Evidence map›Paper›PMID 27243369›Full record

ReviewAging & mental health2017

Expanding the geriatric mental health workforce through utilization of non-licensed providers.

Mark E Kunik, Whitney L Mills, Amber B Amspoker, Jeffrey A Cully, Cynthia Kraus-Schuman, Melinda Stanley, Nancy L Wilson

Abstract readReview
In one paragraph

Review in Aging & mental health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mark E Kunika Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.
Whitney L Millsa Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.
Amber B Amspokera Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.
Jeffrey A Cullya Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.
Cynthia Kraus-Schumanb Department of Medicine, Baylor College of Medicine , Houston , TX , USA.
Melinda Stanleya Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.
Nancy L Wilsona Menninger Department of Psychiatry and Behavioral Sciences, Houston VA HSR&D Center for Innovations in Quality , Effectiveness and Safety , Michael E. DeBakey VA Medical Center, Houston , TX , USA.

Funding

TREATMENT OF GENERALIZED ANXIETY DISORDER IN THE ELDERLYR01MH053932 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STANLEY, MELINDA A · 1996 to 2012
$5.6M
NIMH NIH HHS R01 MH053932
6 · The paper itself

Abstract

objectivesWe evaluate policy and practice strategies for bolstering the geriatric mental healthcare workforce and describe costs and considerations of implementing one approach.

methodNarrative overview of the literature and policy retrieved from searches of databases, hand searches, and authoritative texts. We identified three proposed strategies to increase the geriatric mental healthcare workforce: (1) production of more geriatric mental health providers; (2) team-based care; and (3) non-licensed providers. We evaluate each in terms of challenges and potential and provide estimates of costs, policy, and practice considerations for training, employing, and supervising non-licensed mental health providers.

resultsUse of non-licensed providers is key to reforms needed to allow a more older adults to access necessary mental healthcare. Licensed and non-licensed providers have achieved similar improvements for generalized anxiety disorder among patients, although non-licensed providers did so at a lower cost.

conclusionSupervised non-licensed providers can extend the reach of licensed providers for specific mental health conditions, resulting in lower costs and increased number of patients treated. Although several barriers to implementation exist, policy and infrastructure changes that may support this type of care delivery model are emerging from reforms in financing and associated delivery initiatives created by the Affordable Care Act.

Indexed as

Health Services for the AgedMental Health ServicesAgedClinical CompetenceHealth PersonnelHealth Services Needs and DemandHumansLicensurePatient Care ManagementPatient Care TeamPatient Protection and Affordable Care ActUnited StatesWorkforcecognitive behavioral therapycommunity health workerHealthcare workforcemental health servicesolder adults

Identifiers

PMID27243369
PMCPMC5568805

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.