ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021
Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 24 citations in OpenAlex.
- 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
- Community living center-mental health integration in the Veterans Health Administration: Evaluation of practice patterns.Psychological services · 2026Article
- Turnover in Nursing Homes That Serve Residents With Serious Mental Illness.Journal of the American Medical Directors Association · 2025Article
- Vaccination Rates Among Long-Term Care Staff During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2025Article
- Behavioral health as a palliative care priority in long-term services and supports: A cross-sectional study of staff.Palliative & supportive care · 2025Article
- Barriers to Discharge for Nursing Home Residents With Serious Mental Illness.JAMA network open · 2025Article
- Supporting older-adult behavioral health: building the first state Center of Excellence for Behavioral Health and Aging.Health affairs scholar · 2025Review
- Assisted living residents with dementia: Disparities in mental health services pre and during COVID-19.Journal of the American Geriatrics Society · 2024Article
- Serious Mental Illness in Assisted Living Communities: Association with Nursing Home Placement.Journal of the American Medical Directors Association · 2024Article
- Policy Changes to Promote Better Quality of Life for People with Serious Mental Illness Living in U.S. Nursing Homes.The Public policy and aging report · 2024Article
- Serious Mental Illness in Nursing Homes: Stakeholder Perspectives on the Federal Preadmission Screening Program.Journal of aging & social policy · 2022Article
- Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel: A Consensus Statement.JAMA network open · 2022Article
- The Imperative to Reimagine Assisted Living.Journal of the American Medical Directors Association · 2022Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveLittle is known about the prevalence of serious mental illness (SMI) in assisted living (AL) communities in the United States. Trends in the prevalence of SMI in AL communities were examined over time and in relationship to characteristics such as dual eligibility and health conditions. Within- and between-state variability of SMI in AL was also examined.
designSamples of Medicare beneficiaries who lived in the 48 contiguous states were created: individuals who resided in the community, in a nursing home (NH), and in an AL community on December 31st of each year (2007-2017). We conducted univariate analysis to display the trends in SMI over time in AL compared with NHs and the community. To demonstrate intrastate variability, we examined the prevalence of SMI for each state. We described within-nation and within-state variability using a Lorenz curve and GINI coefficients, respectively.
resultsThe prevalence of SMI in AL increased by 54%, rising from 7.4% in 2007 to 11.4% in 2017. Residents with SMI were more likely to be dually eligible for Medicare and Medicaid than residents without SMI. The prevalence of SMI in AL ranged from to 3.2% in Wyoming to 33.1% in New York. Approximately 10% of AL communities had over half of the sample's AL residents with SMI.
conclusionGiven the increased proportion of residents with SMI in AL, research is needed into the mental health and social care needs of this population. Analysis is needed to uncover reasons for variations among states.
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