August 2025 Newsletter
The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) provides mental health and substance use evidence-based training, customized technical assistance, and resources to certified Medicare and Medicaid nursing facilities that care for residents with a variety of behavioral health conditions at absolutely no cost. To submit a request for assistance, complete the online request form by clicking HERE.
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In This Issue
- COE-NF Grant-Ending September 2025
- International Overdose Awareness Day
- Nursing Facility Guidance Updates
- COE-NF In Action: Consultation Summary
- Office Hours
- Managing Substance Use Disorders in Nursing Facilities
- COE-NF Resources
- Quick Reference Card – Responding to Opioid Overdose
- Using Naloxone to Respond to an Overdose in a Nursing Facility
- Naloxone in Nursing Facilities How it Saves Lives
- Did You Know?
- Conditions and Characteristics that Increase Overdose
- Save the Date: Join Our Upcoming Virtual Education Events
- You Matter
- Support Is Just Three Numbers Away
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The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) will reach the end of its three-years of funding on September 29, 2025.
After that date, technical assistance consultations and live training events will no longer be available.
The COE-NF training and resources will be accessible on the Centers for Medicare and Medicaid Services website after the grant concludes. Further details on how to access these materials will be provided soon. If you have any questions, please contact CMP-info@cms.hhs.gov.
Alliant Health Solutions will also continue to support public access to COE-NF resources and training videos by hosting them at their current online location (www.nursinghomebehavioralhealth.org) for at least one (1) year through September 2026.
For additional information about the grant-end, please CLICK HERE or contact the COE-NF team at coeinfo@allianthealth.org.
After that date, technical assistance consultations and live training events will no longer be available.
The COE-NF training and resources will be accessible on the Centers for Medicare and Medicaid Services website after the grant concludes. Further details on how to access these materials will be provided soon. If you have any questions, please contact CMP-info@cms.hhs.gov.
Alliant Health Solutions will also continue to support public access to COE-NF resources and training videos by hosting them at their current online location (www.nursinghomebehavioralhealth.org) for at least one (1) year through September 2026.
For additional information about the grant-end, please CLICK HERE or contact the COE-NF team at coeinfo@allianthealth.org.
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August 31 is recognized as International Overdose Awareness Day – the world's largest annual campaign to end overdose, remember those we have lost to an overdose, acknowledge the grief of the family and friends left behind, and renew our commitment to end overdose and related harms. Overdose happens when someone consumes a toxic amount of one or multiple drugs.
The proportion of residents entering nursing homes (NHs) with substance use disorders (SUDs) is increasing.1 It is essential for nursing facilities to be properly equipped and trained to recognize the signs and symptoms of an overdose and to respond and administer life-saving naloxone promptly and effectively during an emergency when appropriate.
A wide range of substances can cause an overdose, including:
The proportion of residents entering nursing homes (NHs) with substance use disorders (SUDs) is increasing.1 It is essential for nursing facilities to be properly equipped and trained to recognize the signs and symptoms of an overdose and to respond and administer life-saving naloxone promptly and effectively during an emergency when appropriate.
A wide range of substances can cause an overdose, including:
- Alcohol
- Benzodiazepines
- Opioids, including fentanyl, heroin, and prescription painkillers
- Stimulants, including cocaine, methamphetamine, and other amphetamines
Know the Signs
Potential signs and symptoms of an alcohol overdose include:2
Mental Symptoms
Potential signs and symptoms of an alcohol overdose include:2
- Mental confusion or stupor
- Difficulty remaining conscious
- Lack of responsiveness
- Trouble breathing
- Slow heart rate
- Seizures
- Vomiting
- Very low body temperature
- Pale or blue-tinged, clammy skin
- Loss of consciousness
- Confusion
- Face is extremely pale/and or feels clammy to the touch
- Choking, vomiting, gurgling, or snoring sounds
- Markedly constricted or pinpoint pupils
- Heartbeat slows or stops
- Blue or purple lips or fingertips
- Being unresponsive to loud noises, shaking, or painful stimuli
- Extreme drowsiness or trouble staying awake
- Lack of muscle coordination
- Agitation
- Marked confusion
- Slurred speech
- Slowed, labored breathing or respiratory arrest
- Coma
Mental Symptoms
- Hypervigilance
- Intense Panic
- Hallucinations
- Paranoia and other features of psychosis
- Aggressive behavior
- Seizures and convulsions
- Jerking movement
- Chest pain
- Uncontrollable teeth grinding
- High body temperature
- Rapid or irregular heartbeat.
- Very high blood pressure
- Schedule overdose reversal training with the COE-NF on how to recognize the signs of an opioid overdose and administer naloxone.
- Take a moment of silence on August 31 to remember residents, loved ones, and members of your broader community lost to overdose.
- Consider wearing purple or displaying a purple ribbon to show your support and help reduce stigma about substance use and overdose.
- Start the conversation with your colleagues, residents, and families about substance use, overdose, and recovery support.
- Use the Substance Abuse and Mental Health Services Administration Overdose Toolkit.
References:
- Barriers to Care for Nursing Home Residents with Substance Use Disorders: A Qualitative Study.Meredith Yang, Kimberly J Beiting, Stacy Levine
- National Institute on Alcohol Abuse and Alcoholism. Understanding the Dangers of Alcohol Overdose.
- Substance Abuse and Mental Health Services Administration. What is Opioid Overdose? Treatments and Preventions.
- Drugs.com.
- Centers for Disease Control. Stimulant Overdose.
- National Harm Reduction Coalition. Stimulant Overamping Basics.
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Staying Prepared: Overdose Response and Compliance in Nursing Facilities
Overdose deaths remain at historically high levels in the United States. The Centers for Disease Control and Prevention (CDC) estimates that over 68,000 people died from an overdose in 2023. Approximately 81% of these deaths involved opioids.1
Overdose deaths remain at historically high levels in the United States. The Centers for Disease Control and Prevention (CDC) estimates that over 68,000 people died from an overdose in 2023. Approximately 81% of these deaths involved opioids.1
According to the Substance Abuse and Mental Health Administration (SAMHSA), overdose deaths from opioids can be prevented by administering naloxone. This medication, approved by the Food and Drug Administration (FDA), works to reverse the effects of opioids. The United States Surgeon General recommends that naloxone be readily available in places where there is a risk of an opioid overdose. Additionally, facilities should establish a written policy to address opioid overdoses.2
Per SOM - Appendix PP, nursing facility staff should be prepared to address emergencies related to substance use by providing increased monitoring, maintaining and having knowledge of administering opioid reversal agents like naloxone, initiating CPR as appropriate, and contacting emergency medical services as soon as possible.3
Surveyors should recognize that the occurrence of a drug overdose does not automatically indicate noncompliance. Overdoses can occur among individuals with Substance Use Disorder (SUD), and facilities are not expected to completely cure these residents of their underlying condition or SUD.
For example, consider a resident with a known history of SUD and drug-seeking behaviors who returns to the facility after an absence. If evidence shows that the facility took steps to increase monitoring of this resident, but the resident still overdoses between checks or immediately upon return, then, despite the facility's efforts—including attempts at CPR and the administration of naloxone—this scenario does not reflect noncompliance with the requirements.
In contrast, if the same resident returns and the facility fails to increase monitoring, then there may be noncompliance with the requirements outlined in §483.25(d). This would indicate a failure to identify the resident's risk for overdose and to implement necessary interventions.
In conclusion, staying informed and prepared is crucial in addressing the ongoing challenge of opioid overdoses. By implementing effective policies, training staff on the use of naloxone, and ensuring that necessary resources are readily available can make a significant impact on the lives of those at risk.
Per SOM - Appendix PP, nursing facility staff should be prepared to address emergencies related to substance use by providing increased monitoring, maintaining and having knowledge of administering opioid reversal agents like naloxone, initiating CPR as appropriate, and contacting emergency medical services as soon as possible.3
Surveyors should recognize that the occurrence of a drug overdose does not automatically indicate noncompliance. Overdoses can occur among individuals with Substance Use Disorder (SUD), and facilities are not expected to completely cure these residents of their underlying condition or SUD.
For example, consider a resident with a known history of SUD and drug-seeking behaviors who returns to the facility after an absence. If evidence shows that the facility took steps to increase monitoring of this resident, but the resident still overdoses between checks or immediately upon return, then, despite the facility's efforts—including attempts at CPR and the administration of naloxone—this scenario does not reflect noncompliance with the requirements.
In contrast, if the same resident returns and the facility fails to increase monitoring, then there may be noncompliance with the requirements outlined in §483.25(d). This would indicate a failure to identify the resident's risk for overdose and to implement necessary interventions.
In conclusion, staying informed and prepared is crucial in addressing the ongoing challenge of opioid overdoses. By implementing effective policies, training staff on the use of naloxone, and ensuring that necessary resources are readily available can make a significant impact on the lives of those at risk.
What can you do TODAY?
- Review the Nursing Home Naloxone Policy & Procedure Toolkit and Naloxone in Nursing Homes: A Checklist for Process Review to ensure your policies and procedures are up-to-date.
- Download the Naloxone to Respond to an Overdose in a Nursing Facility - COE-NF resource to ensure you have naloxone in the facility and train staff on how to administer naloxone.
- Display Using Naloxone to Respond to an Overdose in a Nursing Facility - COE-NF as a reminder for staff.
- Check out the COE-NF Opioid Overdose & Naloxone Administration on-demand educational events to become competent in assessing for and responding to an opioid overdose.
- Access the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Overdose Prevention and Response Toolkit | SAMHSA Library for guidance on the role of opioid overdose reversal medications and how to respond to an overdose.
The COE-NF stands ready to support your facility in these guidance areas. Contact us today:
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The COE-NF In-Action consultation summaries demonstrate how the COE-NF provides critical mental health and substance use support to nursing facilities. These summaries include ideas and ways to transform your nursing facility’s approach to providing high-quality behavioral health care to residents.
Enhancing Opioid Overdose Preparedness and Response: Training and Resources for Nursing Facility Staff
After a resident at a nursing facility serving veterans experienced an opioid overdose, the incident highlighted the need for staff training on overdose response and the use of naloxone. In response, the Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) partnered with the facility to improve education and resources focused on overdose readiness and response techniques. Click the button below to read more.
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Have mental illness and substance use questions? We have the answers!
Join us for office hours to talk with the experts.
Join us for office hours to talk with the experts.
Managing Substance Use Disorders in Nursing Facilities
Interested in receiving expert answers to substance use challenges you are facing in your nursing facility? Join Dr. Jen Azen and Dr. Swati Gaur, subject matter experts, as they answer questions related to your complex cases. No question is too big or too small!
Join our monthly office hours on the third Friday of each month from 1-1:30 p.m. ET to get answers directly from the experts working in nursing facilities!
Audience: Appropriate for clinicians, nurses, administrators, and social workers.
Interested in receiving expert answers to substance use challenges you are facing in your nursing facility? Join Dr. Jen Azen and Dr. Swati Gaur, subject matter experts, as they answer questions related to your complex cases. No question is too big or too small!
Join our monthly office hours on the third Friday of each month from 1-1:30 p.m. ET to get answers directly from the experts working in nursing facilities!
Audience: Appropriate for clinicians, nurses, administrators, and social workers.
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Quick Reference Card – Responding to Opioid Overdose
This badge-sized quick reference card outlines three key steps to follow when responding to an opioid overdose. Attach it to your team’s ID badges for quick and easy access. Download Resource
This badge-sized quick reference card outlines three key steps to follow when responding to an opioid overdose. Attach it to your team’s ID badges for quick and easy access. Download Resource
Using Naloxone to Respond to an Overdose in a Nursing Facility
This flyer is a concise reference guide for nursing facility staff responding to a potential opioid overdose. It is suitable for distribution to all staff or for placement in each care area. Download Resource
This flyer is a concise reference guide for nursing facility staff responding to a potential opioid overdose. It is suitable for distribution to all staff or for placement in each care area. Download Resource
Naloxone In Nursing Facilities: How it Saves Lives
This resource introduces naloxone, outlines why it is essential for nursing facilities to have it on hand, offers guidance on establishing a naloxone program, and highlights the warning signs of an opioid overdose and how to respond effectively. Download Resource
This resource introduces naloxone, outlines why it is essential for nursing facilities to have it on hand, offers guidance on establishing a naloxone program, and highlights the warning signs of an opioid overdose and how to respond effectively. Download Resource
Are you interested in accessing additional COE-NF resources for your facility?
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Did You Know?
Conditions and Characteristics that Increase Overdose
Individuals with specific healthcare conditions or characteristics may be more sensitive to opioids, increasing their risk of overdose.
These conditions and characteristics include:
- Older adults (65 years and older)
- Those with respiratory conditions (sleep apnea, asthma, or chronic obstructive pulmonary disease)
- Individuals with wasting syndrome (cachexia)
- Those with impaired energy or strength (debilitated patients)
CLICK HERE to learn more.
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Continuing Education Certificate Clarification
COE-NF has learned that a technical error resulted in some of our training certificates including language regarding ANCC certification. COE-NF events are accredited for continuing education credits by ACCME and NAB. They are not accredited for ANCC, and the certificates should not be used to claim ANCC credits.
Please note: A certificate is not required to receive continuing education credit. All virtual training attendees (live and recorded) who requested credit have already had their information submitted directly to NAB and ACCME by COE-NF.
COE-NF has learned that a technical error resulted in some of our training certificates including language regarding ANCC certification. COE-NF events are accredited for continuing education credits by ACCME and NAB. They are not accredited for ANCC, and the certificates should not be used to claim ANCC credits.
Please note: A certificate is not required to receive continuing education credit. All virtual training attendees (live and recorded) who requested credit have already had their information submitted directly to NAB and ACCME by COE-NF.
August is here—and so are new opportunities to grow!
We're continuing our commitment to your professional development with a fresh lineup of engaging virtual learning sessions this month.
Join us for expert-led webinars designed to deliver real-world strategies, actionable insights, and practical tools to enhance resident care and drive better outcomes. Plus, earn continuing education credits while learning from some of the most respected voices in the field.
Let’s make this month one of growth, learning, and impact.
Save the Date
Don’t miss our featured live evening webinar Beyond Consults: Embedding Behavioral Health in Post-Acute Care Teams on Thursday, August 14, 2025 at 6 p.m. EST, where the COE-NF team, in collaboration with the Post-Acute and Long-Term Care Medical Association (PALTmed), will gather clinical and operational leaders for an open, interactive, solutions-focused conversation on integrating behavioral health into post-acute care.
Don't miss out - Register today!
We're continuing our commitment to your professional development with a fresh lineup of engaging virtual learning sessions this month.
Join us for expert-led webinars designed to deliver real-world strategies, actionable insights, and practical tools to enhance resident care and drive better outcomes. Plus, earn continuing education credits while learning from some of the most respected voices in the field.
Let’s make this month one of growth, learning, and impact.
Save the Date
Don’t miss our featured live evening webinar Beyond Consults: Embedding Behavioral Health in Post-Acute Care Teams on Thursday, August 14, 2025 at 6 p.m. EST, where the COE-NF team, in collaboration with the Post-Acute and Long-Term Care Medical Association (PALTmed), will gather clinical and operational leaders for an open, interactive, solutions-focused conversation on integrating behavioral health into post-acute care.
Don't miss out - Register today!
Suicide Prevention Training
Registration is closed. This session is FULL.
Registration is closed. This session is FULL.
Thursday, August 7, 2025
2-3:30 p.m. ET
1.5 ACCME & 1.5 NAB credits will be offered.
QPR training will offer strategies to support your work in providing suicide prevention and mental wellness to your residents. This 1.5-hour evidence-based instructor-led training is held virtually and will provide a comprehensive review of a three-step approach anyone can learn to help save a life from suicide. This session will provide a one-year certification to attendees.
Key components covered in the training:
2-3:30 p.m. ET
1.5 ACCME & 1.5 NAB credits will be offered.
QPR training will offer strategies to support your work in providing suicide prevention and mental wellness to your residents. This 1.5-hour evidence-based instructor-led training is held virtually and will provide a comprehensive review of a three-step approach anyone can learn to help save a life from suicide. This session will provide a one-year certification to attendees.
Key components covered in the training:
- How to Question, Persuade and Refer someone who may be suicidal.
- How to get help for yourself or learn more about preventing suicide.
- The common causes of suicidal behavior.
- The warning signs of suicide.
- How to get help for someone in crisis.
Speaker: Marti Vogt
Tuesday, August 12, 2025
2-3 p.m. ET
1.0 ACCME & 1.0 NAB credits will be offered.
Nursing facility staff will explore the principles of trauma-informed care and learn techniques for creating a safe environment where both residents and staff can thrive.
Learning Objectives:
2-3 p.m. ET
1.0 ACCME & 1.0 NAB credits will be offered.
Nursing facility staff will explore the principles of trauma-informed care and learn techniques for creating a safe environment where both residents and staff can thrive.
Learning Objectives:
- Define trauma and trauma-informed care.
- Learn what happens to the traumatized body and why trauma behavior is misunderstood.
- Discover the basic concepts of trauma-informed care.
Speakers:
Dr. LaVerne H. Collins LPC, LCHC, NCC
Dr. LaVerne H. Collins LPC, LCHC, NCC
Tuesday, August 19, 2025
2-3 p.m. ET
1.0 ACCME & 1.0 NAB credits will be offered.
Nursing facilities serve a diverse population of racial and ethnic minority residents while providing high-quality care requires recognizing and addressing cultural and linguistic barriers. This webinar will introduce the National CLAS (Culturally and Linguistically Appropriate Services) standards, offering practical strategies for delivering respectful, effective, and equitable care. Participants will learn how to apply these standards to reduce health disparities and promote health equity in residential nursing facilities.
Learning Objectives:
2-3 p.m. ET
1.0 ACCME & 1.0 NAB credits will be offered.
Nursing facilities serve a diverse population of racial and ethnic minority residents while providing high-quality care requires recognizing and addressing cultural and linguistic barriers. This webinar will introduce the National CLAS (Culturally and Linguistically Appropriate Services) standards, offering practical strategies for delivering respectful, effective, and equitable care. Participants will learn how to apply these standards to reduce health disparities and promote health equity in residential nursing facilities.
Learning Objectives:
- Gain an understanding of the National Culturally and Linguistically Appropriate Services (CLAS) standards and their relevance in promoting health equity within nursing facilities.
- Learn to identify and analyze cultural barriers faced by diverse adults and other health-impacted communities in nursing home settings, facilitating better service delivery.
- Develop actionable strategies for implementing CLAS standards within facilities.
Speaker: Diana Padilla, MPC, CARC, CASAC-TASAP
Tuesday, August 26, 2025
1:30 - 2:30 p.m. ET
1.0 NAB credits and 1.0 ACCME credits will be offered.
The relationships formed between residents and staff in long-term care settings can foster mutual compassion and support overall well-being. In this training, Kristin M. MacDonald, PhD, MS, RD, will present original research highlighting the positive impact of experienced compassion at work on nursing facility direct caregivers. She will also clarify the distinction between empathy and compassion which are two closely related, but distinct elements central to person-centered care. Participants will take part in an interactive empathy mapping exercise focused on residents with complex behavioral health needs.
Learning Objectives:
1:30 - 2:30 p.m. ET
1.0 NAB credits and 1.0 ACCME credits will be offered.
The relationships formed between residents and staff in long-term care settings can foster mutual compassion and support overall well-being. In this training, Kristin M. MacDonald, PhD, MS, RD, will present original research highlighting the positive impact of experienced compassion at work on nursing facility direct caregivers. She will also clarify the distinction between empathy and compassion which are two closely related, but distinct elements central to person-centered care. Participants will take part in an interactive empathy mapping exercise focused on residents with complex behavioral health needs.
Learning Objectives:
- Define the concepts of empathy, compassion, and “experienced compassion at work."
- Understand how compassionbenefits the well-being of both nursing home residents and direct care staff.
- Learn how to use empathy mapping to enhance caregiving practices by applying key insights of empathy and compassion.
Speaker: Kristin M. MacDonald, PhD, MS, RD
Thursday, August 28, 2025
2-3 p.m. ET
1.0 NAB credits and 1.0 ACCME credits will be offered.
Nursing facilities and skilled nursing facilities (SNFs) often care for residents who are discharged from hospitals with opioid prescriptions for acute pain. In addition, many residents receive opioids for both acute and chronic pain management. However, prolonged use and higher doses significantly increase the risk of opioid use disorder (OUD).
In this presentation, Dr. Swati Gaur, MD, MBA, CMD, AGSF, and Dr. Jenn Azen, MD, MPH, will explore how nursing facilities can implement effective opioid stewardship practices to minimize harm. This includes ensuring the right indication, right dose, and right duration of opioid therapy. The session will also cover evidence-based alternatives to opioids, adjunctive pain management strategies, and guidance on selecting appropriate opioids when long-term use is unavoidable.
Participants will gain practical strategies to reduce opioid-related risks while optimizing pain management for residents.
Learning Objectives:
Speakers: Dr. Swati Gaur, MBA, CMD, AGSF and Jenn Azen, MD, MPH
2-3 p.m. ET
1.0 NAB credits and 1.0 ACCME credits will be offered.
Nursing facilities and skilled nursing facilities (SNFs) often care for residents who are discharged from hospitals with opioid prescriptions for acute pain. In addition, many residents receive opioids for both acute and chronic pain management. However, prolonged use and higher doses significantly increase the risk of opioid use disorder (OUD).
In this presentation, Dr. Swati Gaur, MD, MBA, CMD, AGSF, and Dr. Jenn Azen, MD, MPH, will explore how nursing facilities can implement effective opioid stewardship practices to minimize harm. This includes ensuring the right indication, right dose, and right duration of opioid therapy. The session will also cover evidence-based alternatives to opioids, adjunctive pain management strategies, and guidance on selecting appropriate opioids when long-term use is unavoidable.
Participants will gain practical strategies to reduce opioid-related risks while optimizing pain management for residents.
Learning Objectives:
- Understand strategies for developing an opioid treatment program at your facilit.
- Discuss approach to assessing opioid orders on admission and create a plan to taper.
- Recognize approaches to managing patients on chronic opioids and keeping them safe.
- Implement an interdisciplinary opioid stewardship program and incorporate within a QAPI framework.
Speakers: Dr. Swati Gaur, MBA, CMD, AGSF and Jenn Azen, MD, MPH
Friday, August 29, 2025
11 a.m. - 4:30 p.m. ET
7.75 ACCME & 5.5 NAB credits will be offered.
Mental Health First Aid (MHFA) training provides skills to contact and provide initial help and support to someone who may be developing a mental health or substance use challenge or experiencing a crisis.
This session provides a MHFA certification for three years.
The training covers:
11 a.m. - 4:30 p.m. ET
7.75 ACCME & 5.5 NAB credits will be offered.
Mental Health First Aid (MHFA) training provides skills to contact and provide initial help and support to someone who may be developing a mental health or substance use challenge or experiencing a crisis.
This session provides a MHFA certification for three years.
The training covers:
- Common signs and symptoms of mental health challenges and substance use challenges.
- How to interact with a person in crisis.
- How to connect a person with help.
- Expanded content on trauma, substance use and self-care
The training is divided into three (3) parts:
Part 1 starts AFTER initial registration has been APPROVED by the instructor. Approved registrants will be emailed instructions on how to create an on-line profile using MHFA Connect and completing a pre-survey/quiz followed by a 2-hour self-paced online course. Registrants MUST complete Part 1 no less than 48 hours (two business days) prior to the scheduled Part 2 session.
Part 2 is a 5.5-hour live instructor led virtual training. Participants are required to be on camera the entire time.
Part 3 participants will return to MHFA Connect to complete the post test and evaluation, required to receive a certificate of participation.
7.75 NAB credits and 5.5 ACCME credits will be offered after completing this live training.
Registration is limited. To register for the Mental Health First Aid training, click here - https://bit.ly/MHFA_RegistrationForm
Speaker: Marti Vogt
Part 1 starts AFTER initial registration has been APPROVED by the instructor. Approved registrants will be emailed instructions on how to create an on-line profile using MHFA Connect and completing a pre-survey/quiz followed by a 2-hour self-paced online course. Registrants MUST complete Part 1 no less than 48 hours (two business days) prior to the scheduled Part 2 session.
Part 2 is a 5.5-hour live instructor led virtual training. Participants are required to be on camera the entire time.
Part 3 participants will return to MHFA Connect to complete the post test and evaluation, required to receive a certificate of participation.
7.75 NAB credits and 5.5 ACCME credits will be offered after completing this live training.
Registration is limited. To register for the Mental Health First Aid training, click here - https://bit.ly/MHFA_RegistrationForm
Speaker: Marti Vogt
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You Matter
Support is Just Three Numbers Away
Support is Just Three Numbers Away
In the demanding world of healthcare, especially in high-stress long-term care environments, it’s easy to put your own well-being last. But your mental health matters—just as much as the care you give to others every day.
If you're feeling stressed, overwhelmed, or simply need someone to talk to, remember - 988 is here for you.
If you're feeling stressed, overwhelmed, or simply need someone to talk to, remember - 988 is here for you.
988 is the Suicide & Crisis Lifeline—a free, confidential service available 24/7 for anyone who needs support. You don’t have to be in crisis to reach out. Sometimes talking to someone who listens without judgment makes all the difference.
You are not alone. You are valued.
And you deserve care, too.
You are not alone. You are valued.
And you deserve care, too.
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Join our text message list!
Scan the QR code or click the button below to sign up and receive text notifications from COE-NF.
Stay up to date on COE-NF news and events.
Scan the QR code or click the button below to sign up and receive text notifications from COE-NF.
Stay up to date on COE-NF news and events.
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Contact us:
For more information, please call 1-844-314-1433 or email coeinfo@allianthealth.org.
To submit a request to inquire about substance use and/or mental health training options for your facility, complete the inquiry form.
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For more information, please call 1-844-314-1433 or email coeinfo@allianthealth.org.
To submit a request to inquire about substance use and/or mental health training options for your facility, complete the inquiry form.
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Alliant Health Solutions (AHS) was awarded a three-year cooperative agreement from the Substance Abuse and Mental Health Services Administration (SAMHSA), in collaboration with the Centers for Medicare & Medicaid Services (CMS), to create the COE-NF. AHS has over 50 years of experience working with nursing facilities and behavioral health in nursing facilities.
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This newsletter was made possible by grant number 1H79SM087155 from the Substance Abuse and Mental Health Services Administration (SAMHSA). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Substance Abuse and Mental Health Services Administration.
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