Institutional factors of nursing homes that predict the provision of mental health services.

This article explores the likelihood of the provision of mental health services in a nursing home as a function of the home's institutional factors. Data from the Institutional Population Component of the National Medical Expenditure Survey were used, and a modified model of equilibrium quality and price in a multivariate logistic framework is employed. The results indicate that meeting the demands for active mental health treatment, as mandated by the Nursing Home Reform Act of 1987, may be more difficult in those institutions that are part of a chain, are small, or contain Medicaid skilled nursing facility beds.