title: Post-acute dispositions of older adults hospitalized for depression.
abstract: This study addressed factors associated with six-month post-acute dispositions (continuous community stay, medical hospitalization, psychiatric rehospitalization, nursing home placement, death) for older adults hospitalized for depression and discharged to the community. The sample included 199 older adults; and data were collected via medical records, interviews with discharge planners, patients, and family members. Over half of the sample remained in the community throughout the observation period; 23% experienced psychiatric re-admission and 10% entered a nursing home. Several factors associated with nursing home placement were identified: less improvement in depression during the hospitalization, lower Global Assessment of Functioning (GAF) scores at discharge; and less mental health service use in the post-acute period. Those at higher risk of psychiatric re-admission had more previous psychiatric hospitalizations and were marginally more likely to be married and have lower Brief Psychiatric Rating Scale (BPRS) scores at discharge. Differentiating those at risk for nursing home placement may be easier than differentiating those at risk of psychiatric readmission.
authors.affiliation: Center of Mental Health Services Research, George Warren Brown School of Social Work, Washington University, St. Louis 63130, USA. morrow-howell@wustl.edu
authors.forename: N L
authors.initials: NL
authors.lastname: Morrow-Howell
authors.forename: E K
authors.initials: EK
authors.lastname: Proctor
authors.forename: W R
authors.initials: WR
authors.lastname: Blinne
authors.forename: E H
authors.initials: EH
authors.lastname: Rubin
authors.forename: J A
authors.initials: JA
authors.lastname: Saunders
authors.forename: P A
authors.initials: PA
authors.lastname: Rozario
mesh_terms: D000359:Aftercare / Q000706:statistics & numerical data*; D000368:Aged; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment / Q000379:methods; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D009735:Nursing Homes / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D016896:Treatment Outcome; D014481:United States