Service line 05
Psychiatric care, in the building
Behavioral symptoms are the hardest thing your staff manages and the most common reason a placement fails. Our psychiatric clinicians assess, prescribe where prescribing genuinely helps, and just as often get residents off medication they no longer need.
What we treat
Psychiatry covers a wide range
Every referral is assessed on its own merits. If a resident needs a different specialty or a higher level of care, we say so plainly.
Conditions we manage
- Depression and anxiety
- Dementia-related behavioral symptoms
- Agitation and resistance to care
- Psychosis
- Bipolar disorder
- Delirium evaluation
- Adjustment to placement
- Sleep disturbance
- Grief and loss
- Capacity and decision-making questions
At the bedside
What we do at the bedside
What the clinician actually does in the room.
Psychiatric evaluation
A proper diagnostic assessment documented for the record, not a screening score in a box.
Medication management
Started, adjusted and stopped — with the indication written down every single time.
Antipsychotic reduction
Gradual dose reduction pursued actively, with the documentation surveyors expect to find.
Delirium versus dementia
The distinction made deliberately, because the treatment differs completely.
Behavior support plans
Concrete and written, so your aides can actually follow them on the floor at 3pm.
Capacity assessment
Formal evaluation when a resident’s decision-making is in question.
Staff in-services
Practical de-escalation and dementia-behavior training for the people on shift.
Family consultation
Helping families understand what is happening and what genuinely helps.
IDT participation
Behavioral input into care planning, and documentation that stands behind it.
Care pathway
How a psychiatry referral moves
Sequential by design — every step is a hand-off with a named owner, so nothing sits waiting for someone to notice it.
- Referral. From nursing, social services, the attending, or a family member.
- Assessment visit. Diagnostic interview, full medication review, and cognitive evaluation where relevant.
- Plan. Medication changes, a behavior plan, staff guidance — or a documented recommendation against medication.
- Implementation with staff. The plan only works if the people in the building are part of building it.
- Follow-up and reduction. Response reviewed, and every psychotropic revisited for reduction at each visit.
Settings served
- Skilled nursing
- Assisted living
- Memory care
- Long-term care
- Group homes
Psychotropic reduction is both better care and a survey exposure. We document the attempt, the rationale and the outcome every time.
Ready to add psychiatry to your building?
Send us your setting and census and we’ll come back with a rounding plan.
QMed 