For-profit companies open psychiatric hospitals in areas clamoring for care

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State institutions and community hospitals have closed inpatient mental health units, often citing staffing and financial challenges. Now, for-profit companies are opening psychiatric hospitals to fill the void.

Grinnell, Iowa — A for-profit company has proposed turning a boarded-up former nursing home here into a psychiatric hospital, joining a national trend toward having such hospitals owned by investors instead of by state governments or nonprofit health systems.The companies see a business opportunity in the shortage of inpatient beds for people with severe mental illness.The scarcity of inpatient psychiatric care is evident nationwide, especially in rural areas.

The first attempt was stymied in 2023 by a tie vote of the board that considers such permits, which are a major hurdle for large health care projects. The second application was approved by a unanimous vote after a hearing on Jan. 25.Keri Lyn Powers, a Hickory executive, told regulators the company planned to spend $1.5 million to remodel the building. The main changes would include making rooms safe for people who might be suicidal, she said.

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