Purpose: To examine the effect of organizational culture and climate on depressive symptoms among nursing home residents. Design and Methods: Using a pooled cross-sectional design, this study examines a sample of 23 nursing homes, 1,114 employees, and 5,497 residents. Depressive symptoms were measured using the Minimum Data Set, Depression Rating…

Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs…

Purpose: When government funding for long-term care is reduced, participant outcomes may be adversely affected. We investigated the effect of program resources on individuals enrolled in the Michigan Home- and Community-Based Services (HCBS) waiver program for elderly and disabled adults. Design and Methods: Using dates of major policy and budget…

Purpose: Although the nursing facility transition literature is growing, little research has analyzed the characteristics of individuals so assisted or compared participants to those who remain institutionalized. This article describes an analytic method that researchers can apply to address these knowledge gaps, using the Arkansas Passages…

Using data from 1981-82 Channeling Demonstration project, examined types of health care costs (hospital, physician and ancillary care, nursing home, and prescription medicine) that contributed to overall expenses to determine sources of financially catastrophic health care expenses among disabled elderly persons. Found expenses for prescription…

Used data from 1982 and 1984 National Long-Term Care Surveys to track cohort of disabled elderly persons residing in community in 1982 over the two years that followed. In contrast to persons who did not use nursing homes, persons who entered nursing homes had a four- to five-fold risk of spending down to Medicaid eligibility. (Author/NB)

Examined records of Puerto Rican/Hispanic patients (N=25) residing in, or discharged from, one nursing home and compared records to those of control group (N=50) admitted during same time. Found Puerto Rican/Hispanic group was younger with more disabilities. Suggests that Hispanic patients' families may not have been able to care for disabled…

Describes the total cost of care, including both formal and informal services calculated using a market value approach, for a cohort of disabled elderly. The total annual cost of caring was estimated at $9,600; for most elders, the cost of a complete substitution of informal care for formal services, plus living expenses, was less costly than…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…