Post-acute dispositions of older adults hospitalized for depression

N. L. Morrow-Howell, E. K. Proctor, W. R. Blinne, E. H. Rubin, J. A. Saunders, P. A. Rozario

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

This study addressed factors associated with six-month post-acute dispositions (continuous community stay, medical hospitalization, psychiatric rehospitalization, nursing home placement, death) for older adults hospitalized for depression and discharged to the community. The sample included 199 older adults; and data were collected via medical records, interviews with discharge planners, patients, and family members. Over half of the sample remained in the community throughout the observation period; 23% experienced psychiatric re-admission and 10% entered a nursing home. Several factors associated with nursing home placement were identified: less improvement in depression during the hospitalization, lower Global Assessment of Functioning (GAF) scores at discharge; and less mental health service use in the post-acute period. Those at higher risk of psychiatric re-admission had more previous psychiatric hospitalizations and were marginally more likely to be married and have lower Brief Psychiatric Rating Scale (BPRS) scores at discharge. Differentiating those at risk for nursing home placement may be easier than differentiating those at risk of psychiatric readmission.

Original languageEnglish
Pages (from-to)352-361
Number of pages10
JournalAging and Mental Health
Volume10
Issue number4
DOIs
StatePublished - Jul 1 2006

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    Morrow-Howell, N. L., Proctor, E. K., Blinne, W. R., Rubin, E. H., Saunders, J. A., & Rozario, P. A. (2006). Post-acute dispositions of older adults hospitalized for depression. Aging and Mental Health, 10(4), 352-361. https://doi.org/10.1080/13607860500409963