Preventing Emotional “Fires” Before They Start

Thanks to your support, Behavioral Support Specialist Nina (and her ten-pound sidekick, Stevie Lix) help Residents at Macdonald Residence find stability and calm long before crisis hits. From easing transitions out of houselessness to supporting folks living with trauma, mental health, or substance use challenges, Nina’s work helps make Macdonald Residence more than an assisted living facility—it’s a place where belonging can grow.

A white presenting woman with dark glasses and buzz-cut hair sits holding a small dog and looking admiringly at the dog who is resting on one of her legs while their front paws are on her chest, their closes almost face to face

When Nina McPherson (she/they) walks into Macdonald Residence, our 54-unit assisted living facility, she knows no day will ever be exactly the same—and that’s one reason she loves her job. As a Behavioral Support Specialist, she can be called at a moment’s notice to de-escalate conflicts and support Residents in emotional distress.

An elderly white presenting woman with glasses in a red and white striped shirt sits in a mobility chair holding a paper cup, she is smiling and turning her face towards the camera
Macdonald Resident Anne smiles as she samples the new tea of the week during Monday’s Teatime with Nina—one of several groups Nina leads to build relationships with Residents in our assisted living.

But in a building where emotions can run high, Nina’s focus is less about “putting out fires” and more about keeping sparks from catching in the first place. By building consistent relationships and being aware of how each Resident is doing physically, emotionally, and psychologically, she can spot early signs of stress and help Residents navigate challenges before they become crises.

“The goal,” Nina shares, “is to keep people safe, healthy, happy, and well. And to do that, you have to really know them.”

It’s the quiet, steady work to build relationships with Residents that prevents escalation. Nina does this one-on-one, but also by leading groups such as Seeking Safety, a program addressing co-occurring substance use and PTSD, and a lighter-hearted gathering, Teatime with Nina where connection itself becomes prevention.

It’s these relationships and attention to small details that can really make a meaningful impact. For example, during a regular one-on-one check-in, a Resident explained he wasn’t joining group activities, not because he didn’t want to, but because he couldn’t read the printed calendar. The fix was small but transformative. Staff began sharing the day’s schedule verbally, and the Resident started engaging more. His mood improved, his substance use decreased, and his overall quality of life grew dramatically.

Cascadia Health logo
Nina built a vital partnership with Cascadia Behavioral Health, and now Macdonald Residents receive regular on-site support from counselors, a skills trainer, and a peer specialist— ensuring mental health care right where they live.

Moments like this show how prevention happens in real time through compassion, awareness, and small, intentional adjustments.

“It can be challenging,” Nina admits, “but it’s worth it. I love that we provide quality of life to people who likely wouldn’t have it otherwise.”

After three years, Nina sees clearly how this proactive, person-centered care makes a difference—not just for individual Residents, but for the whole community.

“Macdonald Residence is doing good work. It’s important work,” affirms Nina. “It’s necessary work for people to have a quality of life, and there needs to be more places like this.”

-Nina McPherson, Behavioral Support Specialist

Small light-colored (yellow, red, white colored fur) dog sits inside a dog carrier, she has one paw on the edge of the carrier close to the camera and the rest of her body is facing to the left, with her mouse open and tongue out Small light-colored (yellow, red, white colored fur) dog sits inside a dog carrier, looking to the side with her ears pulled back Small light-colored (yellow, red, white colored fur) dog stands inside a dog carrier, with front paws resting on the edge, looking at eye level with the camera

Stevie Lix, the ten-pound Pomeranian-Chihuahua, is a valued member of the Behavioral Health Support Team. Her pup-ortunities to shine come often. “When someone’s really dysregulated and upset, I’ll bring Stevie out,” says Nina. “She calms their nervous system and helps them connect. She works hard—she actually needs a raise.”

Recent News & Press