This letter provides definitions, intent, guidance, and background information on mental disorders and psychosocial adjustment difficulties, as well as a history of trauma and/or post-traumatic stress disorder (PTSD). It outlines that nursing homes/healthcare facilities must ensure that individuals displaying or diagnosed with such conditions receive appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being. It also outlines that an interdisciplinary team (IDT), which includes the resident, their family and/or representative, should develop and implement person-centered approaches to care. Facilities must also provide non-pharmacological interventions and determine through their facility assessment what types of behavioral health services they can provide. This letter will impact nursing homes/healthcare facilities by requiring them to provide appropriate treatment and services to individuals displaying or diagnosed with mental disorders or psychosocial adjustment difficulties, and/or a history of trauma and/or post-traumatic stress disorder. They must also develop and implement person-centered approaches to care and provide non-pharmacological interventions.

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