ArticleJournal of the American Geriatrics Society2019
Association between High Proportions of Seriously Mentally Ill Nursing Home Residents and the Quality of Resident Care.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.Clinical gerontologistPooled it
- Effectiveness of the PASRR Program Compared With Claims Data in Identifying Nursing Home Admissions With Mental Illness.Journal of the American Medical Directors Association · 2026Article
- Turnover in Nursing Homes That Serve Residents With Serious Mental Illness.Journal of the American Medical Directors Association · 2025Article
- Serious Mental Illness in Assisted Living Communities: Association with Nursing Home Placement.Journal of the American Medical Directors Association · 2024Article
- Hospital Proximity and Emergency Department Use among Assisted Living Residents.Journal of the American Medical Directors Association · 2023Article
- Excess deaths from COVID-19 among Medicare beneficiaries with psychiatric diagnoses: Community versus nursing home.Journal of the American Geriatrics Society · 2023Article
- Nurses' experiences of an outreach interprofessional mental health service for nursing homes: a qualitative descriptive study.Journal of psychiatric and mental health nursing · 2022Article
- Serious Mental Illness in Nursing Homes: Stakeholder Perspectives on the Federal Preadmission Screening Program.Journal of aging & social policy · 2022Article
- Quality of Nursing Homes Admitting Working-Age Adults With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2022Article
- Changing landscape of nursing homes serving residents with dementia and mental illnesses.Health services research · 2022Article
- Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents.JAMA health forum · 2021Article
- 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 · 2021Article
- Serious Mental Illness in the Nursing Home Literature: A Scoping Review.Gerontology & geriatric medicineArticle
- Expert nurse response to workforce recommendations made by The Coronavirus Commission For Safety And Quality In Nursing Homes.Nursing outlookArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo examine the association between the quality of care delivered to nursing home residents with and without a serious mental illness (SMI) and the proportion of nursing home residents with SMI.
designInstrumental variable study. Relative distance to the nearest nursing home with a high proportion of SMI residents was used to account for potential selection of patients between high- and low-SMI facilities. Data were obtained from the 2006-2010 Minimum Data Set assessments linked with Medicare claims and nursing home information from the Online Survey, Certification, and Reporting database.
settingNursing homes with high (defined as at least 10% of a facility's population having an SMI diagnosis) and low proportions of SMI residents.
participantsA total of 58 571 Medicare nursing residents with an SMI diagnosis (ie, schizophrenia or bipolar disorder) and 558 699 individuals without an SMI diagnosis who were admitted to the same nursing homes. MEASUREMENTS: Outcomes were nursing home quality measures: (1) use of physical restraints, (2) any hospitalization in the last 3 months, (3) use of an indwelling catheter, (4) use of a feeding tube, and (5) presence of pressure ulcer(s).
resultsFor individuals with SMI, admission to a high-SMI facility was associated with a 3.7 percentage point (95% confidence interval [CI] = 1.4-6.0) increase in the probability of feeding tube use relative to individuals admitted to a low-SMI facility. Among individuals without SMI, admission to a high-SMI facility was associated with a 1.7 percentage point increase in the probability of catheter use (95 CI = .03-3.47), a 3.8 percentage point increase in the probability of being hospitalized (95% CI = 2.16-5.44), and a 2.1 percentage point increase in the probability of having a feeding tube (95% CI = .43-3.74).
conclusionAdmission to nursing homes with high concentrations of residents with SMI is associated with worse outcomes for both residents with and without SMI. J Am Geriatr Soc 67:2346-2352, 2019.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.