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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
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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)

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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
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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

Affiliations

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.
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Shubing Cai, Ph.D.
Dr. Cai and Dr. Mor are with the Department of Community Health, Brown University, Providence, Rhode Island.
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David C. Grabowski, Ph.D.
Dr. Grabowski is with the Department of Health Care Policy, Harvard University, Boston.
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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.
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Vincent Mor, Ph.D.
Dr. Cai and Dr. Mor are with the Department of Community Health, Brown University, Providence, Rhode Island.
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