Serious Mental Illness in Florida Nursing Homes: Need for Training

Victor A. Molinari PhD Florida Mental Health Institute, University of South Florida, Tampa, FL, USACorrespondence[email protected]

Stacy S. Merritt MA Florida Mental Health Institute, University of South Florida, Tampa, FL, USA

Whitney L. Mills BA School of Aging Studies, College of Arts and Sciences, University of South Florida, Tampa, FL, USA

David A. Chiriboga PhD Florida Mental Health Institute, University of South Florida, Tampa, FL, USA

Ann Conboy PsyD Florida Mental Health Institute, University of South Florida, Tampa, FL, USA

Kathryn Hyer PhD School of Aging Studies, College of Arts and Sciences, University of South Florida, Tampa, FL, USA

Marion A. Becker PhDRN Florida Mental Health Institute, University of South Florida, Tampa, FL, USA

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ABSTRACT

This study examined how the mental health needs of nursing home (NH) residents with serious mental illness (SMI) are addressed. Data were collected from three sources: interviews with 84 SMI stakeholders; surveys of 206 NH staff members; and focus groups at two psychiatry specialty NHs. Four common themes emerged: placement of older adults with SMI was a significant problem for discharge planners and NH admission coordinators; NH staff reported being uneasy with SMI residents and were concerned over aggressive behavior; staff in NHs with psychiatry specialty units appeared more comfortable serving SMI residents; and SMI training was a consistent recommendation of all SMI stakeholders and NH staff. Implications for training are discussed.

KEYWORDS:

This study was funded by Florida Agency for Health Care Administration contract #A0507.

Notes

Omnibus Reconciliation Act of 1987, Pub. L. No. 100–203, 101 Stat. 1330 (1987).

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