there is a very high prevalence of mental health disorders in long-term care institutions, such as nursing homes. Psychologists presence in these settings has greatly increased in the past decade. psychologists work with facility staff to more effectively manage resident behavioral problems, such as aggression and wandering and to improve quality of life for both staff and residents. Psychologists work with individuals and with groups of residents to help them better adjust to life in long-term care, medical problems,depression, anxiety, and the loss cognitive abilities.