Exclusion criteria: | □ significant dementia or delirium |
□ psychosis | |
□ hospitalization for suicidal ideation in the last year | |
□ fewer than 3 outpatient visits with the resident | |
□ less than 3 days in hospital (acute care only) | |
□ non-English speaking | |
□ less than 18 years of age | |
□ no address in medical record | |
□ prisoner | |
□ other:__________________________________________ |