Persons with Severe Mental Illness: How Do They Fit Into Long-Term Care?. Persons with Severe Mental Illness: How Do They Fit Into Long-Term Care? : Table 2


: Table 2

Californiadetailed information is available (Rehabilitation Option and Targeted Case Management Manual); services offered through local funds have differing eligibility criteria across the state
Connecticut  (1) diagnosis of severe mental illness, has a psychiatric disorder of sufficient severity to cause a current disturbance, or has been hospitalized for psychiatric treatment one or more times in the past three years (or receipt of community-based psychiatric services in last twelve months; and (2) does not have a principal diagnosis of mental retardation, alcoholism, or drug abuse; and (3) does not have private insurance or insurance benefits have been exhausted
New Hampshire  determine eligibility for four different categories: Severe and Persistent Mental Illness (SPMI), Severe Mental Illness (SMI), Former Severe Impairment (FSI), and Low Utilizer; eligibility for each category by looking at psychiatric diagnosis, functional impairment due to mental illness, duration of the functional impairment, and service utilization (detailed flowchart of process is available)
New Jerseylevel of functioning at or below average and a length of the current treatment episode of at least one year or previous admission to a psychiatric hospital
New Yorkthree criteria: psychiatric diagnosis; functional disability and impairment in self-care, social functioning, ADLs, economic self-sufficiency, self-direction, and the ability to concentrate; and usage of mental health services over the past two years with a history of repeated hospitalizations, emergency room contacts, etc., or qualification for SSI or SSDI due to mental illness
Ohio(1) eligible for SSI or SSDI for a mental disability; (2) meeting two of the three criteria: mental illness diagnosis, amount of time hospitalized or in continuous community treatment, and level of functioning (looking at past two years)
Pennsylvania  must meet two of three conditions: diagnosis of schizophrenia or affective disorder; lengthy stay in a state hospital, multiple admissions to a general hospital, multiple emergency room contacts, or continuous or intermittent course of outpatient treatment over a three-year period; and low level of functioning (or somewhat higher for young adults with a history of aggressive behavior)
South Dakota  has severe mental disability demonstrated by frequent, recent, or extensive hospitalizations, by need for psychotropic medication, and by frequent crisis contacts; impaired role functioning demonstrated through employment (or lack of), inappropriate social behavior, lack of basic living skills, lack of social support systems, non-compliance, need for financial assistance, etc.
Texas(for adults) diagnosis of schizophrenia, bipolar disorder, or major depression along with a score below 50 on the GAF scale and a need for either crisis resolution or long-term mental health care
Virginiapersons age 18 and over who at any time in the past year have had a diagnosable mental, behavioral, or emotional disorder that meets criteria specified under DSM-III-R that has resulted in functional impairment which substantially interferes with or limits one or more major life activities; within this standard definition, a priority population is defined as well; this consists of persons who have been diagnosed with a major mental disorder that have either undergone psychiatric treatment more intensive than outpatient care more than once in a lifetime or have experienced a single episode of continuous, supportive residential care for a period long enough to disrupt the normal living situation