Serious Mental Illness, Substance Use Disorder, and Nursing Home Care: A Narrative Review of the Literature.

IF 2.2 3区 医学 Q2 GERONTOLOGY
Victoria Helmly, Kimberly Rask, Jacob Berelowitz, Jennifer Craft Morgan
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引用次数: 0

Abstract

The prevalence of serious mental illness (SMI) and substance use disorders (SUD) among residents in skilled nursing homes is increasing yet staff are generally not equipped to care for these residents. There is a pressing need to identify and assess practices, including training, intervention, screening, and service integration, that can support nursing home staff to better support residents with SMI and SUD. This narrative literature review examines the literature to identify what is known about this population as well as the current state of care, barriers to better care, and promising practices to support improved outcomes. Using the evidence from the peer-reviewed literature, the authors make recommendations to advance research and practice for this growing population of residents. Strategies to integrate behavioral health services into the nursing home and provide more holistic programmatic social support, behavioral health, and community integration strategies in nursing homes appear to be promising practices.

严重精神疾病、物质使用障碍与养老院护理:文献综述。
严重精神疾病(SMI)和物质使用障碍(SUD)的患病率在熟练养老院的居民中正在增加,但工作人员通常没有能力照顾这些居民。迫切需要识别和评估实践,包括培训、干预、筛查和服务整合,以支持养老院工作人员更好地支持患有重度精神障碍和SUD的居民。这篇叙述性文献综述对文献进行了检查,以确定对这一人群的了解,以及目前的护理状况,改善护理的障碍,以及支持改善结果的有希望的做法。利用来自同行评审文献的证据,作者提出了针对这一不断增长的居民人口的研究和实践的建议。将行为健康服务整合到养老院,并在养老院提供更全面的纲领性社会支持、行为健康和社区整合策略的策略似乎是有前途的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.10
自引率
13.30%
发文量
202
期刊介绍: The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
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