Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities

Dados Bibliográficos

ID15519366
AutoresElizabeth Howard (0000-0002-6282-7551, Boston College, autor correspondente), Elizabeth P Howard, Lynn Martin (0000-0003-3962-389X, Lakehead University), George Heckman (0000-0003-3847-3287, University of Waterloo), George A Heckman, John N Morris (0000-0001-5867-0697, Hebrew SeniorLife)
Ano2021
Volume12
Páginas704764-704764
Data de publicação2021-11-12
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.704764
PMID34867509
OpenAlexW3214002053
IdiomaEN
Citações recebidas3
Referências citadas52

Person-centered care approaches continue to evolve in long-term care (LTC). At the same time, these settings have faced increased challenges due to a more diverse and complex population, including persons with intellectual and developmental disabilities (IDD) and serious mental illness (SMI). This study examined the mental, social, and physical wellbeing of residents with different diagnoses, within a person-centered care model. It was hypothesized that individual wellbeing would be comparable among all residents, regardless of primary diagnosis. The study cohort was drawn from all admissions to long-term care facilities in the USA from 2011 to 2013. Data are based on admission, 3 and 6 month follow-up Minimum Data Set (MDS) 3.0 assessments. The groups examined included: schizophrenia, other psychotic disorders, IDD, dementia, and all others (i.e., none of the above diagnoses). The wellbeing outcomes were depression (mental), pain (physical), and behaviors (social). All residents experienced improvements in pain and depression, though the group without the examined diagnoses experienced the greatest gains. Behaviors were most prevalent among those with psychotic disorders; though marked improvements were noted over time. Improvement also was noted among persons with dementia. Behavior worsened over time for the three other groups. In particular, those with IDD experienced the highest level of worsening at 3-month follow-up, and continued to worsen. The results suggest person-centered care in US nursing homes provides the necessary foundation to promote mental and physical wellbeing in persons with complex needs, but less so for social wellbeing

Cohort · Dementia · Depression (economics · Disease · Intellectual disability · Long-term care · Medical diagnosis · Mental health · Mental illness · Population · Psychiatry · Schizophrenia (object-oriented programming · Chronic Disease Management Strategies · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Medicine · Psychology