{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T01:40:46Z","timestamp":1775698846616,"version":"3.50.1"},"reference-count":35,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2019,5]]},"DOI":"10.1016\/j.jamda.2019.01.121","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T23:06:36Z","timestamp":1551481596000},"page":"610-616.e2","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Access to Psychiatrist Services for Older Adults in Long-Term Care: A Population-Based Study"],"prefix":"10.1016","volume":"20","author":[{"given":"Christopher","family":"Perlman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Kirkham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clive","family":"Velkers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxanne H.","family":"Leung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlo","family":"Whitehead","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dallas","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2019.01.121_bib1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jamda.2006.06.005","article-title":"Depression as a risk factor for nursing home admission among older individuals","volume":"8","author":"Harris","year":"2007","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2019.01.121_bib2","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1176\/ps.62.9.pss6209_1098","article-title":"Medical comorbidity and functional status among adults with major mental illness newly admitted to nursing homes","volume":"62","author":"Aschbrenner","year":"2015","journal-title":"Psychiatr Serv"},{"key":"10.1016\/j.jamda.2019.01.121_bib3","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1192\/bjp.bp.111.092718","article-title":"Physical health disparities and mental illness: The scandal of premature mortality","volume":"199","author":"Thornicroft","year":"2011","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/j.2051-5545.2011.tb00014.x","article-title":"Physical illness in patients with severe mental disorders, I: Prevalence, impact of medications and disparities in health care","volume":"10","author":"De Hert","year":"2011","journal-title":"World Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib5","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1192\/bjp.bp.110.085100","article-title":"Outcomes of Nordic mental health systems: Life expectancy of patients with mental disorders","volume":"199","author":"Wahlbeck","year":"2011","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1176\/ps.2010.61.4.349","article-title":"Provision of mental health services in US nursing homes, 1995\u20132004","volume":"61","author":"Li","year":"2010","journal-title":"Psychiatr Serv"},{"key":"10.1016\/j.jamda.2019.01.121_bib7","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1176\/appi.ps.51.3.354","article-title":"Use of nursing homes in the care of persons with severe mental illness: 1985 to 1995","volume":"51","author":"Mechanic","year":"2000","journal-title":"Psychiatr Serv"},{"key":"10.1016\/j.jamda.2019.01.121_bib8","first-page":"320","article-title":"Psychiatric consultation in the nursing home. A survey of six states","volume":"6","author":"Reichman","year":"1998","journal-title":"Am J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib9","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1080\/13607860802607280","article-title":"Mental health services in nursing homes: A survey of nursing home administrative personnel","volume":"13","author":"Molinari","year":"2009","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.jamda.2019.01.121_bib10","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1002\/gps.1126","article-title":"Perceived mental health needs and adequacy of service provision to older people in care homes in the UK: A national survey","volume":"19","author":"Purandare","year":"2004","journal-title":"Int J Geriatr Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib11","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1177\/070674379203700801","article-title":"Psychiatric services: A survey of nursing homes and homes for the aged in Ontario","volume":"37","author":"Conn","year":"1992","journal-title":"Can J Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib12","series-title":"Your Health System","year":"2015"},{"key":"10.1016\/j.jamda.2019.01.121_bib13","doi-asserted-by":"crossref","first-page":"M174","DOI":"10.1093\/geronj\/49.4.M174","article-title":"MDS cognitive Performance Scale\u00a9","volume":"49","author":"Morris","year":"1994","journal-title":"J\u00a0Gerontol"},{"key":"10.1016\/j.jamda.2019.01.121_bib14","doi-asserted-by":"crossref","first-page":"2298","DOI":"10.1111\/j.1532-5415.2008.02048.x","article-title":"The aggressive behavior scale: A new scale to measure aggression based on the minimum data set","volume":"56","author":"Perlman","year":"2008","journal-title":"J\u00a0Am Geriatr Soc"},{"key":"10.1016\/j.jamda.2019.01.121_bib15","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1093\/ageing\/29.2.165","article-title":"Development of a minimum data set-based depression rating scale for use in nursing homes","volume":"29","author":"Burrows","year":"2000","journal-title":"Age Ageing"},{"key":"10.1016\/j.jamda.2019.01.121_bib16","first-page":"M546","article-title":"Scaling ADLs within the MDS","volume":"54","author":"Morris","year":"1999","journal-title":"J\u00a0Gerontol"},{"key":"10.1016\/j.jamda.2019.01.121_bib17","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1093\/geront\/41.2.173","article-title":"Pain in US nursing homes: Validating a pain scale for the minimum data set","volume":"41","author":"Fries","year":"2001","journal-title":"Gerontologist"},{"key":"10.1016\/j.jamda.2019.01.121_bib18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2307\/2137284","article-title":"Revisiting the behavioral model and access to medical care: Does it matter?","volume":"36","author":"Andersen","year":"1995","journal-title":"J\u00a0Health Soc Behav"},{"key":"10.1016\/j.jamda.2019.01.121_bib19","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.jclinepi.2004.03.012","article-title":"New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality","volume":"57","author":"Sundararajan","year":"2004","journal-title":"J\u00a0Clin Epidemiol"},{"key":"10.1016\/j.jamda.2019.01.121_bib20","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1080\/03610910902859574","article-title":"Using the standardized difference to compare the prevalence of a binary variable between two groups in observational research","volume":"38","author":"Austin","year":"2009","journal-title":"Commun Stat Simul Comput"},{"key":"10.1016\/j.jamda.2019.01.121_bib21","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1017\/S1041610210000608","article-title":"Prevalence of psychiatric disorders among older adults in long-term care homes: A systematic review","volume":"22","author":"Seitz","year":"2010","journal-title":"Int Psychogeriatr"},{"key":"10.1016\/j.jamda.2019.01.121_bib22","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1001\/archpsyc.62.6.629","article-title":"Twelve-month use of mental health services in the United States: Results from the national comorbidity survey Replication","volume":"62","author":"Wang","year":"2005","journal-title":"Arch Gen Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib23","doi-asserted-by":"crossref","first-page":"331","DOI":"10.2105\/AJPH.83.3.331","article-title":"Mental health service use by the elderly in nursing homes","volume":"83","author":"Burns","year":"1993","journal-title":"Am J Public Health"},{"key":"10.1016\/j.jamda.2019.01.121_bib24","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/1359786810382058","article-title":"Review: Inequalities in healthcare provision for people with severe mental illness","volume":"24","author":"Lawrence","year":"2010","journal-title":"J\u00a0Psychopharmacol"},{"key":"10.1016\/j.jamda.2019.01.121_bib25","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1192\/bjp.bp.107.045732","article-title":"Quality of medical care for people with and without comorbid mental illness and substance misuse: Systematic review of comparative studies","volume":"194","author":"Mitchell","year":"2009","journal-title":"Br J Psychiatry"},{"key":"10.1016\/j.jamda.2019.01.121_bib26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1472-6963-11-20","article-title":"An evaluation of access to health care services along the rural-urban continuum in Canada","volume":"11","author":"Sibley","year":"2011","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.jamda.2019.01.121_bib27","series-title":"CMA Position Statement: Ensuring equitable access to care: Strategies for governments, health system planners, and the medical profession","year":"2013"},{"key":"10.1016\/j.jamda.2019.01.121_bib28","series-title":"Long-term mental health care for people with severe mental disorders","author":"Caldas","year":"2011"},{"key":"10.1016\/j.jamda.2019.01.121_bib29","series-title":"The World Health Report 2001: Mental Health: New Understanding, New Hope","year":"2001"},{"key":"10.1016\/j.jamda.2019.01.121_bib30","series-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","year":"2001"},{"key":"10.1016\/j.jamda.2019.01.121_bib31","doi-asserted-by":"crossref","first-page":"81.e7","DOI":"10.1016\/j.jamda.2011.01.015","article-title":"Mental illness training for long term care staff","volume":"13","author":"Irvine","year":"2012","journal-title":"J\u00a0Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2019.01.121_bib32","doi-asserted-by":"crossref","first-page":"2255","DOI":"10.1016\/S0140-6736(13)60590-5","article-title":"A\u00a0structural multidisciplinary approach to depression management in nursing-home residents: A multicentre, stepped-wedge cluster-randomised trial","volume":"381","author":"Leontjevas","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.jamda.2019.01.121_bib33","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1080\/02701960802074321","article-title":"Serious mental illness in Florida nursing homes: Need for training","volume":"29","author":"Molinari","year":"2008","journal-title":"Gerontol Geriatr Educ"},{"key":"10.1016\/j.jamda.2019.01.121_bib34","series-title":"Facility-Based Continuing Care in Canada, 2004-2005: An Emerging Portrait of the Continuum","year":"2007"},{"key":"10.1016\/j.jamda.2019.01.121_bib35","series-title":"Nursing Home Data Compendium, 2015 Edition","year":"2015"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861019301483?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861019301483?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T19:19:13Z","timestamp":1761506353000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861019301483"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":35,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["S1525861019301483"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2019.01.121","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Access to Psychiatrist Services for Older Adults in Long-Term Care: A Population-Based Study","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2019.01.121","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.","name":"copyright","label":"Copyright"}]}}