Barriers to Discharge for Nursing Home Residents With Serious Mental Illness
This qualitative study found that multiple intersecting barriers are associated with discharging nursing home residents with serious mental illness back to the community, which may lead to clinically inappropriate long-term stays for those who could theoretically have been in a lower level of care setting. These findings suggest that enabling successful discharge to the community for nursing home residents with serious mental illness may require collaborative strategies that address individual, relational, and structural factors.
Authors
- Kali S. Thomas (ORCID: https://orcid.org/0000-0003-3436-2184)
- Donovan T. Maust (ORCID: https://orcid.org/0000-0003-4740-2640)
- Sarah L. Krein (ORCID: https://orcid.org/0000-0003-2111-8131)
- Charity Hoffman (ORCID: https://orcid.org/0000-0002-2977-4179)
- Kathleen Tschantz Unroe (ORCID: https://orcid.org/0000-0003-3387-6730)
- Molly Turnwald
- Hannah C. Ratliff (ORCID: https://orcid.org/0000-0001-8331-3560)
- Erika Ratliff
- Kierstdea Petzold
- Terrence Gatton
Institutions
- Johns Hopkins University (US)
- University of Michigan (US)
- VA Ann Arbor Healthcare System (US)
- Indiana University – Purdue University Indianapolis (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-09-30
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.34685
- Primary Topic
- Geriatric Care and Nursing Homes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health