Concept Healthcare, LLC
Company Overview
Part 1 – Direct Services
Part 2 – Training
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
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
OVERVIEW
Part 1 – Direct Services
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
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
Basic Profile of Nursing Home
Residents (NHDS Data)
All Nursing Home
Residents
“Short Stayers” (few days to
“Long Stayers” (8 wks – 2
8 wks)
yrs)
Terminally
Ill
Short
Term
Rehab
Subacute
Physically
Frail
Cognitively
Impaired
Cognitively
& Physically
Impaired
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
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
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.
3
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
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 problemfocused coping skills
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
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
OVERVIEW
Part 2 - Training
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
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
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
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
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
Courses for Paraprofessionals
 Working with the terminally ill
 Understanding depression, dementia, and delirium
 Caregiver approaches for dementia patients
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
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
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
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-oflife 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
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
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