Evidence map›Paper›PMID 41661565›Full record

ArticlePsychological services2026

Community living center-mental health integration in the Veterans Health Administration: Evaluation of practice patterns.

Kim Curyto, Kyle S Page, Elizabeth Macdonald, Benjamin R Szymanski, Michele J Karel

Abstract read
In one paragraph

Article in Psychological services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Kim CurytoDepartment of Veterans Affairs, Center for Integrated Healthcare, Veterans Administration Western New York Healthcare System.ORCID 0000-0002-5342-0370
Kyle S PageEdward Hines, Jr., Veterans Administration Hospital.
Elizabeth MacdonaldSerious Mental Illness Treatment Resource and Evaluation Center, Veterans Health Administration.
Benjamin R SzymanskiSerious Mental Illness Treatment Resource and Evaluation Center, Veterans Health Administration.
Michele J KarelOffice of Mental Health, Veterans Health Administration.

Funding

Intramural VA VA999999US Department of Veterans Affairs; Veterans Health Administration
6 · The paper itself

Abstract

Starting in 2008, the Veterans Health Administration required mental health (MH) provider integration in nursing homes, called Community Living Centers (CLCs), to promote access to quality MH services. This project aimed to understand MH practice patterns and service integration in the CLC and to identify facilitators and barriers to integrated MH services. CLC physician and nurse leaders, and MH providers, were invited to participate in national surveys in the fall of 2022. Survey questions were designed to assess MH provider staffing and workload, organizational alignment and resources, practice and services provided, training and resource needs, MH provider satisfaction and burnout, integration, and CLC team functioning and morale. Questions included structured and open-ended formats. A total of 107 CLC MH providers and 85 CLC leaders completed their respective surveys. Descriptive and bivariate analyses were performed with quantitative data, and conventional content analysis procedures were used to analyze open-ended text responses. Findings highlighted that CLC MH providers care for Veterans with complex presentations across a range of treating specialties requiring many specialized skills, and MH integration is important and valued by CLC leaders. Results support Veterans Administration MH integration efforts and highlight the need for and importance of MH services in the CLC. MH provider job satisfaction and burnout were significantly related to team functioning, morale, and support. Findings will inform ongoing development of CLC MH practice resources and serve as a baseline for further evaluation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Delivery of Health Care, IntegratedMental Health ServicesNursing HomesPractice Patterns, Physicians'United States Department of Veterans AffairsHumansJob SatisfactionUnited States

Identifiers

PMID41661565
PMCPMC13034169

What OpenQuestion holds

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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.