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Key Personnel:
Victor Molinari, Ph.D.
Soyeon Cho, Ph.D.
David Chiriboga, Ph.D.
Kristen Turner, M.S.
Jing Guo, M.S.


Factors and Outcomes Associated with the Provision of Mental Health Services in Nursing Homes


Publication Date: 6/1/2008

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Description:

Mental health needs and mental health services provided to nursing home (NH) residents have been a topic of some controversy for the past few years. This study focused on mental health diagnoses and services provided to newly admitted NH residents, and on the implications of service provision for short and long-term costs. Specifically, the study addressed 5 research questions:

  • 1. How much mental health care is received by Florida NH residents with psychiatric diagnoses?
    • How many, and what percentage of, new NH residents without a prior psychiatric diagnosis receive a psychiatric diagnosis and treatment within 3 months of admission?
    • How many, and what percentage of, new NH residents with chronic psychiatric symptoms before admission do not receive mental health services?
    • To what extent are there changes in psychiatric diagnoses in the year before admission compared with the year postadmission?
  • What sociodemographic and institutional factors are associated with receipt of mental health care?
  • Does the provision of mental health services in Florida NHs improve mental and physical outcomes?
  • Does the provision of mental health services in Florida NHs reduce overall health care utilization and expenditures?
  • Of those NH patients currently receiving mental health services:
    • How many (and what percentage) are provided in the NH setting?
    • How many (and what percentage) are provided outside of the NH setting?