title: Mental health service use by the elderly in nursing homes.
abstract: OBJECTIVE
  Because current Omnibus Budget Reconciliation Act regulations influence the disposition of US nursing home residents who have mental illness, National Nursing Home Survey (1985) data are analyzed for predictors of mental health service use.
  
  
  METHODS
  Elderly residents' rates of mental health service use are presented. Logistic regression yielded odds ratios for treatment by both mental health specialists and general practitioners for client and service system variables.
  
  
  RESULTS
  Among the two thirds of elderly residents with a mental disorder (including dementia), only 4.5% receive any mental health treatment in a 1-month period. The ratio of specialist to general practitioner care is approximately 1:1. Patients seen by a specialist are likely to be younger (aged 65 to 74); live in the Northeast; and have a diagnosis of schizophrenia (13:1), dementia (3:1), or other mental disorders (5:1). Prior residence in a psychiatric hospital predicts care by both health professional types. Rural location, nonproprietary ownership of the nursing home, and aggressive behavior point to general physician care.
  
  
  CONCLUSIONS
  Our findings indicate significant neglect of the mental health needs of older nursing home residents and underscore the importance of monitoring the regulations for screening and treatment of mental disorders under the Omnibus Budget Reconciliation Act.
authors.affiliation: Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.
authors.forename: B J
authors.initials: BJ
authors.lastname: Burns
authors.forename: H R
authors.initials: HR
authors.lastname: Wagner
authors.forename: J E
authors.initials: JE
authors.lastname: Taube
authors.forename: J
authors.initials: J
authors.lastname: Magaziner
authors.forename: T
authors.initials: T
authors.lastname: Permutt
authors.forename: L R
authors.initials: LR
authors.lastname: Landerman
mesh_terms: D000368:Aged; D006297:Health Services Accessibility; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009735:Nursing Homes