School of Social Work, College of Health Professions and Sciences, University of Central Florida, Orlando, Florida, USA.
University of Rochester School of Medicine & Dentistry, Department of Psychiatry, Rochester, New York, USA.
J Gerontol Soc Work. 2021 Oct-Nov;64(7):721-739. doi: 10.1080/01634372.2021.1912241. Epub 2021 Apr 14.
Providing nursing home psychosocial care to persons with serious mental illnesses (SMI) requires understanding of comorbidities and attention to resident rights, needs and preferences. This quantitative study reports how 924 social service directors (SSDs) taking part in the National Nursing Home Social Service Director survey identified their roles and competence, stratified by the percentage of residents with SMI. More than 70% of SSDs, across all categories of homes, reported the social services department was "always" involved in conducting depression screening, biopsychosocial assessments and PASRR planning. SSDs in homes with lower concentrations of residents with SMI reported less involvement in anxiety screening. Those employed in homes with higher concentrations of residents with SMI reported lower involvement conducting staff interventions for resident aggression or making referrals. More than one-fifth of SSDs lacked confidence in their ability to compare/contrast dementia, depression, and delirium or to develop care plans for residents with SMI. SSDs' perceived competence in developing care plans for residents with SMI was associated with education and involvement in care planning. About one-quarter of social services directors reported not being prepared to train a colleague on how to develop care plans for residents with SMI. Training in SMI could enhance psychosocial care.
为患有严重精神疾病（SMI）的人提供疗养院心理社会护理需要了解合并症，并关注居民的权利、需求和偏好。这项定量研究报告了 924 名参与国家疗养院社会服务主任调查的社会服务主任（SSDs）如何根据 SMI 居民的百分比确定其角色和能力，分为不同类别。超过 70%的 SSD 报告说，无论疗养院的类别如何，社会服务部门“始终”参与进行抑郁筛查、生物心理社会评估和 PASRR 规划。在 SMI 居民浓度较低的疗养院工作的 SSD 报告说，他们较少参与焦虑筛查。在 SMI 居民浓度较高的疗养院工作的 SSD 报告说，他们较少参与针对居民攻击性的工作人员干预或转介。超过五分之一的 SSD 对自己比较/对比痴呆症、抑郁症和谵妄或为 SMI 患者制定护理计划的能力缺乏信心。SSDs 对为 SMI 患者制定护理计划的能力的认知与教育和参与护理计划有关。大约四分之一的社会服务主任报告说，他们没有准备好培训同事如何为 SMI 患者制定护理计划。对 SMI 的培训可以增强心理社会护理。
