{"id":1116,"date":"2024-05-11T15:30:32","date_gmt":"2024-05-11T19:30:32","guid":{"rendered":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/?post_type=chapter&#038;p=1116"},"modified":"2024-05-11T16:29:50","modified_gmt":"2024-05-11T20:29:50","slug":"2-5-7","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/chapter\/2-5-7\/","title":{"raw":"2.5.7 Mental Health","rendered":"2.5.7 Mental Health"},"content":{"raw":"The Canadian Institute for Health Information (2019) identified that 41% of residents in LTC have psychiatric conditions\r\n\r\nRecommendations to support seniors with mental health include:\r\n<ul>\r\n \t<li>Promotion strategies<\/li>\r\n \t<li>Prevention and early identification<\/li>\r\n \t<li>Integrated service system<\/li>\r\n<\/ul>\r\nAdditional Implementation Facilitators include:\r\n<ul>\r\n \t<li>Use of benchmarks to review existing services, staffing &amp; resource development<\/li>\r\n \t<li>Need for cultural safety<\/li>\r\n \t<li>Partnership &amp; collaboration<\/li>\r\n \t<li>Use of technology to facilitate access<\/li>\r\n \t<li>training , education &amp; support for health care providers[footnote]Faubert &amp; Woodbeck, 2020[\/footnote]<span style=\"font-size: 14pt\">[footnote]Mental Health Commission of Canada, 2019[\/footnote]<\/span><\/li>\r\n<\/ul>\r\nMood &amp; Anxiety:\r\n<ul>\r\n \t<li>Depression<\/li>\r\n \t<li>Anxiety<\/li>\r\n<\/ul>\r\nTreatment includes:\r\n<ul>\r\n \t<li>SSRIs\r\n<ul>\r\n \t<li>Moniter Na, SIADH, suicide risk<\/li>\r\n \t<li>Consider QT prolongation<\/li>\r\n \t<li>2-3 trials before SSRIs are a \u201cfailed trial\u201d<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li>Consider geriatric psychiatry consult<\/li>\r\n \t<li>Consider adjunct treatment<\/li>\r\n \t<li>Consider addition of non-pharmacological therapies[footnote]<span style=\"font-size: 14pt\">Kennedy et al., 2016[\/footnote]<\/span><span style=\"font-size: 14pt\">[footnote]Enns et al., 2009[\/footnote]<\/span><\/li>\r\n<\/ul>","rendered":"<p>The Canadian Institute for Health Information (2019) identified that 41% of residents in LTC have psychiatric conditions<\/p>\n<p>Recommendations to support seniors with mental health include:<\/p>\n<ul>\n<li>Promotion strategies<\/li>\n<li>Prevention and early identification<\/li>\n<li>Integrated service system<\/li>\n<\/ul>\n<p>Additional Implementation Facilitators include:<\/p>\n<ul>\n<li>Use of benchmarks to review existing services, staffing &amp; resource development<\/li>\n<li>Need for cultural safety<\/li>\n<li>Partnership &amp; collaboration<\/li>\n<li>Use of technology to facilitate access<\/li>\n<li>training , education &amp; support for health care providers<a class=\"footnote\" title=\"Faubert &amp; Woodbeck, 2020\" id=\"return-footnote-1116-1\" href=\"#footnote-1116-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><span style=\"font-size: 14pt\"><a class=\"footnote\" title=\"Mental Health Commission of Canada, 2019\" id=\"return-footnote-1116-2\" href=\"#footnote-1116-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/span><\/li>\n<\/ul>\n<p>Mood &amp; Anxiety:<\/p>\n<ul>\n<li>Depression<\/li>\n<li>Anxiety<\/li>\n<\/ul>\n<p>Treatment includes:<\/p>\n<ul>\n<li>SSRIs\n<ul>\n<li>Moniter Na, SIADH, suicide risk<\/li>\n<li>Consider QT prolongation<\/li>\n<li>2-3 trials before SSRIs are a \u201cfailed trial\u201d<\/li>\n<\/ul>\n<\/li>\n<li>Consider geriatric psychiatry consult<\/li>\n<li>Consider adjunct treatment<\/li>\n<li>Consider addition of non-pharmacological therapies<a class=\"footnote\" title=\"Kennedy et al., 2016\" id=\"return-footnote-1116-3\" href=\"#footnote-1116-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a><\/span><span style=\"font-size: 14pt\"><a class=\"footnote\" title=\"Enns et al., 2009\" id=\"return-footnote-1116-4\" href=\"#footnote-1116-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a><\/span><\/li>\n<\/ul>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-1116-1\">Faubert &amp; Woodbeck, 2020 <a href=\"#return-footnote-1116-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-1116-2\">Mental Health Commission of Canada, 2019 <a href=\"#return-footnote-1116-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-1116-3\"><span style=\"font-size: 14pt\">Kennedy et al., 2016 <a href=\"#return-footnote-1116-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-1116-4\">Enns et al., 2009 <a href=\"#return-footnote-1116-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><\/ol><\/div>","protected":false},"author":517,"menu_order":46,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-1116","chapter","type-chapter","status-publish","hentry"],"part":3,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/users\/517"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1116\/revisions"}],"predecessor-version":[{"id":1124,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1116\/revisions\/1124"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/parts\/3"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapters\/1116\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/media?parent=1116"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/pressbooks\/v2\/chapter-type?post=1116"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/contributor?post=1116"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/npltc\/wp-json\/wp\/v2\/license?post=1116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}