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Institutional factors of nursing homes that predict the provision of mental health services

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Abstract

This article explores the likelihood of the provision of mental health services in a nursing home as a function of the home’s institutional factors. Data from the Institutional Population Component of the National Medical Expenditure Survey were used, and a modified model of equilibrium quality and price in a multivariate logistic framework is employed. The results indicate that meeting the demands for active mental health treatment, as mandated by the Nursing Home Reform Act of 1987, may be more difficult in those institutions that are part of a chain, are small, or contain Medicaid skilled nursing facility beds.

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Authors and Affiliations

  1. Center for Gerontology and Health Care Research, Brown University, Box G-B201D, 02912, Providence, RI

    Nicholas G. Castle Ph.D., M.H.A. (Research Fellow)

  2. Pennsylvania State University, Pennsylvania, USA

    Dennis Shea Ph.D. (Dennis Shea is an assistant professor in Health Policy and Administration)

Authors
  1. Nicholas G. Castle Ph.D., M.H.A.
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  2. Dennis Shea Ph.D.
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Castle, N.G., Shea, D. Institutional factors of nursing homes that predict the provision of mental health services. The Journal of Behavioral Health Services & Research 24, 44–54 (1997). https://doi.org/10.1007/BF02790479

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