There is growing acknowledgement that the proportion of adults with serious mental illness (SMI) in nursing homes (NHs) is increasing. SMI refers to a group of mental health conditions that result in serious functional impairment or limit participation in 1 or more major life activities.1-3 At present, there are 2 federally mandated tools that capture this information: the preadmission screening and resident review
program (PASRR) and minimum data set (MDS). PASRR is a 2-step assessment completed prior to NH admission with the intent of preventing inappropriate institutionalization, whereas the MDS is a comprehensive clinical assessment of functional capacity and
medical needs measured at admission, discharge, and periodically throughout one’s stay.
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