Predictors of Physical Functioning Among Adults With Severe Mental Illness

Chafetz, Linda; White, Mary C.; Collins-Bride, Gerri; Nickens, John; Cooper, Bruce A.

doi:10.1176/appi.ps.57.2.225

Cited by 45 publications

(37 citation statements)

References 51 publications

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“…Inactivity, poor nutritional options that contribute to obesity, a high rate of cigarette smoking, and high rates of alcohol and drug abuse all contribute to poor health outcomes for this population. Elevated rates of cardiovascular disease, chronic respiratory disorders, diabetes, and liver disease are frequent medical comorbidities for people with serious mental illness (Chafetz et al, 2006). Life expectancy has been found to be shorter for people with serious mental illness, especially those with schizophrenia, major affective disorders, and substance use disorders (Dembling, Chen, & Vachon, 1999).…”

Section: Older Adults With Mental Illness In the United Statesmentioning

confidence: 99%

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

O'Connor

Little

McManus

2009

Journal of Aging & Social Policy

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This article reviews key federal Medicaid policies affecting older adults with serious, long-term mental illness: (a) the Medicaid exclusion of coverage for Institutions for Mental Diseases, (b) the Preadmission Screening and Resident Review Process, and (c) the Medicaid Home and Community Based Services waiver policy. Documenting the incentives and restrictions in these policies provides an historical context for understanding the current gaps in treatment for elders with mental illness. New federal options under the Deficit Reduction Act may provide opportunities for reducing the institutional bias for older adults with mental illness and for improving mental health services for elders under Medicaid.

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Section: Older Adults With Mental Illness In the United Statesmentioning

confidence: 99%

Elders with Serious Mental Illness: Lost Opportunities and New Policy Options

O'Connor

Little

McManus

2009

Journal of Aging & Social Policy

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“…Outcomes included improvement in perceived health status, quality of life, physical functioning, and health service utilization, with interviews at baseline, 6, 12, and 18 months. Institutional review board approval was obtained for both the original randomized trial, described elsewhere (Chafetz et al 2008(Chafetz et al , 2006 and data analysis for this study.…”

Section: Rct Protocolmentioning

confidence: 99%

Eligibility, Recruitment, and Retention of African Americans with Severe Mental Illness in Community Research

Hampton

White

Chafetz

2008

Community Ment Health J

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Data that addresses severely mentally ill (SMI) African Americans (AAs) likelihood to participate in clinical research is limited. This study's purpose was to determine if differences exist between races regarding eligibility, recruitment, and retention in a community-based clinical trial. The sample included 293 participants. Data sources included clinical records and interviews. Logistic regression was used for analysis. AAs were as likely to participate and to complete followup interviews as Whites. In contrast to studies about non-mentally ill AAs, AAs with SMI appeared to be as willing to consent to and to remain in clinical research studies as Whites.

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“…1 Older adults with schizophrenia are a growing segment of the population, and data indicate their physical health status is poor [2][3][4] because of common chronic medical conditions (e.g., chronic obstructive pulmonary disease, arthritis) and difficulty with physical activity related to normal aging. 5 Physical activity can be an effective and inexpensive adjunct treatment for age-related neurodegenerative processes.…”

Section: Introductionmentioning

confidence: 99%