Concept Healthcare, LLC Company Overview Part 1 – Direct Services Part 2 – Training

1. Concept Healthcare, LLC Company Overview Part 1 – Direct Services Part 2 – Training

2. History and Credentials • Owner Background – Joseph M. Casciani, PhD • Clinical psychologist, licensed in four states, with 30-year specialty in geropsychology • Consultant and Contractor for Calif. Dept. of Aging and Dept. of Mental Health1983-1986 to develop Curriculum for Nursing Home Training • Co-Founder and Exec. Officer of Multi-state Mental Health Group Practice for Nursing Homes, 1990-2007 • President, Psychologists in Long Term Care, 2008-2010 • Board Member, Council of Professional Geropsychology Training Programs • Chief Executive, Concept Healthcare and CoHealth Institute – formed 2007 to promote behavioral health training in the care of older adults • Chief Executive, CoHealth Care Group – formed 2008 to provide behavioral heath services to LTC facilities in Calif. and Texas • Author, Handbook of Health and Behavior: Psychological Treatment Strategies for the Nursing Home Patient

3. Company Divisions Concept Healthcare, LLC – management and administrative services organization CoHealth Care Group – providing contract behavioral health services in LTC facilities • Concept Healthcare Psychology Group, Inc. (Calif.) • CoHealth Psychology Services, P.A. (Texas) CoHealth Institute – www.cohealth.org • Online Educational Programs and Custom Inservice Training

4. OVERVIEW Part 1 – Direct Services

5. OVERVIEW – Direct Services CoHealth Care Group Behavioral Health Services • Contract with SNF, ALF and residential facilities • Provide intensive services to acute, short term rehab pts • Attend rehab meetings and partner with rehab departments and IDT • Provide ongoing services to long term, chronic care pts • Follow an integrated, problem-focused care model

6. What We Do We Do Care • Concept Healthcare and our shortened name, CoHealth, embodies the spirit of partnership, the means to learn from one another, and the desire to address the whole person • We strive to raise the importance of the psychological dimensions of aging • We offer behavioral health approaches for everyone on the caregiving continuum

7. Basic Profile of Nursing Home Residents (NHDS Data)

8. CoHealth Services • The CoHealth behavioral health practitioner emphasizes collaboration and integrated care • Specializing in the short-term, rehab patient who is facing psychological barriers to recovery • Promoting a caregiving style to help residents better manage or cope with their medical conditions • Services also provided to long term, chronic care patients for adjustment problems, depression, and other emotional and behavior disorders • Professionals selected for their commitment to interdisciplinary communication

9. Our Service Model • Medicare’s Health & Behavior CPT codes are used to address psychological complications from medical conditions • Follows a brief, problem-focused treatment model, and shifting away from traditional, long term psychotherapy • Promotes integrated, collaborative care with IDT • Helps patients understand how physical condition is impacted by emotions, outlook, and behavior • Helps families understand their role in bringing about patient change

10. How Behavioral Health Treatment Reduces Unnecessary Utilization and Improves Care • Provides health information and support • Reduces psychological distress over medical conditions • Changes unhealthy behaviors • Improves stress and anger management skills • Mobilizes external social supports • Detects and treats under-diagnosed mental illness • Addresses somatization and somatic preoccupation Friedman, R., et al., (1995) Behavioral medicine, clinical health psychology, and cost offset, Health Psychology, 14, 509-518.

11. CoHealth Care Group: Patient Assessment • Areas of assessment: • cognitive functioning • emotional functioning, depression, anxiety • coping strategies • motivations and outlook • persistence, self-efficacy, acceptance of disability • Report of findings for IDT documentation and medical chart

12. CoHealth Care Group: Patient Treatment • Help with emotional adjustment to placement, and managing acute and chronic medical conditions • Minimize effects of negative, hopeless, or unmotivated attitude • Develop realistic appreciation for disability and support treatment goals • Strengthen self-efficacy and belief in capacity to complete treatment successfully • Replace emotion-focused coping with problem-focused coping skills

13. Residents who Benefit • Depressed, unmotivated, or hopeless outlook • Disagreeable, negative, non-compliant • History of psychiatric disorder or chronic mental illness • Self-views of low self-efficacy, dwells on difficulties and failure • Denial of limitations, rigid, cannot adapt to new functioning • Family has unrealistic expectations

14. Benefits to Facility • Practitioner becomes part of the IDT and attends rehab meetings • Close collaboration with IDT helps to improve resident outcome and maintain eligibility for Part A • Twice weekly visits ideal for short LOS • Behavioral health assessments and treatment plan are incorporated into resident’s care plan • Reduce burden of care from resident and family

15. OVERVIEW Part 2 - Training

16. OVERVIEW– Training CoHealth Institute • Online programs and courses, with continuing education approval • Training for health care professionals, paraprofessionals & family • Customized inservice classes for LTC staff • Live web conferences

17. Providing Behavioral Health Education and Training for Caregivers • Over 30 courses and educational programs on our website, www.cohealth.org • Training and support for staff at: • Residential, assisted living and skilled nursing facilities • Home health agencies • Hospices • Primary care clinics • Rehabilitation hospitals

18. Concept Healthcare Website: www.cohealth.org • Interactive training and education on clinical issues, disease management, compliance and documentation, and family support • Topics for healthcare professionals, paraprofessionals, and family caregivers who work with older adults • Individual and institutional memberships • CE accreditation for nurses, psychologists, licensed social workers, CA certified nurse assistant • Monthly web conferences • Individual, customized training programs

19. Education and Training for Different Audiences • Professionals: nurses, psychologists, clinical social workers, rehab therapists • Paraprofessionals: certified nurses assistants, nurses aides, direct care workers, home aides • Family members caring for an older adult

20. Courses for Professionals • Managing problem behaviors • Dementia and Alzheimer’s Disease • Ethical dilemmas at the end of life • Risk management in LTC • Modifying health risk behaviors

21. Courses for Paraprofessionals • Working with the terminally ill • Understanding depression, dementia, and delirium • Caregiver approaches for dementia patients

22. Programs for Family Caregivers • Understanding the who, what, and why of nursing home placement • Locating senior resources in the community • Making end-of-life decisions • Families facing Alzheimer’s Disease • Communicating with individuals with dementia

23. Continuing Education Approval • American Psychological Association • California Board of Registered Nursing • California Board of Behavioral Science Examiners • Texas State Board of Social Worker Examiners • California Dept. of Public Health, Aide and Technician Certification

24. Concept Healthcare’s “Podium” • Outside Presenters schedule their own web conferences, training events, meetings, and educational programs for any size group • Use your content, and our technology platform • Presenter selects topics, schedule, sign-up process, and audience • Access our video conferencing service with an internet connection from any setting • Online registration process, and CE credits for qualified topics are optional

25. Concept Healthcare Advisory Board • Members of our Professional Advisory Board are licensed health care professionals and known and respected in their respective fields: clinical, health, rehab, and geropsychology, psychiatric nursing, hospice and end-of-life care, ethics, Medicare and medical records documentation, and acute and chronic psychiatric disorders • All course and program content is developed by the members of the Advisory Board • Advisors are experienced in clinical health settings (acute and rehabilitation hospitals), long term care, hospice, home health organizations, and academic settings

26. Contact Information Joseph M. Casciani, PhD – jcasciani@cohealth.org President, Concept Healthcare, LLC and Professional Corporations Diann Draeger – ddraeger@cohealth.org Executive Assistant Registrar, CoHealth Institute Susan Christ – schrist@cohealth.org Director of Marketing and Sales Regional Director, California Angelika Shore – ashore@cohealth.org Regional Director, Texas Brenda Billimoria, LCSW – bbillimoria@cohealth.org Director, Quality Management

27. Thank you for your interest. For questions or more information, please contact Concept Healthcare 858-272-3992 info@cohealth.org Visit our website at: www.cohealth.org