Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?

Person-centered care approaches continue to evolve in long-term care (LTC). At the same time, these settings have faced increased challenges due to a more diverse and complex population, including persons with intellectual and developmental disabilities (IDD) and serious mental illness (SMI). This s...

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Autores principales:	Elizabeth P. Howard, Lynn Martin, George A. Heckman, John N. Morris
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	person-centered care nursing homes interRAI serious mental illness intellectual and developmental disabilities Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/ccabb02c0e6d43109b8ace7af5db17b6
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spelling	oai:doaj.org-article:ccabb02c0e6d43109b8ace7af5db17b62021-11-12T05:08:57ZDoes the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?1664-064010.3389/fpsyt.2021.704764https://doaj.org/article/ccabb02c0e6d43109b8ace7af5db17b62021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.704764/fullhttps://doaj.org/toc/1664-0640Person-centered care approaches continue to evolve in long-term care (LTC). At the same time, these settings have faced increased challenges due to a more diverse and complex population, including persons with intellectual and developmental disabilities (IDD) and serious mental illness (SMI). This study examined the mental, social, and physical wellbeing of residents with different diagnoses, within a person-centered care model. It was hypothesized that individual wellbeing would be comparable among all residents, regardless of primary diagnosis. The study cohort was drawn from all admissions to long-term care facilities in the USA from 2011 to 2013. Data are based on admission, 3 and 6 month follow-up Minimum Data Set (MDS) 3.0 assessments. The groups examined included: schizophrenia, other psychotic disorders, IDD, dementia, and all others (i.e., none of the above diagnoses). The wellbeing outcomes were depression (mental), pain (physical), and behaviors (social). All residents experienced improvements in pain and depression, though the group without the examined diagnoses experienced the greatest gains. Behaviors were most prevalent among those with psychotic disorders; though marked improvements were noted over time. Improvement also was noted among persons with dementia. Behavior worsened over time for the three other groups. In particular, those with IDD experienced the highest level of worsening at 3-month follow-up, and continued to worsen. The results suggest person-centered care in US nursing homes provides the necessary foundation to promote mental and physical wellbeing in persons with complex needs, but less so for social wellbeing.Elizabeth P. HowardElizabeth P. HowardLynn MartinLynn MartinGeorge A. HeckmanGeorge A. HeckmanJohn N. MorrisFrontiers Media S.A.articleperson-centered carenursing homesinterRAIserious mental illnessintellectual and developmental disabilitiesPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	person-centered care nursing homes interRAI serious mental illness intellectual and developmental disabilities Psychiatry RC435-571
spellingShingle	person-centered care nursing homes interRAI serious mental illness intellectual and developmental disabilities Psychiatry RC435-571 Elizabeth P. Howard Elizabeth P. Howard Lynn Martin Lynn Martin George A. Heckman George A. Heckman John N. Morris Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
description	Person-centered care approaches continue to evolve in long-term care (LTC). At the same time, these settings have faced increased challenges due to a more diverse and complex population, including persons with intellectual and developmental disabilities (IDD) and serious mental illness (SMI). This study examined the mental, social, and physical wellbeing of residents with different diagnoses, within a person-centered care model. It was hypothesized that individual wellbeing would be comparable among all residents, regardless of primary diagnosis. The study cohort was drawn from all admissions to long-term care facilities in the USA from 2011 to 2013. Data are based on admission, 3 and 6 month follow-up Minimum Data Set (MDS) 3.0 assessments. The groups examined included: schizophrenia, other psychotic disorders, IDD, dementia, and all others (i.e., none of the above diagnoses). The wellbeing outcomes were depression (mental), pain (physical), and behaviors (social). All residents experienced improvements in pain and depression, though the group without the examined diagnoses experienced the greatest gains. Behaviors were most prevalent among those with psychotic disorders; though marked improvements were noted over time. Improvement also was noted among persons with dementia. Behavior worsened over time for the three other groups. In particular, those with IDD experienced the highest level of worsening at 3-month follow-up, and continued to worsen. The results suggest person-centered care in US nursing homes provides the necessary foundation to promote mental and physical wellbeing in persons with complex needs, but less so for social wellbeing.
format	article
author	Elizabeth P. Howard Elizabeth P. Howard Lynn Martin Lynn Martin George A. Heckman George A. Heckman John N. Morris
author_facet	Elizabeth P. Howard Elizabeth P. Howard Lynn Martin Lynn Martin George A. Heckman George A. Heckman John N. Morris
author_sort	Elizabeth P. Howard
title	Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
title_short	Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
title_full	Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
title_fullStr	Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
title_full_unstemmed	Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?
title_sort	does the person-centered care model support the needs of long-term care residents with serious mental illness and intellectual and developmental disabilities?
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ccabb02c0e6d43109b8ace7af5db17b6
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Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?

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