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Module 2: Direct Comprehensive Primary Care in the LTC Setting

Module 2: Direct Comprehensive Primary Care in the LTC Setting 49 2.5.7 Mental Health The Canadian Institute for Health Information (2019) identified that 41% of residents in LTC have psychiatric conditions Recommendations to support seniors with mental health include: - Promotion strategies - Prevention and early identification - Integrated service system Additional Implementation Facilitators include: - Use of benchmarks to review existing services, staffing & resource development - Need for cultural safety - Partnership & collaboration - Use of technology to facilitate access - training , education & support for health care providers[1][2] Mood & Anxiety: - Depression - Anxiety Treatment includes: - SSRIs - Moniter Na, SIADH, suicide risk - Consider QT prolongation - 2-3 trials before SSRIs are a “failed trial” - Consider geriatric psychiatry consult - Consider adjunct treatment - Consider addition of non-pharmacological therapies[3][4]
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