Psychiatric Consultation in Long-Term Care

Abhilash K. Desai, M.D., is an adjunct associate professor of geriatric psychiatry at the Saint Louis University School of Medicine, an adjunct associate professor of psychiatry at the University of Washington School of Medicine, and medical director of the Idaho Memory & Aging Center, PLLC. Dr Desai was a guest editor for the special issue titled 'Healthy Brain Aging: Evidence Based Methods to Preserve Brain Function and Prevent Dementia' for Clinics of Geriatric Medicine published in 2009. Along with Dr George Grossberg, he has co-authored a chapter titled 'Psychiatric Aspects of Long-term Care' in Comprehensive Textbook of Psychiatry (15th edition). George T. Grossberg, M.D., is the Samuel W. Fordyce Professor and director of the Division of Geriatric Psychiatry at the Saint Louis University School of Medicine. His recent books include Alzheimer's: The Latest Assessment and Treatment Strategies and Comprehensive Textbook of Geriatric Psychiatry, 3rd edition. Dr Grossberg has edited and written fourteen books and published over five hundred articles, chapters, and abstracts in peer-reviewed literature. He is a former president of the American Association of Geriatric Psychiatry and past president of the International Psychogeriatric Association (IPA). He currently serves as section editor for Geriatric Psychiatry, Current Geriatric Reports, and Current Psychiatry.

Part I. Comprehensive Mental Health Services: 1. The need for high-quality comprehensive mental health services in long-term care; 2. Comprehensive psychiatric assessment process; Part II. Common Psychiatric Disorders in Long-Term Care: 3. Major neurocognitive disorder; 4. Delirium; 5. Major depressive disorder, other mood disorders, and suicide; 6. Psychotic disorder and violence; 7. Anxiety disorder, trauma and stress-related disorder, obsessive compulsive and related disorders, and sleep-wake disorders; 8. Personality disorder, somatic symptom and related disorders, substance use disorders, and intermittent explosive disorder; Part III. Issues in Long-Term Care Psychiatry: 9. Nutritional medicine and long-term care psychiatry; 10. Resident abuse and ethical issues; 11. Psychiatric aspects of palliative and hospice medicine; 12. Psychiatric aspects of rational deprescribing; Part IV. Toward a Person-Centered Long-Term Care Community: 13. A psychosocial-spiritual wellness care plan for residents who have major neurocognitive disorder; 14. Creating a person-centered long-term care community: a road map for long-term care facility owners and administrators.