Abstract
For all 67 counties in Pennsylvania community care and institutional care for mentally impaired elderly are inversely and significantly related. Availability of nursing home beds was a strong predictor of higher rates of institutional care. Higher rates of community care occurred in counties where there were greater expenditures for protective, legal, chore, day care and social/recreation services by Area Agencies on Aging; and, in which there were less nursing home beds available, more persons 65 and older in poverty, and fewer women in the work force.

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