Mental Health Services for Seniors
- Depression and anxiety support
- Psychiatric consultation coordination
- CBT-adapted strategies
- Medication management coordination

The most common chronic conditions among Harbor View residents are: late-stage congestive heart failure, COPD requiring oxygen, type-2 diabetes with insulin management, post-stroke recovery, advanced osteoarthritis affecting mobility, and Parkinson's disease. We coordinate care for all of these inside the small-home setting where six residents and 24/7 caregivers know each person's medication schedule, dietary restrictions, and warning signs.
Day-to-day chronic-conditions care in Tacoma at Harbor View means: medication oversight by a licensed CNA (Julia, 15+ years), vital-sign tracking on a schedule appropriate to the condition (e.g., daily weights for CHF residents, blood-glucose checks for diabetics), diet adapted to the condition (low-sodium for cardiac, carb-controlled for diabetic, soft for swallowing issues), and direct coordination with the resident's primary-care physician at MultiCare, CHI Franciscan, or a private Tacoma practice.
We coordinate visiting home-health nursing for skilled tasks beyond a CNA's scope — wound care, IV therapy, complex respiratory support, hospice. The advantage families tell us about is consistency: the same caregivers see your loved one every shift, so a small change (mild shortness of breath, slight weight gain) gets noticed before it becomes a hospitalization. Call to talk through a specific condition.

How do you communicate health changes to the resident's doctor?
Can you manage insulin-dependent diabetes?
Compare broader care categories and focused support services that families often review together.