title: The prediction of mental health service use in residential care.
abstract: The purpose of this study was to characterize the clinical and psychosocial factors of residents living in psychiatric nursing homes, assess residents' levels of mental health service utilization, and examine the factors that predict the utilization of mental health services. Data were collected from 200 randomly selected residents with schizophrenia living in four intermediate care facilities. Fewer than 60% of residents received mental health services beyond medication and nearly one-half of the residents were readmitted to the hospital in the course of a year. Family contact and involvement in activities were associated with mental health service utilization. Hospital readmission was predicted, not by substance use, but rather by not using substances. There is a growing need among service providers to better identify relevant factors that are important in treatment planning and service delivery. Attention to these issues may impact treatment provision and outcomes for persons with schizophrenia and their families.
authors.affiliation: Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City 52242, USA. rachel-anderson@uiowa.edu
authors.forename: R L
authors.initials: RL
authors.lastname: Anderson
authors.forename: J S
authors.initials: JS
authors.lastname: Lyons
authors.forename: C
authors.initials: C
authors.lastname: West
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006302:Health Services Research; D006801:Humans; D007380:Intermediate Care Facilities / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D015146:Midwestern United States; D020380:Needs Assessment; D010359:Patient Readmission; D012559:Schizophrenia / Q000145:classification / Q000628:therapy*; D012720:Severity of Illness Index; D016312:Treatment Refusal; D014600:Utilization Review