ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2025
Clinician Perspectives on Palliative Care for Older Adults With Serious Mental Illnesses: A Multisite Qualitative Study.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Evaluation of a novel educational intervention for mental health staff on advance care planning with older people with mental illness.European geriatric medicine · 2026Article
- Co-Designing End-of-Life Care for People With Pre-Existing Severe Mental Illness: Insights From Multiple Stakeholder Consultations.International journal of mental health nursing · 2026Article
- Healthcare professionals' engagement in palliative care for patients with mental disorders: a meta-synthesis of qualitative studies.Frontiers in psychiatry · 2026Review
- Mental Healthcare Delivery in Palliative Care: Patient and Caregiver Perspectives.Journal of pain and symptom management · 2026Article
- Staff-Identified Palliative Care Needs Among Programs of All-Inclusive Care for the Elderly (PACE): A Survey Study.Journal of the American Medical Directors Association · 2025Article
- Facilitators of palliative care provision for people with mental illness: a qualitative analysis from the perspective of mental healthcare staff.BMC palliative care · 2025Article
- Home-Based Palliative Care: Benefits, Challenges, Opportunities and Future Directions in a Super-Aged Society.Journal of hospice and palliative care · 2025Review
- Primary Mental Health Competencies for Hospice and Palliative Medicine Physicians: A Delphi Study.Journal of pain and symptom management · 2025Article
- Realizing the Imperative: The Future of Mental Health and Palliative Care Integration.Journal of palliative medicine · 2025Article
- Psychiatric nurses' knowledge of palliative care: current status and influencing factors.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesApproximately 5.5% of the population live with serious mental illnesses (SMI). Older adults with SMI experience a high burden of serious medical illnesses and disparities in advance care planning, symptom management, and caregiver support. The objectives of this study are to explore interdisciplinary clinician perspectives on the palliative care needs of older adults with SMI and serious medical illnesses. DESIGN, SETTING, AND
participantsThis qualitative study utilized thematic analysis of semi-structured interviews of interdisciplinary clinicians practicing palliative care, geriatrics, or geriatric/consultation-liaison psychiatry at four hospitals within an urban health system. MEASUREMENTS: Themes related to care of older adults with serious mental illness and serious medical illness with respect to clinician experiences, challenges in care, and opportunities to improve care.
resultsThe authors interviewed 45 clinicians. Major themes identified were: (1) Current paradigms of palliative care do not meet the needs of patients with SMI; (2) Clinicians are motivated to care for this population but require more training and interdisciplinary practice; (3) There is a need for structural integration of psychiatric and palliative care services.
conclusionsThe study underscores the inadequacy of current palliative care models in meeting the unique needs of older adults with SMI. Models of integrated psychiatric and serious illness care and enhanced training are needed to improve the delivery of palliative care. Integrated care models and workforce development at the interface of serious illness care and psychiatric have the potential to improve outcomes for this vulnerable population.
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