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Disruptive Behaviors in Veterans Affairs Nursing Home Residents: How Different Are Residents with Serious Mental Illness?
dc.contributor.authorMcCarthy, John F.en_US
dc.contributor.authorBlow, Frederic C.en_US
dc.contributor.authorKales, Helen C.en_US
dc.date.accessioned2010-04-01T15:10:15Z
dc.date.available2010-04-01T15:10:15Z
dc.date.issued2004-12en_US
dc.identifier.citationMcCarthy, John F.; Blow, Frederic C.; Kales, Helen C. (2004). "Disruptive Behaviors in Veterans Affairs Nursing Home Residents: How Different Are Residents with Serious Mental Illness?." Journal of the American Geriatrics Society 52(12): 2031-2038. <http://hdl.handle.net/2027.42/65638>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/65638
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15571538&dopt=citationen_US
dc.description.abstractTo determine the prevalence and correlates of behavior problems of residents of Veterans Affairs (VA) nursing homes and to compare residents with serious mental illness (SMI) with other resident groups. Design : This study combined cross-sectional resident assessments with administrative data for all residents in VA nursing homes. Multivariate ordinal logistic regression was used to evaluate associations between resident characteristics and problem behaviors. Setting : Nursing home care units in the VA healthcare system. Participants : A total of 9,618 nursing home residents assessed as part of the VA's April 2001 national resident census. Measurements : The Patient Assessment Instrument assessed each resident's verbally disruptive, physically aggressive, and socially inappropriate behaviors in the prior 4 weeks. Functional limitations in eating, mobility, toileting, and transfer were assessed. Diagnoses were evaluated for the stay and up to 6 months before assessment. Results : Almost one-fifth (17.9%) of residents received a diagnosis of SMI. Residents with SMI or dementia had greater behavior problems than residents with neither condition. Residents with SMI (and without dementia) exhibited more verbal disruption than residents with dementia (and without SMI), but the two subgroups did not differ in physically aggressive or socially inappropriate behavior. Conclusion : Many VA nursing home residents have SMI. Their level of behavior problems is comparable with that of residents with dementia. Clinical practice and nursing home staff training must encompass geriatric mental health and behavior management to meet the needs of residents with SMI.en_US
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dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Science Incen_US
dc.rights© 2004 by the American Geriatrics Societyen_US
dc.subject.otherMentally Ill Personsen_US
dc.subject.otherDementiaen_US
dc.subject.otherNursing Homesen_US
dc.subject.otherU.S. Department of Veterans Affairsen_US
dc.titleDisruptive Behaviors in Veterans Affairs Nursing Home Residents: How Different Are Residents with Serious Mental Illness?en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumVeterans Affairs (VA) National Serious Mental Illness Treatment Research and Evaluation Center, Health Services Research and Development, VA Ann Arbor Healthcare System, Ann Arbor, Michigan ;en_US
dc.contributor.affiliationumDivision of Geriatric Psychiatry, University of Michigan, Ann Arbor, Michigan , anden_US
dc.contributor.affiliationumGeriatric Research Education and Clinical Center, VA Ann Arbor Healthcare System, Ann Arbor, Michigan.en_US
dc.identifier.pmid15571538en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/65638/1/j.1532-5415.2004.52559.x.pdf
dc.identifier.doi10.1111/j.1532-5415.2004.52559.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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