ArticleMedical care2011
Are patients with serious mental illness more likely to be admitted to nursing homes with more deficiencies in care?
Article in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychosocial Interventions for Older Adults With Severe Mental Illness: A Systematic Scoping Review and Meta-analysis.Schizophrenia bulletin · 2026Pooled it
- Pooled it
- Effectiveness of the PASRR Program Compared With Claims Data in Identifying Nursing Home Admissions With Mental Illness.Journal of the American Medical Directors Association · 2026Article
- The silent struggle of ageing with SMI: a narrative review of physical health disparities in older adults with serious mental illness.Social psychiatry and psychiatric epidemiology · 2026Review
- Hospital and Skilled Nursing Facility Networks: Informal Relationships and Their Role in the Placement of Traditional Medicare Beneficiaries With Serious Mental Illness.Health services research · 2025Article
- Care trajectories around a first dementia diagnosis in patients with serious mental illness.Geriatrics & gerontology international · 2024Article
- Falling off a cliff: Psychiatric care of nursing home residents.Journal of the American Geriatrics Society · 2023Article
- Primary care for individuals with serious mental illness (PriSMI): protocol for a convergent mixed methods study.BMJ open · 2022Article
- Serious Mental Illness in Nursing Homes: Stakeholder Perspectives on the Federal Preadmission Screening Program.Journal of aging & social policy · 2022Article
- Quality of Nursing Homes Admitting Working-Age Adults With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2022Article
- Younger Individuals Increase Their Use of Nursing Homes Following ACA Medicaid Expansion.Journal of the American Medical Directors Association · 2022Article
- Disproportionate increases in schizophrenia diagnoses among Black nursing home residents with ADRD.Journal of the American Geriatrics Society · 2021Article
- Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Quality of Nursing Homes and Admission of Residents With Alzheimer's Disease and Related Dementias: The Potential Influence of Market Factors and State Policies.Journal of the American Medical Directors Association · 2020Article
- Association between High Proportions of Seriously Mentally Ill Nursing Home Residents and the Quality of Resident Care.Journal of the American Geriatrics Society · 2019Article
- Preparing Long-Term Care Staff to Meet the Needs of Aging Persons With Serious Mental Illness.Journal of the American Medical Directors Association · 2019Article
- Choosing the Best and Scrambling for the Rest: Hospital-Nursing Home Relationships and Admissions to Post-Acute Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2019Article
- Deinstitutionalization? Where have all the people gone?Current psychiatry reports · 2012Review
- Serious Mental Illness in the Nursing Home Literature: A Scoping Review.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPatients diagnosed with serious mental illness (SMI) who qualify for nursing home placement tend to require high levels of both psychiatric and nursing care. However, it is unknown whether they are equally likely to be admitted to nursing homes with adequate quality of care compared with other patients.
methodsWe analyzed a national cohort of more than 1.3 million new nursing home admissions in 2007 using the minimum data set. The total and healthcare-related deficiency citations for each facility were obtained from the Online Survey, Certification, and Reporting file. Bivariate and multivariate regression analyses determined the association of schizophrenia or bipolar disorder with admissions to facilities with higher deficiencies.
resultsCompared with other patients, patients with schizophrenia (n=23,767) tended to enter nursing homes with more total (13.3 vs. 11.2, P<0.001) and healthcare-related deficiencies (8.6 vs. 7.2, P<0.001); and patients with bipolar disorder (n=19,741) were more likely to enter facilities with more problematic care too (12.5 vs. 11.2, P<0.001 for total deficiencies; and 8.2 vs. 7.2, P<0.001 for healthcare-related deficiencies). After sequentially controlling for the within-county choice of facilities, patient characteristics, and facility covariates, the association of SMI with admitting to higher-deficiency nursing homes persisted.
conclusionsPatients diagnosed with schizophrenia or bipolar disorder (ie, SMI) were more likely than other patients to be admitted to nursing homes with higher deficiency citations for both overall quality and clinical care quality. Further research is necessary to understand the reasons behind the disparity in quality of nursing home care associated with SMI.
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