Elders with serious mental illness: Lost opportunities and new policy options

Journal of Aging and Social Policy

Volumn 21, Issue 2, 2009, Pages 144-158

  O'Connor, Darlene ^a   Little, Faith ^a   McManus, Richard ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

Author keywords

Federal policy; Long term care; Medicaid; Mental illness; Older adults

Indexed keywords

ELDERLY POPULATION; HEALTH CARE; HEALTH POLICY; HEALTH SERVICES; MENTAL HEALTH; POLICY ANALYSIS;

NORTH AMERICA; UNITED STATES;

AGED; ARTICLE; CHRONIC DISEASE; ECONOMICS; ELDERLY CARE; HEALTH CARE POLICY; HEALTH SERVICE; HOME CARE; HUMAN; INSURANCE; LEGAL ASPECT; MEDICAID; MENTAL DISEASE; MENTAL HEALTH SERVICE; MIDDLE AGED; UNITED STATES;

AGED; AGED, 80 AND OVER; CHRONIC DISEASE; COMMUNITY MENTAL HEALTH SERVICES; HEALTH POLICY; HEALTH SERVICES FOR THE AGED; HEALTH SERVICES NEEDS AND DEMAND; HOME CARE SERVICES; HUMANS; INSURANCE COVERAGE; MEDICAID; MENTAL DISORDERS; MIDDLE AGED; UNITED STATES;

EID: 66149157923     PISSN: 08959420     EISSN: 15450821     Source Type: Journal    
DOI: 10.1080/08959420902733090     Document Type: Article

References (35)

1. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
2. Balanced Budget Act of 1996, P.L. 104-315.
3. Bartels, S., Levine, K., & Shea, D. (1999). Community-based long-term care for older persons with severe and persistent mental illness in an era of managed care. Psychiatric Services, 50(9), 1189-1197.
4. Bartels, S., Miles, K., Dums, A., & Levine, K. (2003). Are nursing homes appropriate for older adults with severe mental illness? Conflicting consumer and clinician views and implications for the Olmstead Decision. Journal of the American Geriatrics Society, 51, 1571-1579.
5. BEM/DWS. (2007, June). Nursing home resident relocation program for persons with mental illness - Community opportunities and recovery (BEM/DWS Operations Memo No. 07-30). State of Wisconsin Department of Workforce Development. Madison, WI: Department of Health and Family Services.
6. Borson, S., Loebel, J., Kitchell, M., Domoto, S., & Hyde, T. (1997). Psychiatric assessment of nursing home residents under OBRA 87: Should PASARR be reformed? Journal of the American Geriatrics Society, 45(10), 1173-1182.
7. Burns, B., Wagner, R., Taube, J., Magaziner, J., Permutt, T., & Landerman, R. (1993). Mental health service use by the elderly in nursing homes. American Journal of Public Health, 83(3), 331-337.
8. Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. (2004). Community integration for older adults with mental illness: Overcoming barriers and seizing opportunities (DHHS Publication No. SMA 05-4018). Rockville, MD: Department of Health and Human Services.
9. Chafetz, L., White, M., Collins-Bride, G., Nickens, J., & Cooper, B. (2006). Predictors of physical functioning among adults with severe mental illness. Psychiatric Services, 57(2), 225-231.
10. Cohen, C. (2000). Directions for research and policy on schizophrenia and older adults: Summary of the GAP committee report. Psychiatric Services, 51(3), 299-302.
11. Comptroller General of the United States. (1977). Returning the mentally disabled to the community: Government needs to do more. Washington, DC: United States Department of Health, Education, and Welfare.
12. Deficit Reduction Act of 2005, Public Law 109-171.
13. Dembling, B., Chen, D., & Vachon, L. (1999). Life expectancy and causes of death in a population treated for serious mental illness. Psychiatric Services, 50(8), 1036-1042.
14. Frank, R., Goldman, H., & Hogan, M. (2003). Medicaid and mental health: Be careful what you ask for. Health Affairs, 22(1), 101-113.
15. Goldman, H., & Grob, G. (2006). Defining "mental illness" in mental health policy. Health Affairs, 25(3), 737-749.
16. He, W., Sengupta, M., Velkoff, V., & DeBarros, K. (2005). U.S. Census Bureau, current population reports, 65+ in the United States: 2005. Washington, DC: U.S. Government Printing Office.
17. Jones, D., Macias, C., Barreira, P., Fisher, W., Hargreaves, W., & Harding, C. (2004). Prevalence, severity and co-occurrence of chronic physical health problems of persons with serious mental illness. Psychiatric Services, 55(11), 1250-1257.
18. Judge David L. Bazelon Center for Mental Health Law. (1996). The impact of PASRR: Report on a survey of states' implementation of the Preadmission Screening and Annual Resident Review program to prevent inappropriate admission and retention of people with mental disabilities in nursing home. Washington, DC: Bazelon Center for Mental Health Law.
19. Linkins, K., Lucca, A., Housman, M., & Smith, S. (2006). Use of PASRR programs to assess serious mental illness and service access in nursing homes. Psychiatric Services, 57(3), 325-332.
20. Mechanic, D., & McAlpine, D. (2000). Use of nursing homes in the care of persons with severe mental illness: 1985 and 1995. Psychiatric Services, 51(3), 354-358.
21. National Center for Health Statistics, Centers for Disease Control. (2008). National Nursing Home Survey, Diagnoses, medications, and vaccinations, Table 33. Retrieved June 8, 2008, from http://www.cdc.gov/ nchs/data/nnhsd/Estimates/Estimates_Diagnoses_Tables.pdf#Table33
22. National Institute of Mental Health. (2003). Older adults: Depression and suicide facts. Retrieved July 17, 2008, from http://www.nimh.nih.gov/health/publications/ olderadults-depression-and-suicide-facts.shtml
23. Office of the Inspector General. (2007). Pre-admission screening and resident review for young nursing faculty residents with mental retardation. (DHHS Publication No. OEI-07-05-00230). Washington, DC: Office of the Inspector General.
24. Olmstead v. L.C., 527 U.S. 581 (1999).
25. Pre-Admission Screening and Resident Review, 42 CFR §483.100-138. (1992)
26. Pre-Admission Screening and Resident Review, 42 CFR §483.120(a)(i). (1992)
27. Pre-Admission Screening and Resident Review, 42 CFR §483.120((b). (1992)
28. Pre-Admission Screening and Resident Review, 42 CFR §483.134(b)(5). (1992)
29. Rubenstein, L., Pepper, B., Schlosberg, C., Sachat, M., Manes, J., & Carty, L. (1991). Changes in the nursing home preadmission screening and annual resident review process for older persons with mental disabilities. Issue Paper No. 1. Washington, DC: Mental Health Law Project.
30. Smith, G., Kennedy, C., Knipper, S., O'Brien, J., & O'Keefe, J. (2005). Using Medicaid to support working age adults with serious mental illness in the community: A handbook. (Contract No. HHS-100-97-0014 T022). Rockville, MD: RTI International.
31. Smith, G., O'Keefe, J., Carpenter, L., Doty, P., & Kennedy, G. (2000). Understanding Medicaid home and community services: A primer. Washington, DC: U.S. Department of Heath and Human Services, Office of the Assistant Secretary for Planning and Evaluation.
32. Social Security Act, §1905(a)(28)(B).
33. Toff, G., & Scallet, L. (1986). The mentally ill in nursing homes. Washington, DC: National Institute of Mental Health.
34. U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: U. S. Department of Health and Human Services.
35. U.S. Department of Health and Human Services. (2007). HHS approves Iowa as first to add home and community-based services to Medicaid state plan. Retrieved May 21, 2008, from http://www.hhs.gov/news/press/ 2007pres/04/20070405c.html