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Long Term Care

At Bespoke Psychiatry, we are dedicated to providing unparalleled care in long term care facilities through our close communication, extensive knowledge of psychotropic medications, and incorporation of technology into our practice.

Our services include a thorough initial assessment to help craft an individual plan for medication management, with the goal of safe and gradual dose reduction as needed. 

Medical professional and patient

Initial Assessment

Our psychiatrists perform comprehensive psychiatric evaluations. These assessments provide diagnostic clarification in accordance with CMS guidelines. We review medications for appropriate diagnosis and craft a plan customized to each individual patient’s needs.

Medication Management

Our practice has the highest standards of clinical practice ensuring compliance with regulations and guidelines. Our documentation is designed around both federal and state survey guidelines to ensure your facility excels in compliance.

Gradual Dose Reductions

Gradual dose reductions are evaluated and documented at each visit to ensure compliance and reduce citations and F-Tag’s. We address any pharmacy recommendations promptly to safeguard compliance.


Yes, Bespoke Psychiatry needs a caseload of 25 residents to partner with a long term care community.

Bespoke Psychiatry is a Medicare Part B billable service, is in network with many private insurance plans and also accepts Illinois Medicaid in long term care communities.

A small percentage of residents in long term care have charges for services that are not covered by insurance and coinsurance. We identified less than 2% of our residents who receive bills. The average out of pocket cost of a visit is $11-29. Bespoke Psychiatry does not submit unpaid bills to a collection agency nor will the ability to pay a bill interfere with a resident’s ability to continue to receive services.

Dementia and dementia related neurological conditions, mental illnesses such as schizophrenia, schizoaffective disorder, major depressive disorder, post traumatic stress disorder (PTSD), bipolar disorder, and other mental illnesses.

At least once per month. Depending on the caseload at the facility, providers may visit once per week.

Psychiatric assessments, medication monitoring and clinician on-call 24/7.

Yes, Bespoke Psychiatry respects a persons’ choice to take medications for the conditions they are managing. Bespoke Psychiatry is able to provide psychiatric assessment and see a resident of a long term care facility for monitoring of progression of their condition (such as dementia).

Not at this time.

Please contact our office either by phone at 773-248-2255 or via email to and if there is a consent to talk on file, we will have the provider contact you when they are available.

No, Bespoke Psychiatry is a specialty group that works with the clinical team at the long term care community and other providers at the community, along with the primary care provider to provide comprehensive care.

Please contact us via the contact form on this page or contact our office by phone at 773-247-2255 or via email to

Please contact us via the contact form on this page or contact our office by phone at 773-247-2255 or via email to