Table 9Description of participant mental health: international cross-sectional and longitudinal peer-reviewed studies

StudyMeasure of Mental HealthHCBS/ALNHSignificanceSummary
Nottingham Studies
Rothera et al., 200357
United Kingdom
Median Geriatric Depression Scale score; lower scores indicate less depressionHCBS: 57Categorical depression not significantly different between types of careHCBS group did not differ significantly from NH group in number of individuals with depression
aBoersma et al., 199735
The Netherlands
CAMDEX indicator for depression (percentage)HCBS(a): 14.3%
HCBS(b): 10.5%
16.2%NRHCBS groups had fewer individuals with an indicator for depression
Chappell et al., 200438
Terrible Delightful Scale and life satisfaction questionScores were not specifiedScores were not specifiedScores were not significantly different for HCBS and NH participants, indicating they were comparable in terms of life satisfactionHCBS group did not differ significantly from NH group in life satisfaction scores
Wodchis et al., 200366
Generally happy/free from worry (percentage)HCBS(a): 53%
HCBS(b): 84%
29%NRHCBS groups had more individuals that were generally happy/free from worry

CAMDEX = Cambridge Examination for Mental Disorders of the Elderly; HCBS = Home and Community-Based Services; MDS = Minimum Data Set; NH = Nursing Home; NR = Not Reported

Note: Table rows order by similar measures of mental health.


Study focused on samples with dementia.

From: Results

Cover of Long-Term Care for Older Adults
Long-Term Care for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care [Internet].
Comparative Effectiveness Reviews, No. 81.
Wysocki A, Butler M, Kane RL, et al.

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