Mental health service use and cost of care for older adults in assisted living facilities: Implications for public policy

  • Marion Becker
  • Paul Stiles
  • Lawrence Schonfeld
Brief Report


With changing demographics prompting greater demand for assisted living facility (ALF) care, indigent older adults with mental health needs face underfunded residential care options and mental health systems currently unprepared to meet their service requirements. In particular, overreliance on inpatient mental health services for older individuals with mental illness and inadequate reimbursement of ALF facilities potentially increase costs and threaten availability of ALF care. This article analyzes Florida's administrative data and presents findings on mental health service use and cost of care for poor older persons. Using Florida as an example, the authors recommend policy changes to ensure the quality and availability of residential care for low-income adults with mental health needs.


Mental Health Health System Mental Illness Public Policy Health Promotion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© National Council for Community Behavioral Healthcare 2002

Authors and Affiliations

  • Marion Becker
    • 1
  • Paul Stiles
    • 2
  • Lawrence Schonfeld
    • 3
  1. 1.Department of Community Mental Health, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampa
  2. 2.Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaUSA
  3. 3.Department of Aging and Mental Health, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaUSA

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