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CHE Behavioral Health Services provides confidential and accessible online therapy for individuals seeking support for behavioral and mental health issues. Connect with a licensed therapist today.

Benefits of CHE

  • Better quality of life for patients and improved transition to post-acute setting
  • Well-educated and supported front-line staff
  • Reduction of staff overturn
  • Reduced hospital readmissions
  • GDR strategies for psychoactive medication
  • Minimized fall risk
  • Improved individualized care plans
  • Improved regulatory compliance
  • Screenings for PDPM


Services for individuals and/or group therapy for residents who suffer from adjustment issues and various psychological disorders such as: depression, anxiety, behavioral disturbance, noncompliance. Our clinicians provide targeted interventions while incorporating supportive, trauma informed care, to assist patients in achieving their individual treatment goals.

Medication Management

Consistent services, providing GDR's, reviewing cross medication interactions and documentation with detailed history, current conditions and individualized treatment goals to encourage medication compliance.

Cognitive Evaluation

Capacity and Cognitive Evaluations to assist in differential diagnosis and treatment recommendations to improve patient care and functioning.

Non-Pharmacological Intervention & Documentation (F-Tag 758)

This collaborative effort with the facility's multidisciplinary team seeks to assist residents who may benefit from non-pharmacological psychological treatment, to assure compliance with current state regulations. PCC Integration with documentation.

Rehabilitation Support Services

This program utilizes short-term goal oriented therapy to support your rehab staff. Treatment goals include addressing barriers that may prohibit a full participation and completion in PT, OT or ST.

Inservice Trainings (F-Tag 949)

Staff in-services and training are provided by CHE for facility staff at all levels, covering a variety of topics ranging from: managing challenging resident behaviors/reactions, trauma-informed care, dementia, and stress management for staff.

What is the Role of the Psychologist in Long-Term Care (LTC) Settings?

CHE Behavioral Health Services has been providing psychological services in skilled, rehabilitation, and other long-term care facilities for over 25 years. At CHE, we recognize that best practices in behavioral health in LTC settings requires a "systems-level" approach. To that end, CHE psychologists, clinical social workers, and other qualified mental health specialists work to support not only the resident, but those invested in the resident's care and quality of life, including staff and family caregivers. By working as an essential and integral part of the interdisciplinary care team, the psychologist supports person-centered, individualized treatment recommendations that help maximize positive outcomes and improve the resident's emotional and physical well-being.

CHE psychological services provided in the nursing home reflect a comprehensive behavioral health practice that include initial diagnostic assessments, individual psychotherapy, group psychotherapy, family/couples therapy, cognitive/neuropsychological assessments, participation in interdisciplinary care plan meetings, and staff training.

Why are Residents Referred to the Psychologist?

Most residents admitted to LTC or rehabilitation setting experience difficult emotional and/or behavioral symptoms at some point during their admission. If we take a minute to put ourselves in the shoes of a persons admitted to a LTC or rehabilitation facility, we quickly appreciate the emotional challenges they face. Common reasons for referrals include:

  • Recent traumatic medical events (e.g. falls, fractures, serious illness) that impact independent functioning and increase health related anxieties
  • Chronic pain or difficulty coping with chronic illnesses that impact emotional and physical well-being
  • Difficult emotions related to a change in living environment, family support, routines, or other significant changes
  • Persons struggling with significant losses and complicated grief reactions or feeling overwhelmed by a life stressor or difficult situation
  • Persons with a pre-existing history of clinically significant depression, anxiety, trauma, or other mental health conditions, which may me exacerbated by recent and ongoing medical and psychosocial stressors.

When the resident, family, or staff caregiver identify clinically significant indicators of emotional distress, the patient's physician will often make a referral to the CHE psychologist for a more comprehensive assessment and follow-up treatment if indicated.

What are Signs of Emotional Distress?

While some people verbalize feeling depressed or anxious, others report different symptoms when experiencing emotional distress. These include feeling more irritable, chronic fatigue, emotional exhaustion, worsening experience of body aches and pains or other physical symptoms, and difficulty sleeping and eating. Further, residents in older cohorts or members of different ethnic and cultural groups may not use words like "depression" or "anxiety," Rather you may here statements such as: "I am in poor spirits," or "I do not feel like myself," "or my nerves are acting up."