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The goal of this symposium is to help long-term care clinicians become more proficient in meeting the needs of the mentally ill residents in their facilities.


  • Determine length of psychiatric medication treatment based on available evidence.
  • Assist family members of residents who suffer from dementia and psychiatric disorders.
  • Review the basic components of motivational interviewing.
  • Meet the needs of residents in long-term care who have personality disorders.


8 am Registration and Breakfast
8:20 am Welcome
8:30 am How Long Should Patients Stay on Psychiatric Medication?
Douglas Steenblock, MD, Bureau Chief, Mental Health Services, Iowa Veterans Home

  • Identify risk factors for relapse of various types of mental illness.
  • Make evidence based decisions regarding the length of psychiatric medication treatment.
  • Improve management of psychiatric medication reductions in order to minimize the possibility of discontinuation syndromes.
9:30 am Break
9:40 am Assisting Family Members
Ed Bulver, LISW, Clinical Social Worker, Iowa Veterans Home

  • Use de-escalation techniques when working with oppositional family members or residents.
  • Utilize techniques when trying to establish rapport with family members or residents.
  • Recognize the benefits of establishing and maintaining rapport when working with family members or residents.
10:40 am Break
10:50 am Motivational Interviewing
Michael Flaum, MD, President, American Association of Community Psychiatrists and Clinical Professor Emeritus, Department of Psychiatry, University of Iowa Carver College of Medicine

  • Describe what is meant by “the paradoxical effect of coercion” and its implications for anyone trying to help someone with a problem about which they are ambivalent.
  • Describe how a motivational interviewing approach differs from a “medical model”, directive approach. Discuss the overlap between the core components of the spirit of MI and the core principles of recovery.
11:50 am Lunch
1 pm Personality Disorders in Long Term Care
Kyle S. Page, PhD, ABPP, Geriatric Psychologist, Central Iowa VA Health Care System
Allison Hahn, PsyD, Geriatric Psychologist, Central Iowa VA Health Care System

  • State current prevalence estimates of mental health diagnosis in long-term care.
  • Distinguish between a personality style and a personality disorder.
  • Choose skills to help health professions interact with a resident with a personality disorder.
2:30 pm Break
2:40 pm Multidisciplinary Panel Discussion
3:10 pm Group Activity
4:10 pm Adjourn


Relevant to the content of this educational activity, the following individual(s) do not have any financial relationship(s) with commercial interests to disclose.

  • Jilisa Bollhoefer, Planning Committee Member
  • Ed Bulver, LISW, Speaker
  • Michael Flaum, MD, Speaker
  • Allison Hahn, PsyD, Speaker
  • Kyle S. Page, PhD, ABPP, Speaker
  • Melissa Sienknecht, Planning Committee Member
  • Douglas Steenblock, MD, Activity Director and Speaker


Special thanks to our partners who help make this conference possible.