b'SPECIALIZED MENTAL HEALTH3. Behaviour mapping and documentation: UtilizeDiscuss the care plan with the resident at a timebehaviour mapping for a week or two to identifywhen they are at their personal baseline (in terms of behavioural trends, triggers and effective interventions.behaviour). Create contracts with the resident with Create progress notes for nursing staff using aagreements of rewards or consequences for specific specialized tool such as the ABC tool (Antecedent:identified responsive behaviours. If family/friends are what happened directly before the behaviour;involved in their care, ensure they are included too. Behaviour: behaviour of interest; Consequences:Ensure the residents voice is heard, and advocate for what happened directly after the behaviour occurred).them should their wants not be in line with those of Include the resident/family in the conversation ontheir families, but are appropriate for them. Create what triggers their behaviours and include them inclear interventions that staff can follow and ensure creating interventions to de-escalate themselvespart-time and casual staff get this information too. For independently or with assistance of staff. Theexample, provide resident with positive reinforcement assumption that residents with mental illness cannotfor putting on clean clothes and using the bathroom make their own decisions, or have input into their ownbefore going out into the community, or resident has advance directive and personal care decisions, furtherlived traumatic experience with men; ensure female limits their ability to access resources. Resident andpersonal support worker for care only. Compassionate staff safety is of utmost importance. Incident reportsboundary setting is required to ensure resident and should be completed and given to quality teams andstaff safety. Simple options can provide some control management to review. Educate Nurses on psychiatricand autonomy to the resident, while others are staff medications, including side effects and supportdriven. Calling code whites can also ensure staff and appropriate use of PRN medications, including efficacyresident safety. If this is not a code that is commonly for therapeutic effects. called, review your protocol with staff.4. Care planning: The Plan of Care is a vital tool to5. Programming: Younger individuals may be interestedensure the resident receives consistent continuity ofin different activities than most long-term care homes care. In most cases, routine is paramount in mitigatingoffer. Can the resident go out into the community behaviours. Routine is the basic component ofindependently? Are they interested in volunteering providing care to this population and breaking routineor are there communities, or online supportive can have varying and potentially unsafe effects. communities, they can join? Are they interested in learning more about healthy relationships or money management? Can the activity staff work with the resident to identify some creative ways to stay active within the home? Apathy can be a side effect of many SMIs, so the resident may need ongoing encouragement to attend activities.6. Utilize high intensity needs for supplementaryCANADIAN OWNEDstaffing: In order to create a safe environment, the SINCE 1961 resident may require constant observation or constant Canadas Leader in Institutional andtherapeutic engagement for anywhere from 24 hours to days. For example, if the resident is displaying unsafe Commercial Laundry Equipment behaviours, assign a staff member (or agency if home staff is not an option), to monitor the resident while completing behaviour mapping. During this period, the clinical team could be reviewing pharmacological and non-pharmacological intervention. Ensure you capture that the resident poses a safety risk in your description along with the noted behaviours when submittingfor reimbursement.As care providers, we are entrusted with the care of some of our communitys most vulnerable members. These steps can help us do so safely and competently for younger residents with SMI. LTCTCONTACT US Sarah Anderson, RN, BScN, MN, is the Director of Care at Royal Ottawa Place, a long-term care Toll: 1-800-387-9503 home located on the grounds of the Royal Ottawa sales@harcoco.comwww.harcoco.comMental Health Centre.28 LONG TERM CARE TODAY Fall/Winter 2023'