The programs at NPH facilities maintain an interdisciplinary focus. Using a multi-specialty approach for neuropsychiatric and complex medical care, this fosters coordination among team members and team problem solving.
The patient and caregiver’s perspective helps direct the overall care. Having their participation is essential to assure follow through of the treatment process and rehabilitation strategies. An interdisciplinary team approach necessitates understanding and knowledge of each team member’s role and responsibilities.
Below is a list of the unique roles and responsibilities of each team member:
Patient – Provides insights on his/her daily routines, needs, abilities, interests, and preferences.
Caregiver/Family Member – Provides nuances of behavior and physical states of their loved one. Helps the team define realistic goals and shares effective strategies for interacting with the patient.
Nurse – Provides direct care to patient. Serves as an integral member of the interdisciplinary team to develop a specialized care plan for each patient.
Outreach Manager – Provides immediate assistance to the referring facility or family in assessing the needs of the individual and providing ease of access for admission to the acute care setting.
Nurse Practitioner – Provides ongoing healthcare and collaborates with physicians and other disciplines to develop a plan of care. Provides educational sessions to staff about caring for patients with dementia and other disorders. Provides medical leadership in family care conferences.
Internal Medicine Physician – Provides expert evaluation, diagnoses, and management of complex medical presentations or disorders. In addition, lends special expertise in treatment of co-morbid medical illnesses.
Psychiatrist – Expert in evaluation and diagnosis of the full spectrum of cognitive disorders and behavioral manifestations of dementia and related psychiatric disorders. Recommends and monitors medication therapy. Provides counseling for patient and family in coordination with other providers involved in the plan of care.
Social Worker – Conducts comprehensive assessment of individual and caregiver to develop care plan. Facilitates community resources to address ongoing supportive services. Educates and counsels the patient and caregiver throughout the disease process. As with all staff, conducts advocacy efforts on behalf of the patient.
Care Manager/Utilization Review – In conjunction with the physician, reviews patients’ records and evaluates progress. Reviews necessary medical reports and subsequent treatment plan.
Clinical Psychologist – Performs assessments for cognitive impairments and psychological disorders. Provides psychotherapy, group and individual therapies, as well as family consultations.
Clinical Pharmacist – Optimizes therapeutic regimen to reduce or eliminate drug interactions. Recommends therapeutic options and monitors for adverse effects. Provides medication-related information to patient and caregiver. Provides assistance for improving medical adherence.
Physical Therapist – Provides therapy for the preservation, enhancement, and restoration of movement and physical function impaired or threatened by disease, injury or disability.
Occupational Therapist – Provides therapy for injured, ill or disabled patients through the therapeutic use of everyday activities. They assist the patient in developing, recovering, improving, and maintaining the skills needed for daily living and working.
Speech Therapist – Performs assessments, diagnosis, and treatment for speech, language and social communication.
Activity Therapist – Evaluates and coordinates therapeutic activity programs for patients, such as: arts and crafts, music, and games to help improve a patient’s physical, social and emotional well-being.
Registered Dietitian – Encourages independent eating, educates on the importance of fluid intake, and provides foods that are ethnically and culturally appropriate. Designs specialized dietary plans (e.g. malnourished or diabetic patients). Also provides nutritional support for patients with wounds.
Discharge Planner – Works closely with NPH Social Services while communicating with families and facilities during the discharge process. Assists the patient to successfully transition to outpatient providers for continuity of care.
Certified Pet Therapy – Therapeutic activity with animal assistance to improve a patient’s social, emotional or cognitive functioning.
BCBA (Board Certified Behavior Analyst) – Performs behavioral assessments and creates treatment planning and behavior support plans for replacement of safe and socially appropriate behaviors. Creates programming and trains staff on how to increase social, communication, coping skills, and daily living skills for patients.
RBT (Registered Behavior Technician) – Promotes safe and socially appropriate replacement behaviors for patients through implementation of behavior support plan, group and 1:1 therapy.