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Centre for Policy on Ageing | |
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Predictors of emergency commitment for nursing home residents
— the role of resident and facility characteristics | | Author(s) | Marion A Becker, Timothy L Boaz, Anne DeMuth, Ross Andel |
| Journal title | International Journal of Geriatric Psychiatry, vol 27, no 10, October 2012 |
| Pages | pp 1028-1035 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Nursing homes ; Residents [care homes] ; Mental disorder ; Evaluation ; Discharge [care homes] ; Admission [hospitals] ; Accident & emergency depts. |
| Annotation | The ability of nursing homes to manage the mental health needs of their residents is crucial to providing high quality care. An important element is preventing exacerbations of psychiatric conditions that trigger discharge from the nursing home (NH) because of an emergency commitment (EC) for an involuntary psychiatric examination. The objective of this retrospective cohort study was to examine the relationship between resident and facility characteristics and the risk of EC for involuntary psychiatric examination among Medicaid-enrolled NH residents in Florida. The study employed 2.5 years (31 December 2002 through 30 June 2005) of Medicaid enrolment and fee-for-service, pharmacy, and involuntary commitment data to examine resident characteristics. NH characteristics were obtained from the Online Survey Certification and Reporting database. Results of the study showed that younger age, male gender, having dementia, having a serious mental illness (SMI), and residing in a for-profit facility were all independently associated with the greater risk of EC. Although most residents with EC were prescribed psychotropic medication, less than half received non-pharmacological behavioural health outpatient services before or after their involuntary psychiatric examination. The findings highlight the association between resident and facility characteristics and the risk of EC for involuntary psychiatric examinations. Hence there is a need for increased education, communication, and future research on the predictive factors as well as the consequences of these adverse events. (JL). |
| Accession Number | CPA-121009002 A |
| Classmark | LHB: KX: E: 4C: KW:QKJ: LD:QKH: LD6 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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