The Mental Health and Substance Use Workforce for Older Adults In Whose Hands? (2012) / Chapter Skim
Currently Skimming:
5 In Whose Hands? Recommendations for Strengthening the Mental Health and Substance Use Workforce for Older Americans
5 In Whose Hands? Recommendations for Strengthening the Mental Health and Substance Use Workforce for Older Americans
Pages 283-302
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 283... ...
The committee recommends that both Congress and the Health and Human Services Secretary act to invigorate investment in the human capital that is the geriatric MH/SU workforce, to catalyze ba sic system redesign to allow for effective deployment of geriatric MH/SU personnel, and to stimulate essential research to inform the education and training of personnel and workforce planning itself. The dilemma of how to strengthen the nation's health care workforce to meet the needs of older adults with mental health and substance use (MH/SU)
|
From page 284... ...
. In health care delivery overall, there is widespread concern about shortages of primary care providers, lack of coordination among health care providers, fragmentation of services, high cost, patient safety, and conflicting information technology systems.1 The convergence of the above issues presents unique challenges for the workforce in geriatric MH/SU care delivery.
|
From page 285... ...
Leadership by the HHS Secretary will be essential. Both Congress and the HHS Secretary must act to establish a locus of responsibility for geriatric MH/SU, to invigorate investment in the human capital that is the geriatric MH/SU workforce, to catalyze basic system redesign to allow for effective deployment of geriatric MH/SU personnel, and to stimulate essential research to inform the education and training of personnel and workforce planning itself.
|
From page 286... ...
Identification, development, and refinement of core compe tencies in geriatric MH/SU for the entire spectrum of person nel who care for older adults, including direct care workers, peer support specialists, primary care physicians, nurses (at all levels) , physician assistants, substance use counselors, social workers, psychologists, rehabilitation counselors, and mar riage and family therapists.
|
From page 287... ...
The reauthorization also identifies many agingrelated mental health projects the agency is authorized, but not required, to implement, including projects intended to increase public awareness of mental health disorders, provide mental health screening, remove barri ers to diagnosis and treatment, and coordinate mental health services for older adults with community health centers and other public and private organizations (AoA, 2010b)
|
From page 288... ...
The quality standards include depression screening and follow-up. Grant applicants must identify how their care model would transform the workforce and update the skills of existing health professionals, identify and train new types of work ers to enhance care delivery, and/or expand the use of team-based care.
|
From page 289... ...
Health Care Innovation Challenge Under the auspices of the Center for Medicare & Medicaid Innovation, these challenge grants have multiple objectives, including testing new roles and skills for existing health professionals, using new types of workers to support care transformation, and employing team-based models to better use the mix of health providers. Grant applicants must focus on high-cost/high-risk populations including those with multiple chronic conditions, mental health or substance use conditions, the frail elderly, and others.
|
From page 290... ...
The Patient Protection and Af fordable Care Act (ACA) expanded the types of behavioral health professionals eligible to participate in the 1-year faculty retraining op tion to include those with a graduate or postgraduate degree from an accredited institution of higher education in psychiatry, psychology, psychiatric nursing, social work, substance abuse disorder preven tion and treatment, marriage and family counseling, or professional counseling.
|
From page 291... ...
Comprehensive Geriatric Education Program Institutional awards to an accredited school of nursing, health care facility, program leading to certified nurse assistant certification, a partnership between a school of nursing and a health care facility, or a partnership between a school of nursing and a program leading to certification as a certified nursing assistant. The grants may be used to provide training to individuals who provide geriatric care for the elderly; to develop and disseminate curricula relating to the treatment of health problems of elderly individuals; to train faculty members in geriatrics; to provide continuing education to individuals who provide geriatric care; or to establish traineeships for individuals who are preparing for advanced education nursing degrees in geriatric nursing, long-term care, geropsychiatric nursing, or other nursing areas that specialize in geriatrics.
|
From page 292... ...
CMS should evaluate alternative payment methods to encour age effective deployment of the workforce to provide inte grated primary care, chronic disease self-management, and health promotion for older adults receiving care in commu nity mental health centers and other specialty mental health settings.
|
From page 293... ...
• SAMHSA The SAMHSA Administrator should ensure that the agency devotes sufficient attention to the capacity of the behavioral health workforce to provide both geriatric mental health and geriatric substance use services. The SAMHSA Administrator should ensure that the agency restores funding of the Older Adult Mental Health Targeted Capacity Expansion Grant program.
|
From page 294... ...
Many expert groups, individually and in collaboration (including geriatrics, social work, family medicine, geriatric nursing, geropsychology, direct care workers, and others) have identified or are developing sets of essential skills, knowledge, and attitudes that are central to their specific discipline or are common across profes sions (Canadian Centre on Substance Abuse, 2010; Council of Professional Geropsychology Training Programs, 2011; Geropsychiatric Nursing Collaborative, 2010a,b,c; Heflin et al., 2011; Hoge and McFaul, 2010; Karel et al., 2010; Leipzig et al., 2009; Partnership for Health in Aging, 2008; University of Minnesota Research and Training Center on Community Living, 2011)
|
From page 295... ...
or dedicated geriatric MH/SU curricula in training programs for primary care providers (e.g., general medical internists, family medicine physicians, geriatricians, physician assistants, advanced practice registered nurses)
|
From page 296... ...
for medical 6 Public Law 111-148. 7 For a complete summary of the ACA workforce provisions, see Discretionary Funding in the Patient Protection and Affordable Care Act (Redhead et al., 2011a)
|
From page 297... ...
for direct care workers in LTC settings, including nurs ing homes, assisted living facilities, skilled nursing facilities, and home- and community-based settings. RECOMMENDATION 4: Congress should appropriate funds for the Patient Protection and Affordable Care Act (ACA)
|
From page 298... ...
• Direct care workers and other frontline employees in home health agencies, nursing homes, and assisted living facilities (including personal care attendants not employed by an agency)
|
From page 299... ...
2011. CRS memorandum: Deadline for the HHS secretary and other federal entities in the Patient Protection and Affordable Care Act: Addendum to CRS congres sional distribution memorandum dated April 5, 2011.
|
From page 300... ...
2011. Physician supply and the Patient Protection and Affordable Care Act.
|
From page 301... ...
2010c. Geriatric training program for physicians, dentists, and behavioral and mental health professionals announcement.
|
From page 302... ...
2010. Mental health parity and the Patient Protection and Affordable Care Act of 2010.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.