Mental health services for Alzheimer's disease: Current trends in reimbursement and public policy, and the future under managed care

American Journal of Geriatric Psychiatry

Volumn 6, Issue 2 SUPPL., 1998, Pages

  Bartels, Stephen J ^a   Colenda, Christopher C ^b  

^a DARTMOUTH PSYCHIATRIC RESEARCH CENTER   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ALZHEIMER DISEASE; MANAGED CARE; MEDICARE; MENTAL HEALTH SERVICE; POLICY; REIMBURSEMENT; REVIEW;

EID: 0031925235     PISSN: 10647481     EISSN: None     Source Type: Journal    
DOI: 10.1097/00019442-199821001-00011     Document Type: Article

References (49)

1. Cohen D, Cairl R: Mental health care policy in an aging society, in Mental Health Services: A Public Perspective, edited by Levin BL, Petrila J. New York, Oxford University Press, 1996
2. Alzheimer's Association: National Public Policy Program to Conquer Alzheimer's Disease. Chicago, Alzheimer's Association, 1996
3. Lake JT, Grossberg GT: Management of psychosis agitation and other behavioral problems in Alzheimer's diseases. Psychiatr Ann 1996; 26:274-279
4. Kamholz B, Gottlieb GL: The nature and efficacy of interventions for depression and dementia, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 37-62
5. Eisdorfer C: Families in distress: caring is more than loving. Psychiatr Ann 1996; 26:285-288
6. Mittleman MS, Ferris SH, Shulman E, et al: A family intervention to delay nursing home placement of patients with Alzheimer disease: a randomized controlled study. JAMA 1996; 276:1725-1731
7. Hall GR, Gerdner L, Zwygart-Stauffcher M, et al: Principles of non-pharmacological management: caring for people with Alzheimer's disease using a conceptual model. Psychiatr Ann 1995; 25:432-440
8. Paveza G, Cohen D: Treatment of mental health problems in the elderly, in Mental Health Services: A Public Health Perspective, edited by Levin BL, Petrila G. New York, Oxford University Press, 1996, pp 290-300
9. Rabins P, Blacker D, Bland W, et al: Practice guidelines for the treatment of patients with Alzheimer's disease and other dementias of late life. Am J Psychiatry 1997; 154(suppl):1-39
10. Burns BJ, Taube CA: Mental health care in general medical care and nursing homes, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 63-84
11. Gatz M, Smyer MA: The mental health system and older adults in the 1990s. Am Psychol 1992; 47:741-751
12. Emerson Lombardo NB: Barriers to mental health services for nursing home residents. Washington, DC, AARP Public Policy Institute, 1994
13. Emerson Lombardo NB, Fogel BS, Robinson GK, et al: Overcoming barriers to mental health care. Boston, HRCA Research and Training Institute, 1996
14. Koenig HG, George LK, Schneider R: Mental health care for older adults in the year 2020: a dangerous and avoided topic. Gerontologist 1994; 34:674-679
15. Knight BG, Kaskie B: Models of mental health delivery for older adults, in Emerging Issues in Mental Health and Aging, edited by Gatz M. Washington, DC, American Psychological Association, 1995, pp 231-255
16. Light E, Lebowitz BD, Bailey F: CMHCs and elderly services: an analysis of direct and indirect services and service delivery sites. Community Ment Health J 1986; 22:294-302
17. George LK: Community and home care for mentally ill older adults, in Handbook of Mental Health and Aging, edited by Birren J, Sloane RB, Cohen GD. San Diego, CA, Academic Press, 1992
18. Lebowitz BD, Light EL, Bailey F: Mental health services for the elderly: the impact of coordination with areas on aging. Gerontologist 1987; 22:699-702
19. Omnibus Budget Reconciliation Act of 1987: P. L. 100-203. Subtitle C. The nursing home reform act. 42 USC 1395i-3(a)-(h) (Medicare); 1396r (a)-(h) (Medicaid). Washington, DC, U.S. Government Printing Office, 1987
20. Omnibus Budget Reconciliation Act of 1989 reform: Annual Report to Congress. Washington, DC, U.S. Government Printing Office, 1989
21. Smyer MA, Shea DG, Streit A: The provision and use of mental health services in nursing homes: results from the National Medical Expenditure Survey. Am J Public Health 1994; 84:284-287
22. Lave JR, Goldman HH: Medicare financing for mental health care. Health Aff 1990; 9:19-30
23. Eny C, Pedulla J, Eleazer GP, et al: Program of allinclusive care for the elderly (PACE): an innovative model of integrating geriatric care and financing. J Am Geriatr Soc 1997; 45:223-232
24. Sharstein SS: Payment for services: a provider's perspective, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 97-100
25. Colenda C, Goldstein MZ, Pincus H, et al: Changing characteristics of psychiatrists who treat geriatric patients. Am J Geriatr Psychiatry 1995; 3:330-338
26. Gottlieb GL: Financial issues, in Comprehensive Review of Geriatric Psychiatry, 2nd Edition, edited by SadavoyJ, Lazarus LW, Jarvik LF. Washington, DC, American Psychiatric Press, 1996b, pp 1065-1089
27. Goldman HH, Cohen G, Davis M: Changes in Medicare outpatient coverage for Alzheimer's disease and related disorders. Hosp Comm Psychiatry 1985; 36:939-942
28. President's Commission on Mental Health: Report to the President. Washington, DC, U.S. Government Printing Office, 1987
29. Goldman HH, Frank R G: Division of responsibility among payers, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 85-95
30. Sherman J: Medicare's mental health benefits: coverage utilization and expenditures. Washington, DC, AARP Public Policy Institute, 1992
31. Culhane DP, Culhane JF: The elderly's underutilization of partial hospitalization for mental disorders and the history of Medicare reimbursement policies. J Geriatr Psychiatry 1993; 26:95-112
32. Office of the Inspector General: Mental health services in nursing facilities. U.S. Department of Health and Human Services. OEI-02-91-00860. Washington, DC, U.S. Government Printing Office, 1996
33. Wagner B: Innovations in the geriatric continuum of care. Continuum 1994; 1:51-58
34. Mace NL, Emerson Lombardo NB: Mental health care in the nursing home: a review of public policy. Boston, HRCA Research and Training Institute, 1992
35. Folkemer D: State use of home and communitybased sen-ices for the aged under Medicaid: waiver programs personal care frail elderly services and home health services. Washington, DC, AARP Public Policy Institute, 1994
36. Gottlieb GL: Keynote address: coalition on mental health and aging report: forum on managed care mental health and aging, in Coalition of Mental Health and Aging, edited by Gallagher RM, Rosen A. Washington, DC, Coalition on Mental Health and Aging, 1996a
37. Eisdorfer C: Managed care and mental health services. Presentation at the annual meeting of the American Society on Aging, Atlanta, GA, 1995
38. Wetle T, Mark H: Managed care, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 221-238
39. Physician Payment Review Commission, Chapter 3: Revising the Method for Determining Medicare Capitated Payments Annual Report to Congress 1997. Washington, DC, 1997, pp 53-75
40. UCFA (Health Care Financing Administration): Medicare managed care: Medicare beneficiaries can enroll in health maintenance organizations and other managed care plans: Publication No. HCFA 02195. Washington, DC, U.S. Department of Health and Human Services. Revised April 1996
41. Robinson GK: The psychiatric component of longterm care, in Mental Health Policy for Older Americans: Protecting Minds at Risk, edited by Fogel B, Furino A, Gottlieb G. Washington, DC, American Psychiatric Press, 1990, pp 157-178
42. Physician Payment Review Commission, Chapter 5: Promoting Access to Care for Vulnerable Populations in Medicare Managed Care. Annual Report to Congress 1997: Washington, DC, 1997, pp 103-127
43. Mechanic D: Integrating mental health care into a general health care system. Hosp Comm Psychiatry 1994; 45:893-897
44. Griss R: Coalition on mental health and aging report: forum on managed care mental health and aging, in Coalition of Mental Health and Aging, edited by Gallagher RM, Rosen A. Washington, DC, Coalition on Mental Health and Aging, 1996a
45. Eddy DM: Clinical Decision Making from Theory to Practice. Boston, Jones and Bartlett Publishers, 1996
46. Sharfstein SS, Goldman H: Financing the medical management of mental disorders. Am J Psychiatry 1989; 146:345-349
47. Emerson Lombardo NB, Belleville-Taylor P, Fogel BS, et al: Mental health service for nursing home residents. Boston, HRCA Research and Training Institute, 1991
48. National Association for Home Care: Basic Statistics About Home Care. Washington, DC, NAHC, 1996
49. Graves N, Bectel R: Across the states 1996: profiles of long term care systems. Washington, DC, AARP Public Policy Institute, 1996