Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study

Brief Summary: Residents in long-term care facilities in Canada with mental and cognitive disorders have complex care needs. To meet these needs an integrated model of care is recommended. Context: The high prevalence of mental disorders in residents of long-term care (LTC) facilities raises serio...

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Main Authors: Vahe Kehyayan, Jonathan Chen, John P. Hirdes
Format: Article
Language:English
Published: LSE Press 2021-06-01
Series:Journal of Long-Term Care
Subjects:
Online Access:https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/47
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author Vahe Kehyayan
Jonathan Chen
John P. Hirdes
author_facet Vahe Kehyayan
Jonathan Chen
John P. Hirdes
author_sort Vahe Kehyayan
collection DOAJ
description Brief Summary: Residents in long-term care facilities in Canada with mental and cognitive disorders have complex care needs. To meet these needs an integrated model of care is recommended. Context: The high prevalence of mental disorders in residents of long-term care (LTC) facilities raises serious concerns for facility operators and staff. These residents have multiple vulnerabilities that facility staff should have the necessary knowledge and skills to properly meet their needs. Objectives: To describe the profile of residents with mental disorders (MD) and Alzheimer’s Disease and Related Dementias (ADRD) in Canadian long-term care (LTC) facilities. Findings: Seventy-six percent of residents had MD (40%) and ADRD (36%). These residents compared to those without such disorders were more likely to be cognitively impaired, manifest aggressive behavior, receive psychotropic drugs, and physically restrained, and less likely to be socially engaged. Strengths and Limitations: The large representative sample was a key strength. The findings add to the knowledge about the profile of LTC residents. The cross-sectional design of the study limits the findings to the population studied. Implications: Residents with MD and ADRD compared to those without such disorders are highly vulnerable because of their double burden of mental and physical comorbidities. Their profile may be of interest to LTC facility operators, clinicians, and policy makers about their complex care needs. Our findings raise awareness of the need for trained LTC facility staff for knowledge and skills in psychogeriatric conditions to assess, plan, and implement appropriate interventions for these residents. Coordinated and integrated models of care with access to psychogeriatric specialists such as psychiatrists or advanced practice nurses will also be of benefit to them.
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spelling doaj.art-b0e62ac4c63e4c4aae62085c950405c22023-11-12T06:24:56ZengLSE PressJournal of Long-Term Care2516-91222021-06-012021Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional StudyVahe Kehyayan0Jonathan Chen1John P. Hirdes2University of Calgary in QatarSchool of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, WaterlooSchool of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo Brief Summary: Residents in long-term care facilities in Canada with mental and cognitive disorders have complex care needs. To meet these needs an integrated model of care is recommended. Context: The high prevalence of mental disorders in residents of long-term care (LTC) facilities raises serious concerns for facility operators and staff. These residents have multiple vulnerabilities that facility staff should have the necessary knowledge and skills to properly meet their needs. Objectives: To describe the profile of residents with mental disorders (MD) and Alzheimer’s Disease and Related Dementias (ADRD) in Canadian long-term care (LTC) facilities. Findings: Seventy-six percent of residents had MD (40%) and ADRD (36%). These residents compared to those without such disorders were more likely to be cognitively impaired, manifest aggressive behavior, receive psychotropic drugs, and physically restrained, and less likely to be socially engaged. Strengths and Limitations: The large representative sample was a key strength. The findings add to the knowledge about the profile of LTC residents. The cross-sectional design of the study limits the findings to the population studied. Implications: Residents with MD and ADRD compared to those without such disorders are highly vulnerable because of their double burden of mental and physical comorbidities. Their profile may be of interest to LTC facility operators, clinicians, and policy makers about their complex care needs. Our findings raise awareness of the need for trained LTC facility staff for knowledge and skills in psychogeriatric conditions to assess, plan, and implement appropriate interventions for these residents. Coordinated and integrated models of care with access to psychogeriatric specialists such as psychiatrists or advanced practice nurses will also be of benefit to them. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/47long-term care facilitiesinterRAImental disordersAlzheimer’s Disease and Related Dementiascare models
spellingShingle Vahe Kehyayan
Jonathan Chen
John P. Hirdes
Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
Journal of Long-Term Care
long-term care facilities
interRAI
mental disorders
Alzheimer’s Disease and Related Dementias
care models
title Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
title_full Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
title_fullStr Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
title_full_unstemmed Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
title_short Profile of Residents with Mental Disorders in Canadian Long-Term Care Facilities: A Cross-Sectional Study
title_sort profile of residents with mental disorders in canadian long term care facilities a cross sectional study
topic long-term care facilities
interRAI
mental disorders
Alzheimer’s Disease and Related Dementias
care models
url https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/47
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AT jonathanchen profileofresidentswithmentaldisordersincanadianlongtermcarefacilitiesacrosssectionalstudy
AT johnphirdes profileofresidentswithmentaldisordersincanadianlongtermcarefacilitiesacrosssectionalstudy