ArticleClinical gerontologist
Community, Social, and Facility Factors and Long-stay Antipsychotic Use.
Article in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors associated with the variation in drug prescription of antipsychotics in long-term care facilities: a systematic review.BMC geriatrics · 2025Pooled it
- Structural Vulnerability and the Pandemic: Widening Gaps in Nursing Home Antipsychotic Prescribing.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Invisible staffing churn in nursing homes: CMS turnover metrics miss a growing short-term workforce.Health affairs scholar · 2026Article
- A National Survey of Nursing Home Clinicians to Explain Increased Valproate Prescribing.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025Article
- Clinician Perspectives on Increased Gabapentinoid Prescribing in Nursing Homes.Journal of the American Geriatrics Society · 2025Article
- A Nursing Home Clinician Survey to Explain Gabapentinoid Increases.Journal of the American Medical Directors Association · 2025Article
- Prescribing Trends and Associated Outcomes of Antiepileptic Drugs and Other Psychotropic Medications in US Nursing Homes: Proposal for a Mixed Methods Investigation.JMIR research protocols · 2024Article
- Postpartum medication for opioid use disorder outcomes associated with prenatal treatment and neighborhood-level social determinants.American journal of obstetrics & gynecology MFM · 2023Article
- Trends in Antiseizure Medication Prescribing Among Nursing Home Residents With and Without a Seizure Diagnosis.The neurologist · 2023Article
- Quality Gap in Long-Stay Antipsychotic Quality Measure Performance Widens Over the Pandemic, Reversing Past Gains.Gerontology & geriatric medicineArticle
- Understanding Pandemic Increases in Long-Stay Psychotropic Prescribing for Dementia Symptoms: A Survey of Nursing Home Clinicians.Gerontology & geriatric medicineArticle
- Enhancing Long Term Care and Caregiving.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesCompare Virginia nursing homes in the top- and bottom-quintiles of antipsychotic use for variation in community, social, and facility factors.
methods2018 CMS data ascertained Virginia nursing homes in the top and bottom quintiles for antipsychotic use. The Virginia Health Department provided social determinant of health (SDOH) statistics for each facility's county/city while claims identified facility demographics. Chi square and independent two-sample
resultsQuintiles averaged 3000 residents and 56 facilities. Facilities with the lowest rates of antipsychotic use were more likely to be privately owned and had fewer African-American and minority residents and more white residents. All 18 SDOH statistics were superior for the communities of facilities with the lowest antipsychotic rates. Nine of these differences were statistically significant, including the aggregated "Health Opportunity Index."
conclusionsThe antipsychotic prevalence rate for facilities in the top-quintile of antipsychotic use is fivefold the bottom-quintile's rate. Antipsychotic prescribing in nursing homes is associated with regional, demographic, and social factors not addressed by existing antipsychotic reduction measures, with vulnerable populations at greatest risk. CLINICAL IMPLICATIONS: The efficacy of measures aimed at curbing long-stay antipsychotic prescribing could be improved by addressing SDOH including economic opportunities.
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