Let’s be honest, when it comes to mental health in long-term care, there’s no magic pill.
Sure, psychotropic medications have their place, but overprescribing is a slippery slope. Residents deserve more than a quick fix; they deserve care that sees the whole person, not just the prescription pad.

The High Cost of Overprescribing
You know what? The numbers are sobering. According to the latest SCPC survey, more than half of LTC pharmacies are being squeezed so hard by Medicare Part D price negotiations that they’re cutting services, reducing staff, and even closing doors. What happens when pharmacy teams are stretched thin? The risk of overreliance on psychotropics shoots up. It’s easier, on paper, to medicate a resident than to invest time in behavioral interventions or person-centered care. But that shortcut comes with a price: dulled personalities, increased fall risk, and a diminished quality of life.
And CMS has noticed. Their 2025 guidance is clear: facilities must prevent unnecessary use of psychotropic medications, use the least restrictive alternative, and provide ongoing re-evaluation. Surveyors are now instructed to scrutinize every script, every diagnosis, and every care plan. If your medical director can’t justify that antipsychotic, expect questions, and maybe citations.
Staff Training: The Real Game Changer
Let me explain. Medications alone won’t cut it. Skilled Care Pharmacy has always believed that real change starts with people. Our pharmacist-led training programs go beyond the basics, teaching staff how to spot underlying causes of distress, use non-drug interventions, and document every step to meet CMS’s ever-evolving standards.
- Behavioral Interventions: Staff learn how to de-escalate, redirect, and comfort without reaching for the med cart.
- Documentation: We help your team keep care plans current, log every intervention, and ensure that every “as needed” psychotropic is properly reviewed and justified.
- Family Communication: We encourage open conversations with families about medication risks, alternatives, and goals of care.
It’s not just about passing audits, though that matters. It’s about giving residents a voice in their own care and restoring dignity to every day.
Cost Containment, Without Compromising Care
Here’s the thing: our competitors love to tout KPIs, how fast they deliver, how often they fix errors. But Skilled Care Pharmacy? We’d rather do it right the first time. Our cost-focused approach means fewer unnecessary meds, smarter therapy choices, and industry-leading pricing that helps facilities weather the storm of shrinking margins.
We’re not just saving dollars, we’re protecting quality of life. And when CMS comes calling, you’ll be ready, with documentation that’s tight and a care model that puts residents first.
The Takeaway: More Than Medication
Honestly, mental health care in LTC is about more than what’s in the pill bottle. It’s about relationships, training, and a willingness to look beyond the easy answer. With Skilled Care Pharmacy, you get a partner who believes in medicine reduction, cost containment, and doing things right, right from the start.
Ready to make holistic mental health care your new standard? Get a quote from Skilled Care Pharmacy and see how we help you move beyond the pill, one resident at a time.


