Integrated Psychosocial Rehabilitation and Health Care for Older People with Serious Mental Illness
Older people with serious mental illness (SMI) comprise a group with unique impairments and treatment needs. Despite effective pharmacological treatment, many individuals with SMI experience challenges across a variety of tasks and skills necessary for living independently in the community. These difficulties include poor basic self-care skills, community living skills, and social skills. These impairments are often compounded by lack of social support, which is strongly associated with admission to nursing home and long-term care placements (Bartels, Mueser, & Miles, 1997; Meeks et al., 1990). Functional impairments due to comorbid physical illnesses also increase the risk of placement in long-term care facilities (Burns & Taube, 1990; Meeks et al., 1990). Older adults with SMI often have multiple comorbid medical problems, which when coupled with poor health care result in poor health outcomes and earlier mortality (Bartels et al., 2004).
KeywordsSkill Training Community Mental Health Center Serious Mental Illness Social Skill Training Class Member
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