Review: Quality of Mental Health Care for Nursing Home Residents: A Literature Review
- 11 March 2010
- journal article
- review article
- Published by SAGE Publications in Medical Care Research and Review
- Vol. 67 (6), 627-656
- https://doi.org/10.1177/1077558710362538
Abstract
Because of the high proportion of nursing home residents with a mental illness other than dementia, the quality of mental health care in nursing homes is a major clinical and policy issue. The authors apply Donabedian’s framework for assessing quality of care based on the triad of structure, process, and outcome-based measures in reviewing the literature on the quality of mental health care in nursing homes. Quality measures used within the literature include mental health consultations and hospitalizations, inappropriate use of medications, and mental health survey deficiencies. Factors related to the resident’s welfare (nurse staffing), provider norms (locality), and financial factors (payer mix) were associated with the quality of mental health care. Although future research is necessary, the extant literature suggests that persons with mental illness are frequently admitted to nursing homes and their care is often of poor quality and related to a series of resident and facility factors.Keywords
This publication has 99 references indexed in Scilit:
- Antipsychotic and Benzodiazepine Use Among Nursing Home Residents: Findings From the 2004 National Nursing Home SurveyAmerican Journal of Geriatric Psychiatry, 2010
- Increased Risk of Nursing Home Admission Among Middle Aged and Older Adults With SchizophreniaAmerican Journal of Geriatric Psychiatry, 2009
- Trends in Mental Health Admissions to Nursing Homes, 1999–2005Psychiatric Services, 2009
- Mental Illness In Nursing Homes: Variations Across StatesHealth Affairs, 2009
- The association of individual and facility characteristics with psychiatric hospitalization among nursing home residentsInternational Journal of Geriatric Psychiatry, 2009
- Does the Presence of a Dementia Special Care Unit Improve Nursing Home Quality?Journal of Aging and Health, 2008
- Depressive symptoms and suicidal ideation among older adults receiving home delivered mealsInternational Journal of Geriatric Psychiatry, 2008
- Prevalence and Treatment of Diagnosed Depression among Elderly Nursing Home Residents in OhioJournal of the American Medical Directors Association, 2007
- Impact of Medicaid Reimbursement on Mental Health Quality IndicatorsHealth Services Research, 2007
- Dementia in United States nursing homes: Descriptive epidemiology and implications for long-term residential careAging & Mental Health, 1998