Becker Marion, Stiles Paul, Schonfeld Lawrence
Department of Community Mental Health, Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Boulevard, Tampa, FL 33612, USA.
J Behav Health Serv Res. 2002 Feb;29(1):91-8. doi: 10.1007/BF02287836.
With changing demographics prompting greater demand for assisted living facility (ALF) care, indigent older adults with mental health needs face underfunded residential care options and mental health systems currently unprepared to meet their service requirements. In particular, over-reliance on inpatient mental health services for older individuals with mental illness and inadequate reimbursement of ALF facilities potentially increase costs and threaten availability of ALF care. This article analyzes Florida's administrative data and presents findings on mental health service use and cost of care for poor older persons. Using Florida as an example, the authors recommend policy changes to ensure the quality and availability of residential care for low-income adults with mental health needs.
随着人口结构的变化促使对辅助生活设施（ALF）护理的需求增加，有心理健康需求的贫困老年人面临着资金不足的住宿护理选择，而心理健康系统目前也没有准备好满足他们的服务需求。特别是，过度依赖针对患有精神疾病的老年人的住院心理健康服务，以及ALF设施的报销不足，可能会增加成本并威胁到ALF护理的可及性。本文分析了佛罗里达州的行政数据，并呈现了贫困老年人心理健康服务使用情况和护理成本的调查结果。作者以佛罗里达州为例，建议进行政策改革，以确保为有心理健康需求的低收入成年人提供优质且可及的住宿护理。
