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Developing community-based program alternatives for the seriously and persistently mentally ill elderly.

M A Bernstein1, R Hensley

  • 1Gulf Coast Jewish Family and Mental Health Services, Clearwater, FL 34620.

Journal of Mental Health Administration
|October 1, 1993
PubMed
Summary

The deinstitutionalization movement overlooked seriously mentally ill elderly rehabilitation. Expanding community-based programs is crucial for cost-effective, humane mental healthcare for the growing elderly population.

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Area of Science:

  • Geriatric psychiatry
  • Mental health services research
  • Public health policy

Background:

  • The deinstitutionalization movement in the U.S. has historically underserved the rehabilitation needs of the seriously mentally ill elderly.
  • The aging population is growing, increasing the demand for specialized mental health services.

Purpose of the Study:

  • To address the gap in mental healthcare for the seriously mentally ill elderly.
  • To propose a model for expanding community-based mental health services for this demographic.

Main Methods:

  • Presentation of a mental health continuum model.
  • Identification of various community placements for care delivery.

Main Results:

  • The proposed model integrates programs targeting the seriously mentally ill elderly.

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  • The model encompasses diverse community settings, including residential treatment, nursing homes, retirement homes, and permanent housing.

    • Conclusions:

    • Unique, community-based programs are essential to meet the mental health needs of the seriously mentally ill elderly.
    • The mental health continuum offers a framework for cost-effective and humane care in diverse settings.