“…Although the vast majority of older adults live independently in the community, those with the most severe forms of physical and mental health problems (most notably some form of dementia or other chronic mental disorder like schizophrenia) cannot effectively or safely live at home or at other supportive environments (like a congregate living facility) and thus are placed in nursing homes designed to meet their serious care needs. Working with older adults in these settings requires specialized training, knowledge, competencies, and skills (Hyer & Intrieri, 2006;Molinari, 2000;Norris, Molinari, & Ogland-Hand, 2002;Rosowsky, Casciani, & Arnold, 2009). Clinical work in LTC settings is especially challenging because clients are often affected by a multitude of impeding factors, including financial, medical, social, cognitive, and psychiatric issues.…”