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Characteristics and Care of U.S. Nursing Home Residents with a History of Chronic Mental Illness

Published online by Cambridge University Press:  29 November 2010

Charles D. Phillips  and
Kathleen M. Spry
Charles D. Phillips
Affiliation:
Texas A & M University
Kathleen M. Spry
Affiliation:
Health Data Management Solutions, Inc.
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Abstract

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Little research has focussed on nursing home residents with a history including a non-dementia related chronic mental illness (HCMI) that manifested before placement in a nursing home. Data from the 1993 Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) on over 70,000 residents in Kansas, Maine, Mississippi, and South Dakota were used to investigate differences in characteristics and care between these residents and more traditional residents. HCMI residents were more likely to be under 65 years of age, male, Medicaid recipients, less functionally impaired, to exhibit higher levels of problem behaviours, and to receive psychoactive medications and psychological therapy, though therapy prevalence rates were low. These data may indicate that appropriate care for HCMI residents is a concern.

Résumé

RÉSUMÉ

Très peu de recherches ont été effectuées sur les pensionnaires des maisons de soins ayant manifestés des troubles mentaux chroniques sans démence avant leur entrée en institution. Les données du Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) de 1993 ont été utilisées pouranalyser les différences dans les caractéristiques et les soins se rapportant à ce type de pensionnaires par rapport aux autres pensionnaires. Cette enquête portait sur 70 000 pensionnaires du Kansas, du Maine, du Mississippi et du Dakota du Sud. Les caractéristiques des pensionnaires qui éprouvaient ce type de troubles mentaux chroniques étaient plus fréquemment les suivantes: sexe masculin, 65 ans et plus, bénéficiaires de Medicaid, moins médicalement inaptes et niveau plus élevé de problèmes de comportements. Ces pensionnaires reçoivent aussi davantage de médicaments psychotropes et suivant une thérapie, la prévalence de la thérapie étant cependant moins éleveé. Les informations recueillies pourraient laisser croire que les soins accordés à ces pensionnaires ne sont pas des plus appropriés.

Keywords

Mental IllnessNursing Home ResidentsMDSTroubles mentauxpensionnaires des maisons de soinsMDS
Type
Research Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 19 , supplement S2 , Fall/Automne 2000 , pp. 1 - 17
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Canadian Association on Gerontology 2000

Footnotes

*

The authors would like to gratefully acknowledge the assistance of Cameron Camp, Brant Fries, Vincent Mor, John Morris, Juesta Caddell, and Catherine Hawes with earlier work on this issue. This research was supported by Grant No. 17-C-90428/5 from the Health Care Financing Administration of the U.S. Department of Health and Human Services. The data used in the paper were provided by the Health Care Financing Administration's Nursing Home Case-Mix and Quality Demonstration. However, the views expressed herein are solely the responsibility of the authors.

1

Health Policy and Management, School of Rural Public Health, TAMU System Health Science Center, 260 Centeq Building, College Station, TX 77843-1266, (philhpscd@medicine.tamu.edu)

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