Experts in Geriatric Psychiatric Care

MDB is clinician owned and managed.  All of our protocols are designed by psychiatric clinicians who spent decades providing care to the LTC geriatric population.  We never leave a clinician on an island; they have full clinical and administrative support.  We believe our greatest value is providing a good service to you and your residents. 

Yes! Our PMHNP-BCs work hand-in-hand with your pharmacist.  We will review all GDR recommendations, and in addition, we can clarify diagnoses, document rationales for medication changes (or lack thereof if contraindicated), and follow the residents routinely to monitor the effects of any medication changes.

There will never be a charge or cost to your facility. We bill patients’ insurances directly.

No, none of our services will ever result in the facility being charged, directly or indirectly.

We do not provide emergency psychiatric or behavioral health services; however, we do everything we can to assist in difficult situations. Here are 3 practical ways we can help: (1) we provide your staff with our mental health clinicians’ cell phone numbers so they can be reached in times of need. They may be with other patients, but are trained to respond as quickly as possible. (2) Telehealth can be utilized in urgent situations. (3) If you use MDB’s FNP services, our FNPs are always on call, may already be onsite, and can collaborate with MDB’s mental health clinical team to find the best solution quickly. If there is any way we can assist, we will.

The short answer is it depends. Our goal is to maximize the regularly scheduled presence of both our medication management and psychotherapy provider teams. Having a consistent and routine presence is an important part of what sets MDB apart. The biggest factor will be the size of the caseload that has been referred for psychiatric services. We will follow each patient as frequently as best practices would indicate in each individual case. That being said, the typical expectation is that each patient referred for psychotherapy will be followed weekly and each patient referred for medication management will be followed monthly. There are cases where either more or less frequent visits will be appropriate.

Our policy is to deliver the notes to you within 24-48 hours via HIPAA-compliant means. Additionally, our clinicians should conduct an exit interview with you to go over pertinent items before they leave your facility.

Because this is a specialty healthcare service, CMS requires a referral be made before we can see a patient.

Our referral department will process all referrals and confirm with you that we have received your referrals. Our referral department will then notify the clinicians assigned to you and your facility of the new patient(s) referred, and the clinician(s) will see them on their next scheduled visit to the facility. If it is communicated that a patient needs to be seen before the next scheduled visit, we will work to schedule them in as soon as possible.

Psychotropic medication management services are provided by psychiatric nurse practitioners (PMHNP-BCs) who collaborate with our board-certified psychiatrists. Psychotherapy is provided by licensed clinical social workers (LCSWs) and/or PhD clinical psychologists.

Yes! In fact, if you already have psychotropic medication management services in your facility but don’t have any therapy services, we will provide therapy services only.

Any resident currently on a regimen of any psychotropic medication, any resident with a mental or behavioral health diagnosis, and any resident experiencing behavioral issues.  Click here to learn more about our medication management services.

Our clinicians will perform a mental exam to determine if any referred resident can participate in and benefit from individual therapy.