Characteristics of Residents of a Specialized Skilled Nursing Facility According to Pretransfer Facility
| Psychiatric Facility (n = 48) | Correctional Facility (n = 38) | Test Statistic | P | |
|---|---|---|---|---|
| Demographics | ||||
| Age (years), mean (SD) | 61.3 (10.4) | 54.6 (13.8) | t = −2.56 | 0.01 |
| Male | 42 (87.5) | 35 (92.1) | χ2 = 0.48 | 0.49 |
| Race | χ2 = 1.23 | 0.54 | ||
| White/nonhispanic | 27 (56.2) | 17 (44.7) | ||
| Black | 13 (27.1) | 14 (36.8) | ||
| Hispanic | 8 (16.7) | 7 (18.4) | ||
| Health services use/antipsychotics | ||||
| Emergency room visit* | 1 (2.1) | 11 (29.0) | χ2 = 12.75 | <0.001 |
| Acute inpatient hospitalization* | 11 (22.9) | 20 (56.2) | χ2 = 8.12 | 0.004 |
| Antipsychotic prescription† | 32 (71.1) | 5 (13.5) | χ2 = 31.87 | <0.001 |
| MDS admission data | ||||
| Cognition score, mean (SD), median‡ | 9.9 (4.0), 10.5 | 13.6 (1.9), 15.0 | Z = 4.64 | <0.001 |
| Depression symptom severity score, mean (SD), median§ | 3.6 (3.5), 3.0 | 3.7 (4.0), 2.5 | Z = −0.04 | 0.96 |
| Behavioral symptoms¶ | 7 (14.9) | 1 (2.6) | χ2 = 3.60 | 0.07 |
Data are number of patients (% of subgroup), unless otherwise indicated.
↵* Refers to the 12 months before admission to the SNF.
↵† Five residents were missing antipsychotic prescription data at baseline.
↵‡ Assessed via the Brief Interview for Mental Status (BIMS).18 Scores range from 0 to 15; higher scores indicate better cognition, with scores of <7 indicating severe impairment. A total of 77 residents completed the BIMS at admission.
↵§ Assessed via the 9-item Physician Health Questionnaire (PHQ-9).19 Scores range from 0 to 27, and higher scores indicate greater severity.
↵¶ Assessed as the overall presence of physical (e.g., hitting, kicking, grabbing), verbal (e.g., screaming, cursing), and other (scratching self, throwing food or bodily waste) behavioral symptoms.