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The Impact of OBRA '87 on Psychiatric Services in Nursing Homes

Joint Testimony of The American Psychiatric Association and The American Association for Geriatric Psychiatry

Accepted June 25, 1998. From The American Psychiatric Association and The American Association for Geriatric Psychiatry, Washington, DC. Address correspondence to Dr. Colenda, Chair, Council on Aging, APA, Professor and Chair, Department of Psychiatry, College of Human Medicine, Michigan State University, East Lansing, MI 48824.

ABSTRACT

The Institute of Medicine has formed a Committee on Improving Quality in Long-Term Care, which is examining the legislative and quality-of-care impact that the Omnibus Budget Reconciliation Act of 1987 (OBRA '87) had on long-term care. The American Psychiatric Association and the American Association for Geriatric Psychiatry were asked to provide written and oral testimony before the Committee in March 1998. The two organizations summarized the key outcomes of OBRA '87 on the psychiatric needs of individuals who receive services in long-term care settings. The written testimony also encouraged the Committee to insist that the long-term care industry develop, test, and refine psychiatric and mental health quality outcome measures for nursing facilities and other long-term care settings.

Key Words: Position Statement • OBRA '87 • Nursing Homes

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