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Published on: May 31, 2021
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1Sharon Joag (drsharonjoag@gmail.com) is a podiatrist and student of social work in East Windsor, New Jersey. The patient's name was not used in this essay to protect their privacy. The author is solely responsible for the accuracy of the information presented in this article. Any views or opinions expressed in this article are solely those of the author, and no endorsement of these views or opinions by the author's institutions is expressed or implied. The author expresses her immense gratitude to Michael B. Friedman, an influential professor at Columbia University, who was the driving force behind this essay. To access the author's disclosures, click on the Details tab of the article online.
Siloed care in skilled nursing facilities harms residents due to a lack of integrated behavioral health services. Podiatrists observe these negative impacts firsthand, highlighting a critical gap in geriatric care.
Area of Science:
- Geriatric Medicine
- Behavioral Health Integration
- Healthcare Systems Analysis
Background:
- Skilled nursing facilities (SNFs) often provide fragmented care.
- Residents in SNFs face significant unmet behavioral health needs.
- Siloed healthcare models impede comprehensive patient well-being.
Purpose of the Study:
- To highlight the detrimental effects of fragmented care in SNFs.
- To underscore the deficiency in behavioral health services for SNF residents.
- To advocate for integrated care models in geriatric settings.
Main Methods:
- Observational insights from a practicing podiatrist.
- Qualitative analysis of patient care experiences.
- Case study approach within a skilled nursing facility setting.
Main Results:
- Siloed medical services lead to adverse health outcomes for residents.
- Lack of accessible behavioral health support exacerbates resident suffering.
- Podiatric care is negatively impacted by the absence of holistic health assessments.
Conclusions:
- Integrated care models are essential for SNF residents.
- Behavioral health must be a core component of geriatric care.
- Interdisciplinary collaboration can mitigate the harms of siloed healthcare.
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