Trauma- Informed Care Requirement Not “On Hold” – Are you ready?

The Centers for Medicare and Medicaid Services has not proposed to delay implementation of Phase 3 requirements for culturally competent and trauma-informed care. Are you ready?

Ftag 699 483.25(m)Trauma-informed Care is effective November 28 2019.

This regulation requires:

”The facility must ensure that residents who are trauma survivors receive culturally-competent, trauma-informed care in accordance with professional standards of practice and accounting for residents’ experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.”

Ftag 699 483.25(m)

In addition to FTag 699, additional relevant FTags include:

  • F659 qualified persons – The facility must ensure that services provided or arranged are delivered by individuals who have the skills, experience, and knowledge to do a particular task or activity. This includes proper licensure or certification, if required.
  • F699 trauma informed care (effective 11/28/2019) – The facility must ensure that residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents’ experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.
  • F741 sufficient competent staff, behavioral health needs – Caring for residents with mental and psychosocial disorders, as well as residents with a history of trauma and/or post-traumatic stress disorder, that have been identified in the facility assessment conducted pursuant to 483.70, and as linked to history of trauma and/or post-traumatic stress disorder will be implemented 11/28/19.
  • F740 behavioral health services – Each resident must receive and the facility must provide the necessary behavioral health care services to attain or maintain the highest practical physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Behavioral health encompasses a resident’s whole emotional and mental well-being, which includes, but is not limited to, the prevention and treatment of mental and substance use disorders.
  • F743 no pattern of behavioral difficulties unless unavoidable – A resident whose assessment did not reveal or who does not have a diagnosis of a mental or psychosocial adjustment difficulty or a documented history of trauma and/or post-traumatic stress disorder does not display a pattern of depressed social interaction and/or increased withdrawn, angry, or depressive behaviors, unless the resident’s clinical demonstrates that development of such a pattern was unavoidable.

SSDOnlineTrainingByJodyGiac.com and PsychosocialConsultants.com offers a Trauma-Informed Care online training course for all staff in the skilled nursing facility.

This online course meets the requirement to train all facility staff to understand what trauma is and how it can impact our residents. The course is written by Jody Giacopuzzi, LCSW who has 38 years experience consulting to nursing homes social service departments. Her masters degree is in geriatric social work and she has 10 years providing therapy to individuals, couples and groups in her private practice.

The course has been designed to specifically for nursing home staff and is now available for only $19. SSDOnlineTrainingByJodyGiac.com offers online training available 24/7 to complete on your schedule. Upon completion of the course, you will be provided a printable certificate of completion. Facility access to the course can also be provided at a significant discount. For more information, please contact jodygiac@ssdonlinetraining.com

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