PMID- 16798627 OWN - NLM STAT- MEDLINE DCOM- 20061205 LR - 20181201 IS - 1360-7863 (Print) IS - 1360-7863 (Linking) VI - 10 IP - 4 DP - 2006 Jul TI - Post-acute dispositions of older adults hospitalized for depression. PG - 352-61 AB - This study addressed factors associated with six-month post-acute dispositions (continuous community stay, medical hospitalization, psychiatric rehospitalization, nursing home placement, death) for older adults hospitalized for depression and discharged to the community. The sample included 199 older adults; and data were collected via medical records, interviews with discharge planners, patients, and family members. Over half of the sample remained in the community throughout the observation period; 23% experienced psychiatric re-admission and 10% entered a nursing home. Several factors associated with nursing home placement were identified: less improvement in depression during the hospitalization, lower Global Assessment of Functioning (GAF) scores at discharge; and less mental health service use in the post-acute period. Those at higher risk of psychiatric re-admission had more previous psychiatric hospitalizations and were marginally more likely to be married and have lower Brief Psychiatric Rating Scale (BPRS) scores at discharge. Differentiating those at risk for nursing home placement may be easier than differentiating those at risk of psychiatric readmission. FAU - Morrow-Howell, N L AU - Morrow-Howell NL AD - Center of Mental Health Services Research, George Warren Brown School of Social Work, Washington University, St. Louis 63130, USA. morrow-howell@wustl.edu FAU - Proctor, E K AU - Proctor EK FAU - Blinne, W R AU - Blinne WR FAU - Rubin, E H AU - Rubin EH FAU - Saunders, J A AU - Saunders JA FAU - Rozario, P A AU - Rozario PA LA - eng GR - 5R24MH50857-04/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Aging Ment Health JT - Aging & mental health JID - 9705773 SB - IM MH - Aftercare/*statistics & numerical data MH - Aged MH - Depressive Disorder/psychology/*rehabilitation/therapy MH - Female MH - Follow-Up Studies MH - Geriatric Assessment/methods MH - Hospitalization/*statistics & numerical data MH - Humans MH - Male MH - Mental Health Services/statistics & numerical data MH - Nursing Homes/statistics & numerical data MH - Patient Discharge/statistics & numerical data MH - Patient Readmission/*statistics & numerical data MH - Psychiatric Status Rating Scales MH - Treatment Outcome MH - United States EDAT- 2006/06/27 09:00 MHDA- 2006/12/09 09:00 CRDT- 2006/06/27 09:00 PHST- 2006/06/27 09:00 [pubmed] PHST- 2006/12/09 09:00 [medline] PHST- 2006/06/27 09:00 [entrez] AID - K43T8666475R57H2 [pii] AID - 10.1080/13607860500409963 [doi] PST - ppublish SO - Aging Ment Health. 2006 Jul;10(4):352-61. doi: 10.1080/13607860500409963.