Evidence-Based Geriatric Psychiatry: An Overview

Successful Strategies for Discharging Medicaid Nursing Home Residents With Mental Health Diagnoses to the Community

“…As a result, many policy efforts have emerged to support discharge from NHs to community-based settings. In addition, the prevalence of mental health diagnoses for individuals in NHs is higher than in community-based settings, with estimates as high as 58 to 68 percent (Kerber, Dyck, Culp, & Buckwalter, 2005;Mechanic & McAlpine, 2000; U.S. Department of Health and Human Services, 1999), and the number of NH residents with mental health diagnoses continues to rise (Bartels & Drake, 2005).…”

Psychosocial Rehabilitation in Older Adults with Serious Mental Illness: A Review of the Research Literature and Recommendations for Development of Rehabilitative Approaches

“…Despite the development and evaluation of several promising psychosocial interventions for older adults with SMI (Bartels & Drake, 2005;Van Citters et al, 2005), several factors may limit their dissemination in usual practice settings. For instance, barriers to implementation include limited funding for public mental health services, lack of providers with geriatric expertise, and provider resistance to change (Administration on Aging, 2001; Bartels, 2003).…”

Review: Quality of Mental Health Care for Nursing Home Residents: A Literature Review

“…It is estimated that the number of elderly persons in psychiatric hospitals decreased by about 40% during that period, while the mentally ill in nursing homes increased by more than 100% (Institute of Medicine, 1986). Even states that developed comprehensive community mental health services were often ill equipped to provide community-based alternative placements for persons who had lived for many years in state-run psychiatric facilities (Bartels & Drake, 2005). Thus, nursing homes became the de facto destination for individuals with mental illness.…”