Better Together: The Importance of Integrated Physical and Behavioral Health Services for Seniors

Senior holding caretaker hand

As the dual pressures of increasingly complex regulations and growing behavioral health needs among older adults intensify, senior living and skilled nursing operators are quickly adapting to meet compliance standards while also delivering the comprehensive care their residents and patients deserve.

While this dynamic can be challenging, it also presents strategic opportunities for operators willing to embrace innovative care models.

By partnering with value-based care organizations that seamlessly integrate behavioral health care with on-site primary and urgent care services, communities and facilities can support better health outcomes while streamlining regulatory requirements and operational efficiency.

Understanding the Behavioral Health Imperative in Senior Care

According to a study published in The American Journal of Geriatric Psychiatry, nearly 20% of older adults in the United States meet criteria for at least one mental health condition.

This finding isn’t surprising, as many seniors face challenges related to their changing living environment, cognitive decline, chronic illness management, separation from familiar support systems, and other changes associated with loss of independence.

With this rate continuing to rise (and mental health known to directly impact physical health and cognition), forward-thinking operators are prioritizing on-site health care services that aren’t just focused on physical concerns. They are seeking medical groups that also provide mental health care services to help maintain overall resident and patient wellness (which have been shown to increase satisfaction rates, reduce hospitalizations and support census levels).

These comprehensive Medical Groups also help operators maintain compliance with the Centers for Medicare & Medicaid Services’ (CMS’s) new behavioral health-related guidelines, including proper documentation of psychiatric diagnoses, implementation of non-pharmacological interventions before medication use, appropriate consent processes for psychotropic medications, comprehensive behavioral assessments for residents with dementia, and proper monitoring protocols for those on antipsychotic therapy.

Core Services Offered by Curana Health

At Curana Health, we believe that a whole-person approach to wellness is key to health, happiness, and dignity for senior living residents and skilled nursing patients.

We provide a wide range of behavioral health care services (delivered by psychiatrists, psychiatric mental health nurse practitioners, clinical psychologists, licensed clinical social workers, and licensed mental health counselors) that complement our on-site primary, urgent, and secondary care services, including:

  • Psychiatric medication management
  • Counseling services
  • Mental health crisis response
  • Cognitive assessments

By providing access to both physical and mental health services through highly collaborative care teams, seniors benefit from:

  • Unified treatment plans that address interrelated conditions
  • Early identification of mental health or cognitive concerns or conditions
  • Streamlined medication oversight that prevents dangerous interactions
  • Seamless communication between care team members, preventing gaps in care

Benefits of a Whole‑Person Integrated Model

This integrated model also ensures behavioral health and physical health notes are unified within the same care plans and electronic medical record system, strengthening compliance and supporting holistic resident understanding.

“When a behavioral health clinician is working directly with a primary care provider on the same team, they can catch psychological and behavioral fluctuations—like changes in sleep, appetite, mood, and engagement — before they become major concerns,” said Karem Cando, PhD, National Director of Psychology for Curana Health. “These care teams work in tandem to prevent emergency room visits and the need for a higher level of care, providing additional oversight that increases patient, family, and operator peace of mind.”

Ready to transform physical and mental health care within your community or facility? Contact us today to learn more about Curana Health’s behavioral health services.

© 2025 Curana. All rights reserved.

Derek Chao, MD

President and Chief Medical Officer
Dr. Chao brings more than two decades of experience in managed care, clinical leadership, and healthcare transformation to Curana Health. Starting his medical career as a hospitalist and nephrologist in Southern California, Dr. Chao has held various leadership positions (including medical director and chief medical officer) within numerous healthcare organizations (including HealthCare Partners). Before coming to Curana, he served as chief executive officer of Optum Health’s western region, where he oversaw operations and care delivery across nine states. Dr. Chao’s expertise spans a range of healthcare models, from fee-for-service to value-based care across Medicare, Medicaid, and commercial plans. His broad experience has honed his ability to lead both clinical and operational teams through the complexities of healthcare delivery models, and his professional insights are shaped not only by his clinical expertise, but also by personal experience (having witnessed firsthand the challenges his elderly parents faced in navigating the American healthcare system). At Curana Health, Dr. Chao leads efforts to empower the organization’s healthcare providers, optimize care delivery, and ensure clinicians have the tools and support needed to achieve exceptional outcomes for patients and operator partners alike.