Mental health service use and cost of care for older adults in assisted living facilities: Implications for public policy

Becker, Mary; Stiles, Paul G.; Schonfeld, Lawrence

doi:10.1007/bf02287836

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…Becker et al 16 analyzed 1 year of Medicaid claims and compared the patterns and costs of mental health services of low-income adults residing in assisted living facilities (ALFs) versus other Medicaid recipients not residing in ALFs. The 1296 adults over age 65 years averaged $4635 per year for Medicaid-funded mental health services compared to $1856 for older users not in ALFs.…”

Section: Discussionmentioning

confidence: 99%

Postdischarge Treatment Costs Following Closure of a State Geropsychiatric Ward

Dennis¹,

Hendryx²,

Henriksen³

et al. 2006

Prim. Care Companion CNS Disord.

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Costs of community care were significantly lower than hospital care. Quality of life for patients in the community settings versus the hospital was not assessed. The ECS program was able to maintain high-risk geropsychiatric patients in the community comparably to less severely ill patients at less than hospital costs. Recommendations are provided for ways to establish community treatment programs for deinstitutionalized elderly patients with serious mental illness.

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Section: Discussionmentioning

confidence: 99%

Postdischarge Treatment Costs Following Closure of a State Geropsychiatric Ward

Dennis¹,

Hendryx²,

Henriksen³

et al. 2006

Prim. Care Companion CNS Disord.

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“…It has long been known that mental health problems are rife in LTC settings. Between 25% and 50% of assisted living facility residents carry a psychiatric diagnosis (Becker, Stiles, & Schonfeld, 2002; Rosenblatt et al, 2004). As many as 25% of nursing home residents suffer from major depression and as many as 82% report depressive symptoms (Seitz, Purandare, & Conn, 2010).…”

Section: Need For Guidelinesmentioning

confidence: 99%

Psychologists in Long-Term Care (PLTC) Guidelines for Psychological and Behavioral Health Services in Long-Term Care Settings.

Molinari¹,

Edelstein²,

Gibson³

et al. 2021

Professional Psychology: Research and Practice

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To address concerns about limited training of psychologists working in long-term care (LTC) facilities, the Psychologists in Long-Term Care (PLTC) organization published Standards for Psychological Services in Long-Term Care Facilities (Lichtenberg et al., 1998). The expanding evidence base for knowledge and skills, the increasing diversity of LTC residents, and the complexity of presenting problems have compounded the guidance psychologists need when providing services in this setting. In this article, the PLTC Guidelines Revision Task Force presents PLTC guidelines based on the original prescriptive PLTC Standards. The content of the PLTC Standards was updated and the format changed from prescriptive standards to aspirational guidelines. We begin with general guidelines regarding knowledge and skills in LTC (education and training. understanding of LTC systems. end-of-life care), followed by specific guidelines covering the basic psychological service activities in LTC (referral, assessment, treatment, ethical issues, and advocacy). The PLTC Guidelines are designed to provide direction for psychologists who work, or plan to work, in LTC and to guide continuing education pursuits. Public Significance StatementIt has been 25 years since the publication of the PLTC Standards of Practice for Psychologists in Long-Term Care. The composition of the long-term care (LTC) population has changed, and the need for aspirational guidelines for psychologists to enter the LTC field has grown in increasing importance. The authors hope that these guidelines will serve as a guide to training needs and optimal mental health practice in LTC settings.

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“…Furthermore, some experts claim that there is increasing demand for assisted living in the market (Zimmerman, 2000;Becker et al, 2002). In spite of such positive claims, however, the term assisted living has been said to be ''ambiguous, confusing and controversial'' (Schwarz, 1999, p. 190), and difficult to define (Kane and Wilson, 1993;Mollica et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Relationship between Familiarity, Attitudes and Preferences: Assisted Living Facilities as Compared to Nursing Homes

İmamoğlu

2006

Soc Indic Res

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ABSTRACT. In this paper, the authors aim to (a) explore attitudes toward and preferences for living in the newly emerging place type of assisted living facilities in comparison to nursing homes, and (b) assess the possible impact of familiarity on those attitudes and preferences. Ninety-eight respondents (with a mean age of 62) were surveyed. Respondents were found to be more favorable toward assisted living facilities than nursing homes. A three-factor model was proposed in which attitudes mediated between familiarity and preferences. Increased familiarity seemed to predict enhanced favorable attitudes in the case of assisted living facilities, as opposed to unfavorable attitudes in the case of nursing homes. However, positive attitudes seemed to predict preferences for living in either place type. Results are discussed with regards to the literature on the mere exposure effect and long-term care for older adults.

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Mental health service use and cost of care for older adults in assisted living facilities: Implications for public policy

Cited by 9 publications

References 11 publications

Postdischarge Treatment Costs Following Closure of a State Geropsychiatric Ward

Postdischarge Treatment Costs Following Closure of a State Geropsychiatric Ward

Psychologists in Long-Term Care (PLTC) Guidelines for Psychological and Behavioral Health Services in Long-Term Care Settings.

Relationship between Familiarity, Attitudes and Preferences: Assisted Living Facilities as Compared to Nursing Homes

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