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 4


: Table 4

Focus/Eligibilitymost severe cases of SMI population (multiple episodes of illness, drug noncompliance, high hospitalization and use of services); specifies vary by programfrail elderly, age 55 and older; assessment by team showing need; eligibility shown for nursing home level of care
Goal of Programkeep individuals in the community; prevention, rehabilitation, and symptom reduction; increased quality of life; optimization of social functioningkeep individuals in the community; prevention and rehabilitation
Treatment Baseat central community location or the homes of those in the programday health center
Continuity of Careteam follows client through hospital, legal, health, and social servicesnot as intensive; delivers outpatient services directly; trying to increase linkages with supportive housing options
Benefitshousing, occupational, rehabilitation, medication management, social services, counselingprimary care, social services, restorative therapies, personal care, nutrition, recreational therapy, meals
Staff Structure10:1; team provides integrated clinical services and case managementinterdisciplinary team to manage and deliver services
Emergency Treatment 24 hours a dayteam on callPACE provider must have services accessible 24 hours/day
Frequency of Contact with Client/Familydaily if needed/weeklyinformation not available
Responsibility for Health/Medicationactively monitored by team; home delivery of medication if requiredactively monitored by team
Length of Benefitongoing, not time-limitedongoing, not time-limited