PASRR rules must recognize that people with serious mental illness may not show significant change but still may have unmet mental health needs.
Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them.
LTSS consumers should have access to a full range of mental health services.
States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.
Funds should be provided for education and training for long-term services and supports (LTSS) workers, especially those in short supply, such as certified nursing assistant
Policymakers should remove barriers to the effective use of APRNs, such as GNPs, in all LTSS settings.
Federal and state governments must ensure that Medicaid and other public program reimbursements are sufficient to pay wages and benefits that will attract and retain LTSS wo
Policymakers should require a comprehensive national background check prior to employment for all LTSS workers.