Full access
Brief Reports
Published Online: September 2011

Medical Comorbidity and Functional Status Among Adults With Major Mental Illness Newly Admitted to Nursing Homes

Kelly A. Aschbrenner, Ph.D. [email protected], Shubing Cai, Ph.D., David C. Grabowski, Ph.D., Stephen J. Bartels, M.S., M.D. [email protected], and Vincent Mor, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 9
https://doi.org/10.1176/ps.62.9.pss6209_1098
Track CitationsAdd to favorites
PDF/EPUBFormats

Abstract

Objective:

This study compared comorbid conditions and functional status among elderly and nonelderly individuals with mental illness who were newly admitted to nursing homes (N=286,411).

Methods:

Data were drawn from the Centers for Medicare & Medicaid Services national registry of nursing home residents from the Minimum Data Set in 2008.

Results:

Among newly admitted individuals with schizophrenia, those younger than 65 accounted for a majority (60.3%) of admissions and had lower rates of medical illnesses and were more likely to be classified as low-care status than individuals who were 65 or older. Most (81%) new admissions with depression were 65 or older. Among all nonelderly admissions, individuals with depression had the highest rates of medical comorbidity.

Conclusions:

Many adults younger than 65 with schizophrenia who were newly admitted to nursing homes lacked clinical indications for skilled nursing care. In contrast, higher rates of medical conditions among nonelderly adults with depression underscored the need for integrated psychiatric and medical care in nursing homes. (Psychiatric Services 62:1098–1100, 2011)

Formats available

You can view the full content in the following formats:

View PDF/EPUBView Full Text

Figures and Tables

Table 1 Demographic characteristics, comorbid conditions, and functional status of persons with major mental illness who were newly admitted to nursing homes in 2008, by psychiatric diagnosis

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Cover: Approaching Thunder Storm, by Martin Johnson Heade, 1859. Oil on canvas, 28 × 44 inches. Gift of Erving Wolf Foundation and Mr. and Mrs. Erving Wolf, 1975. The Metropolitan Museum of Art, New York. Image © The Metropolitan Museum of Art/Art Resource, New York.
Psychiatric Services
Volume 62 • Number 9 • September 2011
Pages: 1098 - 1100
PubMed: 21885592

History

Published in print: September 2011
Published online: 14 January 2015

Authors

Details

Kelly A. Aschbrenner, Ph.D. [email protected]
Dr. Aschbrenner and Dr. Bartels are affiliated with the Department of Psychiatry and the Center for Aging Research, Dartmouth Medical School, 46 Centerra Parkway, Box 301, Lebanon, NH 03766 (e-mail: [email protected]), where Dr. Bartels is also with the Department of Community and Family Medicine.
View all articles by this author
Shubing Cai, Ph.D.
Dr. Cai and Dr. Mor are with the Department of Community Health, Brown University, Providence, Rhode Island.
View all articles by this author
David C. Grabowski, Ph.D.
Dr. Grabowski is with the Department of Health Care Policy, Harvard University, Boston.
View all articles by this author
Stephen J. Bartels, M.S., M.D. [email protected]
Dr. Aschbrenner and Dr. Bartels are affiliated with the Department of Psychiatry and the Center for Aging Research, Dartmouth Medical School, 46 Centerra Parkway, Box 301, Lebanon, NH 03766 (e-mail: [email protected]), where Dr. Bartels is also with the Department of Community and Family Medicine.
View all articles by this author
Vincent Mor, Ph.D.
Dr. Cai and Dr. Mor are with the Department of Community Health, Brown University, Providence, Rhode Island.
View all articles by this author

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard
Tips for downloading citations

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Item saved, go to cart
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share

×

As described within the American Psychiatric Association (APA)'s Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences. Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.