Trend change in the intellectual disability nursing home census from 1977 to 2004

Scott D. Landes, Nikita Lillaney

Research output: Contribution to journalReview article

Abstract

The Omnibus Budget Reconciliation Act (OBRA) of 1987 was expected to reduce inappropriate residential placements of persons with intellectual disability (ID) in nursing homes. Utilizing the nationally representative 1977, 1985, 1995, and 2004 National Nursing Home Surveys (NNHS), we estimate trend change in the ID nursing home census pre- and post-OBRA. We find a marked decrease in number and percentage, and a shift in the age distribution of the ID nursing home census, most pronounced between 1985 and 1995. We contend that these trend changes, concurrent with growth in the overall nursing home population, provide empirical evidence that policy changes that occurred during the OBRA enactment period were successful in reducing inappropriate residential placements of persons with ID in nursing homes.

Original languageEnglish (US)
Pages (from-to)427-437
Number of pages11
JournalAmerican Journal on Intellectual and Developmental Disabilities
Volume124
Issue number5
DOIs
StatePublished - 2019

Keywords

  • Age
  • Intellectual disability
  • Nursing home
  • OBRA
  • Population change

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Neuropsychology and Physiological Psychology
  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Trend change in the intellectual disability nursing home census from 1977 to 2004'. Together they form a unique fingerprint.

  • Cite this