TY - JOUR
KW - Activities of Daily Living
KW - Age Factors
KW - Aged
KW - Attitude of Health Personnel
KW - Caregivers
KW - Chronic Disease
KW - Data Collection
KW - Deinstitutionalization
KW - Delivery of Health Care, Integrated
KW - Hospitals, Psychiatric
KW - Humans
KW - Long-Term Care
KW - Mental Disorders/nursing/therapy
KW - Mental Health Services/standards
KW - Netherlands
KW - Psychiatric Nursing
KW - Quality of Health Care
KW - Residential Facilities
KW - Residential Treatment
AU - M. F. Depla
AU - J. Pols
AU - J. de Lange
AU - C. H. Smits
AU - R. de Graaf
AU - T. J. Heeren
A1 - 
AB - Integrating mental health care into residential homes for the elderly is a potentially effective model to address the complex care needs of older chronically mentally ill people. Because no research was available on the implementation of such integrated care in practice, six programs already operating in the Netherlands were analyzed. At the administrative level, three types of cooperative arrangements existed: a psychiatric hospital renting a unit in a residential home for the elderly, a psychiatric hospital stationing mental health professionals in a residential home on a permanent basis, and a residential home employing its own psychiatrically trained staff. At the operational level, contrasting views emerged on the relation-ship between physical and mental health care; these were delivered separately or in integrated form. In either case, the employees trained as elder care workers or as psychiatric nurses had difficulties understanding each other because they held different ideas about good-quality care. These care visions can be characterized as the care-giving approach (care workers) versus the problem-oriented and the rehabilitation approaches (nurses). At the housing level, two models existed: mentally ill patients having apartments in a separate unit (concentrated housing) or located throughout the facility (dispersed housing). The most promising model appears to be the one in which a psychiatric hospital assigns mental health professionals to work in a residential home, where they remain administratively and operationally distinct from the standard residential services. Whether or not the psychiatric residents should be housed in separate units could not be decided based on this study.
BT - Journal of the American Geriatrics Society
C5 - Education & Workforce
CP - 9
CY - United States
IS - 9
JF - Journal of the American Geriatrics Society
N2 - Integrating mental health care into residential homes for the elderly is a potentially effective model to address the complex care needs of older chronically mentally ill people. Because no research was available on the implementation of such integrated care in practice, six programs already operating in the Netherlands were analyzed. At the administrative level, three types of cooperative arrangements existed: a psychiatric hospital renting a unit in a residential home for the elderly, a psychiatric hospital stationing mental health professionals in a residential home on a permanent basis, and a residential home employing its own psychiatrically trained staff. At the operational level, contrasting views emerged on the relation-ship between physical and mental health care; these were delivered separately or in integrated form. In either case, the employees trained as elder care workers or as psychiatric nurses had difficulties understanding each other because they held different ideas about good-quality care. These care visions can be characterized as the care-giving approach (care workers) versus the problem-oriented and the rehabilitation approaches (nurses). At the housing level, two models existed: mentally ill patients having apartments in a separate unit (concentrated housing) or located throughout the facility (dispersed housing). The most promising model appears to be the one in which a psychiatric hospital assigns mental health professionals to work in a residential home, where they remain administratively and operationally distinct from the standard residential services. Whether or not the psychiatric residents should be housed in separate units could not be decided based on this study.
PP - United States
PY - 2003
SN - 0002-8614; 0002-8614
SP - 1275
EP - 1279
EP - 
T1 - Integrating mental health care into residential homes for the elderly: An analysis of six Dutch programs for older people with severe and persistent mental illness
T2 - Journal of the American Geriatrics Society
TI - Integrating mental health care into residential homes for the elderly: An analysis of six Dutch programs for older people with severe and persistent mental illness
U1 - Education & Workforce
U2 - 12919241
VL - 51
VO - 0002-8614; 0002-8614
Y1 - 2003
ER -