Deinstitutionalization of the Elderly Mentally III: Factors Affecting Discharge to Alternative Living Arrangements

Abstract
Examined were factors associated with the placement of 248 elderly (≥60 years old) deinstitutionalized mentally ill persons into four settings: independent, community-based programs, level III, and level IV nursing homes. The risk of institutionalization was found to increase as cognitive skills and family support declined. The most consistent predictor of placement was prior residence. Surprisingly, the number of medical problems and need fornursing or therapeutic services were not significant predictors of nursing home placement.

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