Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Bartels, S. J. Articles by Shea, D. Search for Related Content PubMed Citation Articles by Bartels, S. J. Articles by Shea, D. Geriatric Psychiatry Managed Care Programs

Community-Based Long-Term Care for Older Persons With Severe and Persistent Mental Illness in an Era of Managed Care

Abstract

The authors describe current needs and trends in the mental health care, including long-term care, of older persons with severe and persistent mental illness. The literature suggests that emerging models of managed long-term care hold promise for integrated services but do not currently address the specialized mental health needs of this patient group. The authors review issues in financing long-term mental health care, including controversies over fee-for-service and carve-out and carve-in arrangements. Without mechanisms to adequately finance services, adjust for risk, and measure outcomes, the authors conclude, managed care arrangements will be in conflict with the goal of high-quality care for older adults with severe and persistent mental illness. Proposed directions for future models of care for this group include integration of mental health and medical services, integration of specialized geropsychiatric services with developing community-based long-term care systems, blended financing under shared risk arrangements, and assurance of accountability and outcomes under managed care.

This article has been cited by other articles:

				K. W. Linkins, A. M. Lucca, M. Housman, and S. A. Smith Use of PASRR Programs to Assess Serious Mental Illness and Service Access in Nursing Homes Psychiatr Serv, March 1, 2006; 57(3): 325 - 332. [Abstract] [Full Text] [PDF]

				J. S. Roberts, F. C. Blow, L. A. Copeland, K. L. Barry, and W. Van Stone Age-Group Differences in Treatment Outcomes for Male Veterans with Severe Schizophrenia: A Three-Year Longitudinal Study J Geriatr Psychiatry Neurol, July 1, 2000; 13(2): 78 - 86. [Abstract] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 1999 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us