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Our Mission & Vision

Mission: A better quality of life for seniors, our staff and others
Vision: To be the leaders in mental healthcare of seniors

About Us

Senior PsychCare (SPC) was founded by Dr. Leo Borrell, who has been a leader in innovative care for stress and age-related problems, both locally in Houston, Texas and nationally. He founded West Oaks Hospital in the 1970's and Stafford Meadows Substance Abuse Treatment Center in the 1980's. He believes the advances in mental healthcare can be of substantial benefit to the number of aging "baby boomers".

Early diagnosis, treatment, family, social support and understanding can prevent, control, minimize and reverse the number of medical, mental and adjustment problems that arise in elderly persons, resulting in disturbed behavior or deterioration. As a physician and specialized psychiatrist, Dr. Borrell has collaborated throughout his career with hospital staff, families and primary care physicians.

He has made a significant contribution to the community through his teaching and learning through his involvement at the University of Texas Medical School and Baylor College of Medicine. In his practice, he has always collaborated with primary care physicians and specialists.

SPC is complimented and enhanced by the broad range of experience and expert mental health knowledge available in geriatric psychiatry of our staff and resources. Therefore, it is our intent and pledge to make available the state-of-the-art in science and psychiatry to senior's families and caregivers. We will provide compassionate service, care and treatment for the elderly's emotional, social and physical well-being. Senior Psychiatric Connection has experience in psychiatric care in nursing homes and assisted living, as well as in diverse outpatient and hospital settings.

SPC provides evaluations, psychiatric management and mental health services independently, as well as in collaboration with, other mental health programs and professionals. This arrangement provides the opportunity to work with other groups who provide mental health services and primary care, as well as opportunity for integration and collaboration when the nursing staff or family sees the need for more collaboration or increased intensity of comprehensive services. This flexibility avoids the fragmentation that often occurs when the professionals are solo practitioners who lack the resources of a comprehensive team of medical health specialists.

Geriatric psychiatric services
Our Inpatient Geriatric Program is a short, acute treatment program configured to handle an all-encompassing array of psychiatric disarrays that involve hospitalization. This extremely specialized program allows for acute care to gero-psychiatric patients with psychiatric symptoms frequently in the context of concurrent medical disorders. From this program, geriatric patients may be referred to the General Adult Intensive Outpatient Program.

The eight-bed plan treats patients age sixty-five and older who are in need of an intense and secure setting. The Geriatric Service likewise assists patients between the ages of 55 and 65 who have dementia or when there's a patient or referrer request. A thorough psychiatric appraisal and broad treatment program includes crisis intervention, family consultation and rehabilitative intervention as the core modes.

The Gero-Psychiatric team is extremely adept at completing well-rounded appraisals and intervening in highly intricate cases affecting an interplay of medical, psychiatric, functional and psychosocial subjects. The Geriatric Program services patients with a diversity of psychiatric diagnoses and compound biopsychosocial problems. The most typically addressed diagnoses include dementia, psychosis and mood disorders. The most commonly treated functional problems include afflicted activities of day-to-day living, cognitive disorganisation and turbulent demeanors.

Clinical services might include:
Comprehensive and multidisciplinary biopsychosocial valuation
Psychopharmacologic evaluation and direction
Mental and brief neuropsychological appraisal
Safety and self-sufficient living skills evaluation
Stabilization of the patient's intense psychiatric considerations
Crisis-oriented family therapy and psychoeducation; caregiver support
Psychosocial rehabilitation/recreational therapy
Occupational therapy
Electro-Convulsive Therapy (ECT) when suggested
Discharge preparation
Case management and collaboration with medicine, neurology, outpatient clinicians and additional community authorities to (1) facilitate a unified approach, (2) build well-rounded transition plans and (3) advance the patient's optimum functioning
Consultation to nursing homes for patients hospitalized

Characteristic conditions and usual problems encountered in the elderly

Cognitive disorders
Greater preponderance of mild cognitive disorder
Higher prevalence of dementing illness. The prevalence for dementia in the aged deviates from 10 percent to 60 percent
Greater incidence of mental and behavioral problems in dementia including apathy, irritability, wandering, shouting and sexually unsuitable conduct. The incidence varies from 40 percent to 90 percent.

Mood troubles
Major depression and anxiety disorders are common in the elderly and they're highly probable to come about with additional medical and psychiatric conditions.

Psychiatric conditions attributable to a generalised medical consideration
Greater preponderance of delirium, mood disarrays, anxiety disorders and psychotic disorders owing to a common medical condition in the elderly.

Around 25 percent of the overall amount of suicides are among the elderly, in spite of the fact that the elderly account for just about 16 - 17 percent of the overall population.

Danger of drug interactions is a great deal higher in the elderly. The incidences of harmful drug reactions are likewise higher in the elderly.

The incidence of maltreatment, particularly negligence, is greater in the elderly.

Preponderance of issues affiliated with bereavement is a great deal higher in the elderly.

A deficiency of capability to arrive at decisions concerning life situations is higher among the elderly.



“Under the care of Leo J. Borrell, M.D. since December 2001, I have seen a remarkable improvement in my mother’s condition. She is responding dramatically to the new regiment Dr. Borrell has prescribed.”

- Beth Rose


"We see that quality in the services provided by Senior PsychCare. Our staff has seen positive changes in our residents receiving counseling from Senior PsychCare social workers, nurse practitioners, and psychiatrists."

- Laurice Alvarado, BSW


"Senior Psychcare of San Antonio has been a benefit to our nursing home. They have a knowledgeable staff that serves our elderly well. I would highly recommend their services to any nursing home. They offer support, not only to residents, but to their families as well."

- Rosella Espinoza, LBSW