Evidence map›Paper›PMID 31056455›Full record

ArticleJournal of the American Medical Directors Association2019

Preparing Long-Term Care Staff to Meet the Needs of Aging Persons With Serious Mental Illness.

Anjana Muralidharan, Whitney L Mills, Denise R Evans, Daryl Fujii, Victor Molinari

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.9field-weighted citation impact, top 3% of its field
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

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Loneliness in older persons with schizophrenia.The International journal of social psychiatry · 2025
    Article
  8. Article
  9. Ageism in the Mental Health Setting.Current psychiatry reports · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Falling off a cliff: Psychiatric care of nursing home residents.Journal of the American Geriatrics Society · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Trends in Serious Mental Illness in US Assisted Living Compared to Nursing Homes and the Community: 2007-2017.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
    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

5 authors at 5 institutions in 1 country.

Anjana MuralidharanVA Capitol Healthcare Network, Mental Illness Research Education and Clinical Center, Baltimore, MD; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD. Electronic address: anjana.muralidharan2@va.gov.
Whitney L MillsCenter of Innovation in Long-Term Services and Supports, Providence VA Medical Center, Providence, RI; Department of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI.
Denise R EvansCharlie Norwood VA Medical Center, Augusta, GA; Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA.
Daryl FujiiVA Pacific Islands Healthcare System, Honolulu, HI.
Victor MolinariSchool of Aging Studies, University of South Florida, Tampa, FL.
Augusta University · USBrown University · USUniversity of Maryland, Baltimore · USUniversity of South Florida · USVA Pacific Islands Health Care System · US

Funding

Improving Veteran Transitions from VA Community Living Centers to the CommunityIK2RX001241 · VA · PROVIDENCE VA MEDICAL CENTER · PI MILLS, WHITNEY L · 2014 to 2019
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Peer Support for Exercise in Older Veterans with Psychotic DisordersIK2RX002339 · VA · BALTIMORE VA MEDICAL CENTER · PI MURALIDHARAN, ANJANA · 2017 to 2021
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RRD VA IK2 RX001241RRD VA IK2 RX002339
6 · The paper itself

Abstract

objectivesIndividuals with serious mental illness (SMI; schizophrenia spectrum disorders and affective psychoses) are increasingly aging into older adulthood and are overrepresented in residential long-term care settings. The present study aimed to examine the preparedness of staff in these settings to care for individuals with SMI.

designA multidisciplinary US Department of Veterans Affairs (VA) workgroup of professionals with expertise in geriatric mental health collected voluntary feedback via online questionnaire as part of a quality improvement project. SETTING AND

participantsRespondents were mental health providers (N=51) embedded in VA nursing homes called Community Living Centers (CLCs). MEASURES: The questionnaire contained multiple-choice, Likert-type scale, and open-ended questions regarding the opportunities and challenges associated with caring for Veterans with SMI in CLCs.

resultsRespondents identified a lack of training of front-line staff as a key challenge in providing high-quality care to residents with SMI. Specifically, respondents indicated a need to increase staff knowledge about SMI symptoms and diagnoses, to improve staff communication and interactions with residents with SMI, and to decrease mental illness stigma among staff. CONCLUSIONS/IMPLICATIONS: The present study revealed significant areas of training need for front-line staff in nursing homes. Many perceived staff training needs overlap with the knowledge and skill set required to provide high-quality dementia care. Integrating training regarding the care of residents with SMI into dementia care training efforts may be a fruitful future direction. Strategies for this and a suggested curriculum are provided.

Indexed as

Health Services Needs and DemandHomes for the AgedStaff DevelopmentAgedDementiaHealth PersonnelHumansLong-Term CareMental DisordersSeverity of Illness IndexSurveys and QuestionnairesUnited Statesassisted livinglong-term carenursing homesSerious mental illnessstaff training

Identifiers

PMID31056455
PMCPMC6611673
OpenAlexW2943256419

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.