Practice patterns and potential solutions to the shortage of providers of older adult mental health services.

Nancy P. Hanrahan, Eileen Sullivan-Marx

Research output: Contribution to journalArticle

Abstract

Little is known about the contribution of advanced practice nurses (APNs) to the mental health care of older adults. This study describes mental health services to older adults by APNs compared with primary care physicians, psychiatrists, psychologists, and social workers. The study uses a retrospective, cross-sectional design with a 5% national sample of 1999 Medicare outpatient claims. Bivariate statistics and multinomial logit models were used to determine differences among these mental health providers. A small proportion of the nationally available providers (10.4%) submitted claims for mental health services rendered to older adults. APNs, psychiatrists, and primary care physicians care for a disproportionate number of rural and poor older adults with complex medical/psychiatric needs compared with psychiatrists, psychologists, and social workers. APNs seem to be an untapped resource for providing mental health services to older adults. Health policy reform is needed to remove barriers to meet mental health care needs.

Original languageEnglish (US)
Pages (from-to)236-245
Number of pages10
JournalPolicy, Politics, and Nursing Practice
Volume6
Issue number3
DOIs
StatePublished - Aug 2005

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Mental Health Services
Psychiatry
Nurses
Mental Health
Primary Care Physicians
Psychology
Delivery of Health Care
Medicare
Health Policy
Outpatients
Logistic Models
Social Workers

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Leadership and Management

Cite this

Practice patterns and potential solutions to the shortage of providers of older adult mental health services. / Hanrahan, Nancy P.; Sullivan-Marx, Eileen.

In: Policy, Politics, and Nursing Practice, Vol. 6, No. 3, 08.2005, p. 236-245.

Research output: Contribution to journalArticle

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