Leveraging the PASRR process to divert and transition elders with mental illness from nursing facilities

UMMS Affiliation

Department of Family Medicine and Community Health; Center for Health Policy and Research

Publication Date


Document Type



Aged; Aged, 80 and over; Geriatric Assessment; Humans; Mental Disorders; Nursing Homes; Patient Admission; Patient Care Planning; Process Assessment (Health Care); Program Evaluation; Referral and Consultation; United States


Community Health and Preventive Medicine | Preventive Medicine | Primary Care


This study examines how some states use Pre-Admission Screening and Resident Review (PASRR) processes to provide opportunities for nursing facility diversion and/or transition for elders with mental illness and highlights potential promising practices from selected states. Document reviews and interviews were conducted with key informants across 13 states.

Key themes presented are 1) philosophies of diversion/transition embedded into PASRR processes, 2) questions on screening tools used to promote diversion/transition, 3) PASRR authorities' collaboration with other initiatives to promote diversion/transition, and 4) the extent to which states used PASRR to help identify mental health supports needed by nursing facility residents.

Findings provide policy-relevant information to help states consider enhancement of their PASRR processes to further support nursing facility diversion and transition for persons with mental illness and improved mental health services for those in nursing facilities.

DOI of Published Version



J Aging Soc Policy. 2011 Jul-Sep;23(3):305-22. doi: 10.1080/08959420.2011.579512. Link to article on publisher's site

Journal/Book/Conference Title

Journal of aging and social policy

Related Resources

Link to Article in PubMed

PubMed ID