, three nutritious meals are prepared for the residents along with snacks throughout the day, as well as daily activities as required by law. Both private and semi-private rooms are available for residents to choose from. As a result, there are many benefits available when residing in an Assisted Living Home.

Why is an Assisted Living Home unique? An Assisted Living Home provides care in a home setting, and because there is a limit of up to 10 residents in each home, the ratio of caregiver to residents is such that the care provided is very individualized as opposed to larger facilities. Monthly costs for Assisted Living Homes range from $1,500 to $3,000, allowing for an affordable option compared to the cost of nursing home care. Private pay may be the only option currently offered by the majority of Assisted Living Homes. However, the facilities that do accept different payment sources such as ALTCS (Arizona’s Medicaid Program referred to as Arizona Long Term Care System), usually require a resident to private pay for a certain period of time before they allow government benefits to begin. Bottom line: Assisted Living Homes are less expensive and provide more individualized care in a home-like setting.

Finally, when living at home is not an option and skilled nursing care is either out of one’s budget or not the right option based upon one’s level of care, Assisted Living Homes are the affordable alternative senior housing choice.

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You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/

Caring full time for a loved one can be a challenging task, and it takes a special person to get the job done right. Patience and compassion are the two top qualities a caregiver must possess in order to be successful. Caring for someone who suffers from Alzheimer’s disease or other forms of dementia can be an uphill battle at times. This requires planning on behalf of the caregiver in order to keep from burning out. The following are useful tips on how to remain a hardworking caregiver while maintaining your sanity:

1. Maintain hobbies or interests. Find time to do the things you enjoy. You’ll find that life outside of care giving has a lot to offer. By taking the time to enjoy your interests, you’ll feel motivated to keep caring for your loved one.

2. Join a support group. There are many online and community support groups that offer assistance and a place where you can express your frustrations and concerns. You can find support groups at your local Alzheimer’s Association or other organizations.

3. Respite Services. Take advantage of respite help made available by local nursing homes or assisted living facilities. Sometimes getting away for a short weekend helps rejuvenate your soul.

4. Get plenty of exercise. Even if walking the dog on a daily basis is all you have time for, every bit of physical activity helps reduce stress.

5. Just say “No”. Be aware of your limits and don’t be afraid to say “no” when feel you can’t take on the extra responsibility outside of your care giving duties. You’ll thank yourself in the end.

6. Keep a journal. It’s important to express yourself. Keep track of your thoughts and your goals. It also helps to read and ponder past entries to see how far you’ve come.

7. Maintain a healthy diet. Don’t skip meals and don’t consume foods that may cause irritability such as caffeine. You need all the brain power you can get, and by maintaining healthy eating habits, you’ll be a better caregiver and a healthier person as a result.

8. Have a support system in place. It’s important to have family members available for respite care. It’s equally important to connect with friends that you’re able to communicate your feelings with.

9. Take frequent breaks. It is important to prevent both physical and emotional burn-out. Take frequent breaks with the help of your support system and community services such as hospice and home health care agencies.

10. Become an educated caregiver. It’s important to understand the disease or condition your loved one is faced with. Having an awareness of the techniques and strategies designed solely for specific diseases will make your care giving experience less stressful. Be aware of the community services available as well as the benefits through Medicare.

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You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://adultcarecentral.com/

According to the Administration on Aging, it is estimated by 2030, the older population will more than double to approximately 71.5 million. It is also estimated that between 39 to 49 percent of people will use nursing home services during their lifetime. Unfortunately, there may come a time when your loved one may require assistance with long term care. The following is a list of warning signs one should be aware of when evaluating your loved one’s situation. If the senior exhibits two or more of these signs, assistance is likely required:

• When your loved one or their spouse can no longer provide care due to debilitating health conditions

• When your loved one experiences difficulty with walking, or is unsteady when standing

• When your loved one’s safety is compromised due to hazards in the home such as stairs, poor lighting, cluttered walkways, and dangers in the kitchen or bathroom

• When your loved one needs assistance with daily activities such as bathing, dressing, and meal preparation

• When your loved one becomes confused about taking their medications

• When your loved one is afraid of falling or being alone

• When your loved one exhibits changes in personality or has sudden mood swings

• When your loved one is no longer able to manage their finances and requires assistance with administering their monthly household expenses

If you feel assistance with long term care may be necessary, have a discussion with your loved one and talk to them about their concerns and desires. It’s important to help your loved one maintain their independence for as long as possible. Your loved one should be involved in the decision making process as long as their decisions do not negatively impact their health and safety. Talk with other family members and get their input as well. If necessary, discuss your concerns with your loved one’s physician, attorney or financial advisor, and make sure all aspects of their long term care needs have been met. It’s never too early to be concerned about your loved one’s long term care needs. Being aware of their needs and continually reevaluating their situation will help ensure the long term needs of your loved one will be met.

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You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com

Caring for a parent or a loved one is a difficult job. Your duties as a caregiver become increasingly difficult as the miles increase between you and your loved one. The following are a few helpful tips in order to plan ahead in the event your loved one needs your help, as well as ideas on how to become a successful caregiver once your caregiving duties begin.

1. Have a discussion with your loved one. Years before the need for caregiving arises, discuss ideas and thoughts with your loved one. Discuss with them their thoughts on possibilities of relocation, assisted living or nursing home care, and end of life arrangements. Make sure all of their legal and financial needs have been met. Talking with your loved one ahead of time will make them more comfortable with the idea of needing help down the road.

2. Design a “Family Plan of Action”. Before the need arises, get the family together and discuss responsibilities and divide them up accordingly. Devise a plan to keep in contact with those members who may be out of state by frequent phone calls, emails or set up a private chat room on the internet for family discussions. Investigate costs for care and travel expenses. Design contingency plans in the event that funds run out, level of care increases, and availability of family is limited.

3. Gather emergency contact information. Make a list of important emergency numbers such as out of town family members, family friends, physicians, attorneys, clergy, etc. To help preserve this list in the event of an emergency, place this list in a zip lock bag and store it in your loved one’s freezer where they keep their ice cubes. Place a magnet on their refrigerator with a note as to the location of this list.

4. Gather important documents. Locate important documents such as social security card, Medicare and/or health insurance cards, legal documents such as living trusts, wills, and powers of attorney, all financial statements including life insurance information and real estate deeds. Inform the family regarding the location of these documents. Keep copies of powers of attorney in the event you need to make health care or financial decisions from a distance.

5. Organize and set up a network. Contact relatives, friends and neighbors who live close by your loved one. Ask them to routinely stop by and visit your loved one, and ask them to contact you if they observe anything out of the ordinary. Find out about community programs that provide services such as meals or transportation, and get them involved. Consider hiring a geriatric care manager to help coordinate the care.

6. Make the most of your visits. Schedule and attend physician appointments with your loved one when you are in town, and keep yourself informed with your loved one’s diagnosis. Meet with members of your network, and ask them detailed questions about their interaction with your loved one.

7. Keep a journal. Take detailed notes of your loved one’s care such as their progress, medications, changes in level of care, recent injuries, personality changes, etc. A journal will help keep the family organized, as well as provide helpful information for the physician or other caregivers who might be involved in your loved one’s care.

8. Be observant. Be aware of changes in your loved one’s personality, their appearance such as lack of grooming or soiled clothing. Verify that the mail is being opened and the bills are being paid. Set up a consistent schedule for communicating with your loved one, and pay attention to what they’re “not” saying. Remember, your loved one doesn’t want to give up their independence, and they may not always tell you the truth.

9. Re-evaluate the situation. Assess your loved one’s situation and don’t be afraid to make adjustments as the circumstances change. Don’t hesitate asking for help from other family members, and investigate the potential for placement in a care facility or hiring a full time live-in caregiver if the family and physician deems necessary.

10. Care for the caregiver. Don’t allow yourself to get to the point that you experience burn-out. Get help from other family members, as well as take time for yourself. Maintain a healthy diet and exercise daily. When caregiving becomes too much for the family, and the level of care is beyond your immediate resources, seek out other options. Don’t let your guilt get in the way of providing the best care for your loved one, even if a care facility or full time caregiver must provide that care instead of you.

Above all, remember to allow your loved one to remain involved in the decision making process for as long as their decisions do not negatively impact their health or safety. Remember to discuss your concerns with their care in a sensitive manner. Your loved one deserves to be treated with dignity and respect. Be realistic about the situation, and in addition to looking out for your loved one’s care, remember to look out for your own as well.

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You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey L. Farnsworth, CSA has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Most recently, Torey served as Elder Law Director and Paralegal for a Phoenix based law firm where she provided assistance in a variety of areas including long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth currently owns her own senior care placement business called Horizon Senior Care Referral. Her placement services are free to seniors and their families in Arizona. For more information, visit http://www.adultcarecentral.com

The following are a few of the care options available for seniors who can no longer live on their own and require assistance with their Activities of Daily Living (ADL), or require skilled nursing care. Every state is a little different in terms of availability and cost, state regulations, and the specific names used for each care option:

Assisted Living Home- A facility consisting of 10 or fewer residents in a private home setting located in residential neighborhoods. Residents have the option of choosing a private or semi-private room. Most homes provide for all levels of care. Assistance with Activities of Daily Living (ADL) is provided 24 hours a day. Assisted Living Homes are ideal for those who prefer to live in a home-like setting and do not require skilled nursing care. Monthly prices range from $1,500 to $3,000.

Assisted Living Center- A facility consisting of 11 or more residents. Many of these types of facilities are in the form of apartments or units. Each facility provides assistance with ADLs. Level of assistance may vary depending on the level of care the facility is licensed for. Monthly prices range from $1,800 to $4,500.

Alzheimer’s/Memory Care- An assisted living facility consisting of a secure environment geared towards the specific needs of seniors with Alzheimer’s disease or other forms of dementia. The staff has additional training to care for those who suffer from dementia. Many facilities offer specific activities geared towards memory loss in order to keep residents active, motivated and stimulated. Monthly prices range from $2,600 to $6,000.

Nursing Home/Skilled Nursing Facility- A facility consisting of skilled nursing care for seniors 24 hours a day. Registered/licensed nurses are on staff 24 hours a day. Therapeutic services are provided to residents when needed. The number of beds varies between facilities, and can range from 11 to over 100 beds. Monthly prices range from $4,000 to $6,000.

Home Care/Home Health Care- There are a variety of services offered to seniors who require assistance with their ADLs but wish to remain in their own home. Home Care agencies provide non-medical services including assistance with meal preparation, laundry services, bathing, dressing and other daily tasks. Home Health agencies provide medical care provided by licensed medical professionals as well as assistance with ADLs. Prices for home care range from $15 to $19/hr, and $100/hr for home health care.

Adult Day Health Care- A facility consisting of structured programs for seniors during the day. Such programs include meals, social activities, and therapy. Adult Day Care is often used for respite care for caregivers who work during the day, or need a break from daily caregiving duties. Facilities range from 16 to 100 seniors. Daily prices range from $40 to $100 depending on the program.

You have permission to use this article as long as the author’s full bio is present as well as any hyperlinks to author’s website.

Torey Farnsworth has over 12 years of experience working with seniors. Ms. Farnsworth’s vast expertise encompasses a wide variety of senior issues ranging from adult care to elder law. Her legal experience includes long term care planning, estate planning, ALTCS eligibility and Medicaid planning. Ms. Farnsworth is also a certified caregiver with the State of Arizona as well as a Certified Senior Advisor. Ms. Farnsworth has spent her career in senior care as her family owns and operates assisted living homes.

Ms. Farnsworth owns and operates a senior care placement business in Arizona called Horizon Senior Care Referral. Her placement services are free to seniors and their families. For information on placement services in Arizona, visit http://www.adultcarecentral.com

Ruth is 87 years old this year and has been living alone since 1997. She is in good health, however the daily chores around the home became increasingly difficult. Ruth turned to her church bulletin and found a ‘Home Care Company’ advertised.

Ruth is not unique in the fact that she is widowed and lives alone. According to the ‘2002 A Profile of Older Americans’ published by the Administration on Aging (http://www.aoa.gov/aoa/stats/profile/4.html) 41% of women age 65 and over, are widowed and live alone.

“The ad was in the church bulletin, I assumed this was a good company,” her voice cracking from the pain and embarrassment this home care service eventually caused her.

Unfortunately, Ruth is also not alone in the fact that she became victim to fraud. According to U.S. Senator Larry Craig, past ranking member of the U.S. Senate Special Committee on Aging, ‘Vulnerable elders are being abused, neglected and exploited within their own homes and communities at an a alarming rate.’

“The lady they sent to me was well groomed, she was polite, and I had no reason to distrust her. You could tell she was from a good family …” Ruth went on to justify how quickly she was robbed of $4,200.

Barbara Mascio, founder of Senior Approved Services, states “Ruth’s story was just one of many incidences of abuse that I learned of while employed with a national home care company. The stories of abuse and fraud against this precious generation became the driving force behind the creation of Senior Approved Services.”

Senior Approved Services actively assists in protecting seniors by helping to connect them with businesses that have a verified history of providing excellent care. “We remain actively involved, a link between the senior receiving care and the business providing the care.”

“We are building a nationwide network of services, resources and products that seniors and their family caregivers can feel safe in contracting with. We are inviting all those concerned with the right of all seniors to receive excellent and safe care to help.”

See http://www.seniorsapprove.com for current listings of Certified Senior Approved Services or phone the Cleveland Ohio office at 216-883-3163 during normal business hours.

Help promote awareness and help senior citizens avoid a business that may pose a threat to this vulnerable population, see http://www.qualityeldercare.com/advocate.html and also http://www.qualityeldercare.com/employ

Are your clients pleased by the fine quality service that you provide? Validating your clients’ endorsement of you through Certification as a Senior Approved Service will increase your client base. Senior Approved Certification leads a family towards a service like yours side stepping the possibility of connecting with a less than desirable service.

If you serve the older adult, the disabled or those with chronic illnesses you may qualify for an independent consumer-driven survey process leading to certification as a Senior Approved Service.

You will not pay for clients, leads or referrals. You will not violate HIPAA or the Anti-kickback rulings. You will not pay for membership or advertising space.

Certifications are offered for medical, non-medical, alternative healing practices, housing, elder-law, and financial planners – virtually any type of business that reaches this population. “We are building the ultimate one-call solution," states Barbara Mascio, founder. “Seniors are need of many kinds of service, including lawn care, handyman services and so on. We save the headache of shopping around and completely remove the guess work.”

Confident business owners recognize the benefits of being part of an exclusive network of Certified Senior Approved Services. See http://www.qualityeldercare.com/senior-services.html

Jean F. Wales, President of Wales Consulting LLC and Author of "Do It Now! An Organizing Handbook for Families and Senior Citizens writes Becoming a Senior Approved Service instantly raised the credibility of my book "Do It Now! An Organizing Handbook for Families and Senior Citizens. http://www.seniorsapprove.com/organizing.html

Ester Whitney, owner of Sweet Adeline’s Home writes I feel I have been given a great opportunity to be the first Residential Home Care Provider to be approved by Senior Approved Services in the Dallas Area … everyone has been impressed … http://www.sweetadelineshomes.com/

Tony Latina and Peggy Schmidt, co-owners of Advanced Laser Solutions writes We have had nothing but positive feedback from the referrals from Senior Approved Services. They have been excellent to work with and we strongly recommend them. http://www.seniorsapprove.com/stop_smoking.html

Paul Stone, owner of Occasional Help for Seniors a general cleaning and handyman service writes We are so proud to be Certified as a Senior Approved Service. Putting this on our brochures, business cards and other advertisement pieces has clearly, without a doubt, increased our client base. Barbara is right; seniors need services but are afraid or confused about which one to call. http://www.seniorsapprove.com/occasional-help.html

See http://www.qualityeldercare.com/providers for details. Mention Savings Code 0630 when you apply for certification.

Barbara Mascio, Founder of Senior Approved Services - a National Network of Products, Resources and Services Endorsed by Seniors

Q: Six months ago we placed my mother in an assisted living facility. She gets along fairly well, but we thought she would get involved with all of the activities. Instead she complains that she is very lonely, and won’t participate. Do you have any suggestions?

A: There may be a number of reasons your mother doesn’t participate in the actives offered.

You may want to step back a bit and assess your mother’s situation. Ask yourself a few of these questions

1. What kind of activities has my mother always enjoyed doing?

2. Does my mother enjoy social gatherings now?

3. Does my mother enjoy a one on one visit?

4. Are there health factors present now that keeps her from enjoying group activities?

5. Before my mother needed assistance with activities of daily living was she a homebody or a social butterfly?

When determining what kind of facility your loved is best suited for those 5 questions should be asked. Often times, we as family members think that all sorts of activities would be good for our lonely senior. But, if group activities have not been a part of their lifestyle, it may be hard for them to just jump in a do the activities.

Your mom may just be a slow starter. One thing you might try is scheduling time to go in and participate in a few activities with your mom. This might help her feel more comfortable. If this is the case she will soon be attending activities on her own.

If however she still wishes to remain in her room, and still complains that she is lonely, you may wish to consider further investigation. Perhaps consulting with a neutral, long-term care advisor would be beneficial. I would suggest speaking with someone who is not interested in keeping your mom in their facility at all costs.

While these suggestions are not exhaustive, they will give you a place to begin.

Renee "Dutchy" Reeves is an Elder Care Consultant with over 10 years of working with the elderly and their families. Her online advice column, "Ask Dutchy" provides practical ideas and advice for assisting the elderly with Alzheimer’s disease, Dementia, Parkinson’s, disability, and those needing long term care. See other articles by her at http://www.askdutchy.mycarelink.net

Becoming a care giver might not have been a conscious decision on your part. It may have arrived quietly and unnoticed because you are the adult child of your elderly parents who now require care or you may have a special needs child that exacts your constant attention or a friend or spouse has become very ill and needs your support. In any of these situations the impact of providing constant care is tremendous.

One of the most difficult things about taking on a care giver role is that feeling of isolation, that sense of being all alone. Often times we think we need to do the job completely by ourselves, that the responsibility lays entirely with us. That’s not true. You can ask for help.

Here’s a few tips that will encourage you to get comfortable asking for and receiving the help you need in caring for a loved one.

1. First of all, recognize that care giving can definitely become a very responsible, overwhelming and isolating job. And also recognize that it’s a sign of strength to ask for help. It means that you understand the situation and have begun to take a proactive approach to making your life better.

2. Your role may be the primary caregiver and with that in mind, it is very important to include your extended family as part of your care giving team. Perhaps your family members could provide some specific help such as handling yard work, preparing some meals, helping with financial issues, taking on the primary role so you can get away on vacation.

3. Write down all the tasks that need to be done on a weekly basis, the ones that you are most concerned about. These may include working outside the home, getting to doctor appointments, driving the kids to after school activities, laundry, cooking, cleaning, filling out forms, picking up medicines, therapy sessions, regular family duties, etc. When you see them in ‘black and white’ you will quickly realize just why it is you are so tired and why you need to accept any offers of help.

4. Become very aware of your monthly schedule and how others might be able to slip into the caregiver role and give you a hand. Remember, you must be ready to give them a date, time and duties when they offer assistance to you. Make a list of specific tasks that someone else could handle for you. Perhaps it’s hands on assistance with personal care for your loved one or providing transportation to an appointment or activity, administering medications, helping with housework, doing the grocery shopping. You may even want to categorize these tasks so it will be easier to help decide who might be the best person for the job.

It’s very important for you to learn to ask for and accept help when it is offered. Care giving at the best of times is certainly more than a ‘one man job’. Realize just how extraordinary you are as a human being and recognize how important you are in caring for your loved one.

Love, honor and value yourself. Remember, by taking good care of your own health and emotions you will in turn be better able to help your loved one and enjoy a happier, less stressful lifestyle.

Lois Galloway is a Professional Coach. Lois is also the founder of Discover Yourself Coaching which specializes in coaching and caring for caregivers. To learn more about how you, as a caregiver can live 97% guilt free, please visit her web site at http://www.discoveryourselfcoaching.com You can also sign up for the Caregivers Monthly Newsletter.

Medicare recognizes this need and, therefore reimburses your residents to receive advanced behavioral health services… making them free to your facility!

Psychologists provide a wide variety of valuable and tested clinical services that can provide a big shot in the arm to your nursing home care. For example:

1. Psychotherapy is a treatment approach, which in many cases is equally, if not more, effective than drug therapies in nursing home care. Cognitive and interpersonal psychotherapies, for example, are effective treatments for depression.

2. Psychological alternatives to drug therapies are particularly valuable to elderly populations receiving nursing home care who are suffering from overmedication and side effects of various drugs and their interactions. These alternatives can reduce the medication use in your long term care facility thus reducing any complaints of over-medication of residents.

3. Psychologists can significantly bolster the impact of the nursing home care and treatment plan of patients suffering from chronic illnesses through a variety of advanced interventions providing a powerful treatment synergy that is invaluable.

4. People can be helped to control high blood pressure and manage chronic pain or headaches with fewer medications, when psychotherapy, behavioral techniques, and biofeedback are added to nursing home care.

5. Breast cancer patients who participate in group psychotherapy survive longer and manage their symptoms better than those who do not.

6. Pre-surgical psychological counseling leads to fewer complications and a reduction in medication utilization.

7. Psychotherapy added to nursing home care enables some diabetics who are at risk for erratic treatment compliance to maintain their discipline of diet and insulin treatments.

8. Psychological interventions help cancer patients to manage the unpleasant side effects of their chemotherapy so that their lives are disrupted less seriously and their daily effectiveness is maintained.

9. Individual and family psychological interventions added to your nursing home care are effective for enhancing resident quality of life. It does this by enabling the resident to effectively manage the depression, anxiety, and other adjustment issues resulting from the onset of chronic and disabling illness.

10. Psychotherapy and/or other behavioral interventions enrich your nursing home care by helping your residents to change lifestyle habits in order to reduce risks for cardiovascular disease, diabetes and cancer. Become recognized as a forward-looking leader in long term care by having your own specialized psychological treatment program. It is well documented that psychologists assist residents in developing coping strategies and healthy behaviors, which can reduce the factors associated with the development of illness.

11. The psychologist has a unique expertise in the diagnosis and treatment of conditions addressed in nursing home care such as stress disorders, neurological impairments, brain disease and psychosomatic illness. Psychologists have been in the forefront of high quality research involving the mutual influences which mind, body, emotion and disease have on each other.

12. Next-generation physicians consult psychologists to obtain an expert assessment regarding any psychological disorders present, advice on the implementation of behavioral programs, the pinpointing of specific behavioral symptoms and the targeting of resulting treatment goals. One reason is that 81% of adults say that they would feel more comfortable seeing a physician who consults with a psychologist.

13. Diagnostic tests performed by psychologists are state-of-the-art tools. Increasingly, physicians are turning to them to pinpoint any emotional or behavioral factors that may be affecting or interfering with the treatment process in nursing home care.

14. These next-generation diagnostic services give added power to your nursing home care because they can be used to assess among other things, prognosis and the existence of functional impairments, degree of intellectual, cognitive and/or psychological impairment and the extent of any dementia or memory impairments.

They also specify treatment and documentation guidelines which enable staff to reduce risk by use of more concrete factors to list in charting and by enhancing the odds for resident recovery and/or the slowing of the process of deterioration.

15. Sophisticated physicians are increasingly applying these results to develop faster-acting and longer-lasting rehabilitative services and treatment programs that stand head-over-heels above your nursing home peers in long term care.

16. Psychologists emphasize the least restrictive, safest, drug-free, most cost-efficient treatment alternatives available leading to them being increasingly recruited to provide services to long term care residents and being a factor in the numerous compliments administrators start getting from their bosses.

17. Dynamic Team-building. They will empower your nursing home care many times over because they are experts in facilitating cohesive team-work to generate results. They excel at working with teams of other health care professionals in nursing homes and other comprehensive rehabilitation facilities.

Dr. Michael Shery is the founder of Long Term Care Specialists in Psychology, a firm specializing in consulting to the long term care industry regarding mental health programming. Its website, http://www.NursingHomes.MD, provides state-of-the-art mental health treatment, facility staffing and career information to long term care professionals. Receive a copy of “How Strength-Embedded Counseling Reduces Depression in Long Term.