Planning cognitive-behavioral management programs for long-term care.
Recent changes in the nature and scope of nursing home practices challenge long-term care nurses to develop treatment programs that are both successful in enhancing residents' remaining quantity and quality of life, as well as cost-effective in treating specific problems. The characteristics of behavioral therapies make them ideal for the open, community environment that characterizes many long-term care (LTC) settings. Under the guidelines of the Omnibus Budget Reconciliation Act of 1987, LTC facilities are expected to initiate behavioral management programs and to train staff in behavioral management practices. The purpose of this article is to discuss five key issues that should be considered in planning behavioral management programs for LTC facilities.
Davis
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School of Nursing, University of Alabama at Birmingham 35294-1210, USA. davisl@son.uab.edu
Burgio
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D000368:Aged; D001521:Behavior Therapy / Q000458:organization & administration*; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D005852:Geriatric Psychiatry; D006801:Humans; D008134:Long-Term Care / Q000458:organization & administration*; D001523:Mental Disorders / Q000175:diagnosis / Q000451:nursing* / Q000517:prevention & control; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000458:organization & administration*; D010934:Planning Techniques; D016730:Program Development; D011568:Psychiatric Nursing / Q000458:organization & administration*