The Need for Mental Health Treatment

The frail and elderly as well as the younger sub acute populations create a host of challenges that require advanced staff skills.

For example, eighty-five percent of nursing home residents have a mental health diagnosis. Over fifty percent are clinically depressed.

Nursing facilities are serving a changing geriatric population that has more acute illness-both physical and emotional.In addition to the above-mentioned problems, facilities are now faced with the challenge of implementing the OBRA REGULATIONS. These regulations require nursing facilities to provide alternatives to the use of psychotropic medication and physical restraints. This represents a significant challenge to administrators and D.O.N.’s who are already quite taxed with other responsibilities.

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How CHE Can Help

CHE provides Behavioral Health services to residents of long-term care and rehabilitation centers in a caring and cost effective manner. Seniors can have a better quality of life for a longer period of time. Studies have shown that good mental health can result in better physical health and a longer, fuller life.It is often assumed that the elderly are not good candidates for psychological intervention. This is not true. The elderly can be very effectively treated for psychological problems. It is the nature of the psychiatric disorder and not the age of the resident, which is the crucial issue in whether an individual will respond to treatment.

Additionally, seniors and their families are becoming more educated, more psychologically sophisticated and more likely to have had some contact with psychotherapy. Those factors lead to greater acceptance and, therefore, a higher success rate.


Medicare and Medicaid generally pay for the costs of these services. CHE’s billing department processes all claims for professional services directly to third party payers. The facility bears no responsibility for claims processing or payment. At times the resident has private insurance of which authorization must be received prior to providing services. This authorization is requested by CHE. Upon receiving an approval, CHE performs the psychological services and directly bills the appropriate payer.