What a weekend! All of the local news outlets predicted dreary skies and chilly temps, but on Sunday, the sun surprised us all by breaking through the clouds and giving us a break! It was a perfect day for biking and rollerskating, and I did both. Now, my hope is that the tulips will be able to grow without being bitten off by the rabbits. Anyway, it’s Monday, so without further ado, I give you…
Mental Health in Home Health Care
According to the National Institute of Mental Health, an estimated 26.2 percent of Americans ages 18 and older (about one in four adults) experience a diagnosable mental disorder in a given year. Mental disorders are the leading cause of disability in the U.S. and Canada for ages 15-44. Additionally, many people suffer from more than one mental disorder at a given time. As you can see by the chart, often times mental health disorders are not treated for many years.
Do home health care providers take care of client’s with mental health issues? Of course they do, on a frequent basis. Some providers specialize in the treatment of mental health disorders. Others may not specialize in treatment of mental health but commonly care for clients with such disorders such as depression, Alzheimer’s, or drug and alcohol dependence.Home care providers are required to complete a comprehensive assessment with OASIS items on all skilled Medicare and Medicaid clients. OASIS items that play a role in being knowledgeable about mental health and about the client’s condition include:
- (M1000), (M1005), (M1010) & (M1012) for those who may have experience a recent inpatient stay
- (M1020/1022/1024) for pertinent diagnoses
- (M1032) for those who may remain at risk for hospitalizations
- (M1034) to evaluate the client’s overall health status, including mental health
- (M1036) to identify risk factors affecting health status
- (M1100) to identify current living situation and the appropriateness for a client with mental health issues
- (M1700) (M1710) (M1720) (M1730) & (M1740) to assess cognitive function ability & any confusion, anxiety, or depression as well as demonstrated cognitive, behavioral, and psychiatric symptoms
- (M1745) & (M1750) to identify the frequency of disruptive behavior and the use of nursing psychiatric services
- (M2100) & (M2110) take a look at the willingness and ability of other caregivers to help the mentally ill client as well as the frequency of available help
Of course, mental illness plays a role in many, if not all of the OASIS data items. However, those mentioned above need careful consideration. Clinicians working with clients with mental illness need an excellent understanding of mental illness and its effect on all aspects of care delivery.
Lastly, I want to thank the fabulous folks at A Hearty Blog for listing our blog as one of the top 25 Nursing Ethics Blogs! That sure made my Monday!