Screening for Mental Illness in Nursing Facility Applicants: Understanding Federal Requirements Policy rept

摘要

Medicaid law and regulations require States to have a Preadmission Screening and Resident Review (PASRR) program to determine whether nursing facility applicants and residents require nursing facility services and specialized mental health care. Congress developed the PASRR program to prevent inappropriate admission and retention of people with mental disabilities in nursing facilities, as part of the Omnibus Budget Reconciliation Act (OBRA) 1987. Several recent studies raise questions concerning the effectiveness of the PASRR program, suggesting that the program creates barriers for persons requiring nursing facility placements and does not ensure access to appropriate psychiatric services.