Assessing Risk and Managing Behaviors in Persons with Dementia

Live event held Wednesday, May 6, 2015, 1:30-2:45 pm Eastern Time
(Third in the Mental Health and Aging Training Initiative, Series IV*)


This fourth installment in the series of webinars initiated by the Geriatric Mental Health Partnership (GMHP)--an informal, voluntary group of diverse stakeholders which focuses on geriatric mental/ behavioral health care in the Commonwealth--aims to improve communication and service coordination between the mental/behavioral health and long term care systems to facilitate timely care for older adults in the most appropriate setting. 

Lack of adequate training regarding the complex needs of an aging population with behavioral health issues has been identified as an ongoing barrier to successfully providing community-based care for these individuals. Nine previous webinars have attracted a continuously growing audience, which attests to the unmet need for this type of training. In fact, in 2012, our webinars reached 600 senior service providers and in 2013, more than 1,300 professionals benefited from our online training. The webinars delivered in the Spring of 2014 successfully reached 955 senior service providers and staff.

As the aging population continues to grow, and use of State Hospitals as the site of extended behavioral health care continues to diminish, it is essential that community-based staff and providers be prepared for the rapid growth of older adults with behavioral health and dementia-related issues. This is a key issue for workforce development as the Commonwealth prepares for the future. Effective training enables staff to more quickly identify and address behavioral health-related issues before the older adult’s condition declines further or situations escalate to possibly becoming dangerous to other frail elders (or caregivers) nearby. It also helps staff distinguish between behavioral issues which can be safely addressed at the facility (or at home) versus those which constitute a true psychiatric emergency and might require inpatient treatment.

The Centers for Medicare & Medicaid Services’ (CMS) initiative “to Improve Behavioral Health and Reduce the Use of Antipsychotic Medications in Nursing Home Residents” has made training even more urgent. Due to concern about potential harmful effects of certain psychoactive medications on older adults, particularly those with dementia, CMS has recommended staff training focusing on person-centered interventions to address problematic behaviors rather than relying on the use of medications. This training can ultimately have beneficial effects on the residents’ quality of life and functioning, in addition to enhancing the knowledge, skills, and retention of staff. All 3 webinars included in this proposal specifically address this initiative.


This webinar focused on tools and techniques that can be used in risk assessment and management of behaviors in patients with dementia. Questions and discussion followed the lectures. 


As with previous series, the proposed training program is intended for staff and students from many levels, disciplines, and settings (both facility and community-based), including staff involved in providing long term care (e.g., nursing staff and administrators), as well as behavioral health staff who work with older adults. Additionally, staff from Adult Protective Services, home health, adult day healthcare, respite care, area agencies on aging, Emergency Department staff of acute care hospitals, hospital discharge planners, and others serving older adults could benefit from the training.


The live event was open to all and free for all. 

Attendees were required to have a computer with access to high speed internet (to view the slide presentation) and computer speakers OR access to a telephone.  Additional information was provided through the registration form.


The webinar was recorded and slides were posted (below).  


Certificates of attendance will be issued, upon request, a week after the event.  




Beth B. Ulrich ACSW, LCSW, joined the Senior Psychiatric Program at Centra/ Virginia Baptist Hospital as Community Liaison to Long Term Care in September, 2011.   She provides  evaluations and consultations in addition to interventions such as  behavioral  management and psychotherapy in an effort to  assist patients, families and staff with the often difficult transition/adjustment to living in a long term care facility.   

She received her Bachelors Degree and Masters Degree in Social Work from Florida State University and is a Licensed Clinical Social Worker in the state of Virginia.  

Beth was the Director of Social Work for Centra for over 20 years before becoming the Program Manager for the county satellite out-pt. clinics at Horizon Behavioral Health.   Her experience has a combined focus in Social Work Discharge Planning and Case Management  as well as Clinical Social Work for Seriously Mentally Ill adults  and geriatrics.    

    Cindy Mann holds degrees in Education, Psychology and Nursing.  She has spent the majority of her career working in psychiatry, but also worked in the ER and with Hospice.  

    She started working in an inpatient psych unit for children and adolescents 30 years ago.  Since then, she has has the opportunity to work in the inpatient as well as outpatient settings.  

    Cindy has worked with patients from 5 to 105 but her focus remains on her work with geriatric patients.  Although she still picks up shifts and works directly with patients, she has been a manager of inpatient units in both Nashville and in Virginia for approximately eight years.


    E. Ayn Welleford, PhDreceived her BA in Management/Psychology from Averett College, M.S. in Gerontology and PhD in Developmental Psychology from Virginia Commonwealth University. She has taught extensively in the areas of Lifespan Development, and Adult Development and Aging, Geropsychology, and Aging & Human Values. As an educator, researcher, and previously as a practitioner she has worked with a broad spectrum of individuals across the caregiving and long term care continuum.

    As Associate Professor and Chair of VCU’s Department of Gerontology, she currently works to “Improve Elder Care through Education” through her Teaching, Scholarship, and Community Engagement. Outside of the classroom, Dr. Welleford provides community education and serves on several boards and committees.
    Dr. Welleford is former Chair of the Governor’s Commonwealth of Virginia Alzheimer’s and Related Disorders Commission, as well as a recipient of the AGHE Distinguished Teacher Award. In 2011, Dr. Welleford was honored by the Alzheimer’s Association at their annual Recognition Reception for her statewide advocacy. Dr. Welleford is the author of numerous publications and presentations given at national, state and local conferences, community engagement and continuing education forums. In 2012, Dr. Welleford was appointed to the Advisory Board for VCU’s West Grace Village project.  She is also the recipient of the 2012 Mary Creath Payne Leadership Award from Senior Connections, the Capital Area Agency on Aging.


    You can download the slides from SlideShare or from this link (as handouts) or from this link (as slides).