Evidence map›Paper›PMID 35786383›Full record

ArticleJournal of aging & social policy2022

Serious Mental Illness in Nursing Homes: Stakeholder Perspectives on the Federal Preadmission Screening Program.

Taylor Bucy, Kelly Moeller, Tricia Skarphol, Nathan Shippee, John R Bowblis, Tyler Winkelman, Tetyana Shippee

Open access · greenAbstract read
In one paragraph

Article in Journal of aging & social policy, 2022. 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
1.9field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Taylor BucyGraduate Research Assistant, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.ORCID 0000-0002-9049-1100
Kelly MoellerProject Support Coordinator, Center for Healthy Aging and Innovation, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.ORCID 0000-0002-6931-4054
Tricia SkarpholResearch Project Manager, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Nathan ShippeeAssociate Professor, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.ORCID 0000-0002-9885-3663
John R BowblisProfessor, Farmer School of Business, Miami University, Oxford, OH, USA.ORCID 0000-0003-4776-4182
Tyler WinkelmanAssistant Professor of Medicine & Pediatrics, University of Minnesota School of Medicine, Minneapolis, MN, USA.ORCID 0000-0002-9581-5223
Tetyana ShippeeAssociate Professor, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.ORCID 0000-0003-1804-2527
University of Minnesota · USMiami University · US

Funding

System Factors and Racial Disparities in Nursing Home Quality of Life and CareR01MD010729 · NIMHD · UNIVERSITY OF MINNESOTA · PI SHIPPEE, TETYANA P. · 2016 to 2020
$2.4M
NIMHD NIH HHS R01 MD010729
6 · The paper itself

Abstract

The federal Preadmission Screening and Resident Review (PASRR) program was enacted in the 1980s amid concerns surrounding the quality of nursing home (NH) care. This program is meant to serve as a tool to assist with level of care determinations for NH applicants with serious mental illness (SMI) and was intended to limit the growth in the number of NH residents with SMI. Despite this policy effort, the prevalence of SMI in NHs has continued to increase, and little is known about the mechanisms driving the heterogeneous and suboptimal administration of the PASRR program, absent routine evaluative efforts. We conducted 20 semi-structured interviews with state and national stakeholders to identify factors affecting PASRR program administration and NH care for residents with SMI. Stakeholders expressed concern regarding fragmentation, specifically lack of clarity in the value of assessments beyond a regulatory requirement. Additionally, they cited variable program administration as contributing to fragmented communication patterns and inconsistent training across jurisdictions. Given the number of people with SMI currently residing in NHs, policy and practice should take a person-centered approach to assess how PASRR can be better used to support resident needs.

Indexed as

Mental DisordersHumansNursing HomesPrevalencenursing facilitiesnursing homespreadmission screeningserious mental illness

Identifiers

PMID35786383
PMCPMC9709959
OpenAlexW4283787959

What OpenQuestion holds

Textmetadata
LicenceTDM
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.