title: Mental disorders among non-elderly nursing home residents.
abstract: Many Medicaid beneficiaries aged 22 to 64 with serious mental illness may be admitted to nursing facilities rather than psychiatric facilities as a result of Medicaid policies prohibiting coverage of inpatient psychiatric care in institutions of mental disease while requiring states to cover nursing facility care. Using nationwide Medicaid Analytic Extract claims from 2002, we found that nearly 16% of nursing home residents aged 22 to 64 had a diagnosed mental disorder, while 45.5% received antipsychotic medication, but these rates varied widely across states. Further research is necessary to determine whether, among the nation's youngest nursing home residents, care in nursing homes is potentially substituting for care in institutions for mental disease or community-based settings.
authors.affiliation: Mathematica Policy Research, Inc., Cambridge, Massachusetts 02139, USA. ssimon@mathematicampr.com
authors.forename: Samuel E
authors.initials: SE
authors.lastname: Simon
authors.forename: Debra J
authors.initials: DJ
authors.lastname: Lipson
authors.forename: Christal M
authors.initials: CM
authors.lastname: Stone
mesh_terms: D000328:Adult; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008484:Medicaid; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy*; D008603:Mental Health / Q000706:statistics & numerical data; D028642:Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration* / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology