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11.06.2014

Mental diseases in the elderly, treat chronic tinnitus - How to DIY

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Associated Press, FileRussell Smith holds a photo of his stepfather, Ivory Jackson, and half-sister, Anita Jackson, outside the All Faith Pavillion nursing home on Oct. Jackson's roommate -- a mentally ill man nearly 30 years younger -- was arrested and charged with the killing.
Over the past several years, nursing homes have become dumping grounds for young and middle-age people with mental illness, according to Associated Press interviews and an analysis of data from all 50 states. Younger, stronger residents with schizophrenia, depression or bipolar disorder are living beside frail elderly residents, and sometimes taking their rage out on them. Numbers obtained through the Freedom of Information Act and prepared exclusively for the AP by the Centers for Medicare and Medicaid Services show nearly 125,000 young and middle-aged adults with serious mental illness lived in U.S. That was a 41 percent increase from 2002, when nursing homes housed nearly 89,000 mentally ill people ages 22 to 64. Younger mentally ill people now make up more than 9 percent of the nation's nearly 1.4 million nursing home residents, up from 6 percent in 2002. Several forces are behind the trend, among them: the closing of state mental institutions and a shortage of hospital psychiatric beds.
No government agency keeps count of killings or serious assaults committed by the mentally ill against the elderly in nursing homes.
Jackson's roommate was 50 and had a history of aggression and "altered mental status," according to the state nursing home inspector's report.
Under federal law, nursing homes are barred from admitting a mentally ill patient unless the state has determined that the person needs the high level of care a nursing home can provide. Families have sued in hopes of forcing states to change their practices and pressuring nursing homes to prevent assaults.


The problem has its roots in the 1960s, when deplorable conditions, improved drug treatments and civil rights lawsuits led officials to close many state mental hospitals.
In Missouri, more than 4,400 younger mentally ill people are living in nursing homes, in part because of a state program that helps the elderly stay in their own homes longer. Nursing homes "are looking at 60 to 70 percent occupancy, and the statistics tell us they've got to be in the 90s to operate successfully," said Carol Scott, the state long-term care ombudsman for 20 years.
Gaps in staff training leave the homes inept at handling the delusions and aggression of the mentally ill, said Becky Kurtz, the state long-term care ombudsman in Georgia, where nearly 3,300 younger mentally ill people live in nursing homes. Pat Willis of the Center for Prevention of Abuse said she has seen elderly residents terrified by younger, mentally ill residents who scream and yell, day and night. Nursing home operators say protections against frivolous transfer or discharge keep the homes from throwing out some mentally ill residents. Police found him sitting next to the nurse's station, blood on his hands, clothes and shoes.
And that has proved a prescription for violence, as Jackson's case and others across the country illustrate. Most states saw increases, with Utah, Nevada, Missouri, Alabama and Texas showing the steepest climbs. Also, nursing homes have beds to fill because today's elderly are healthier than the generation before them and are more independent and more likely to stay in their homes. A state review found that Christopher Shelton was admitted to the nursing home despite a history of violence and was left unsupervised even after he told staff he was sexually frustrated. Solomon Owasanoye wandered the streets before he came to All Faith Pavilion, a Chicago nursing home, and he yelled, screamed and kicked doors after he got there.


Advocates say many mentally ill people in nursing homes could live in apartments if they got help taking their medication and managing their lives.
As a result, some states have come to rely largely on nursing homes to care for mentally ill people of all ages.
As long as a nursing home's mentally ill population stays under 50 percent, the federal government will help pay for the residents' care under its Medicaid program. Jackson's roommate - a mentally ill man nearly 30 years younger - was arrested and charged with the killing.
At 77, Ivory Jackson, who suffered from Alheimer's, was killed in May 2008 by his mentally ill roommate. Also, federal law guarantees nursing home residents the right to be free from physical abuse. I don't want to be there.' Sometimes the behavioral issues are the result of being ticked off you're in a nursing home," Kurtz said. All rights reserved (About Us).The material on this site may not be reproduced, distributed, transmitted, cached or otherwise used, except with the prior written permission of Northeast Ohio Media Group LLC.



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