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How Should We Address Warehousing Persons With Serious Mental Illness in Nursing Homes?
1Doctoral candidate in health policy at Harvard University in Cambridge, Massachusetts.
Abstract:
Despite long-standing efforts to keep patients with serious mental illness (SMI) out of nursing homes, many persons with schizophrenia, bipolar disorder, or psychoses become long-stay nursing home residents. This article discusses why this trend is inappropriate clinically and ethically and suggests how to reform federal review requirements to accomplish 2 goals: to better identify people with SMI at risk of nursing home placement and to support them to live in the community.
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