To assess and synthesize what is known about the barriers, facilitators, impact of federal and state policies, and clinical outcomes related to discharge for individuals with mental illness (MI) from skilled nursing facilities (SNFs) and assisted living communities (ALCs).
Inadequate staffing levels in US nursing homes (NHs) remain an ongoing concern affecting the quality of care. Socioeconomic deprivation in the areas surrounding NHs may affect their ability to maintain optimal staffing levels, but this relationship remains understudied. This study aimed to examine the asso...
Given the long-term care (LTC) staffing “crisis,” it is important to understand factors associated with upward career mobility in residential LTC settings. The study aimed to understand the individual and organizational factors associated with upward career mobility among direct care workers (DCWs) in resi...
Depressive symptoms are prevalent among short-stay skilled nursing facility (SNF) residents and often persist after discharge, contributing to poor clinical outcomes. Given the central role of informal care partners in post-acute care transitions, a dyadic approach to psychological care may be optimal, but...
Describe the evolution of chronic medication use, potentially inappropriate medications (PIMs), and health outcomes in nursing home residents, and explore associations between changes in medication use and health outcomes.
The US Department of Veterans Affairs (VA) offers a continuum of home- and community-based services (HCBS) to support veterans' ability to remain in their homes and communities as they age. Although VA delivers some HCBS directly, many HCBS are provided through contracted agencies in the community. We...
To examine the association between intensive cognitive rehabilitation services (cognitive rehabilitation) and return-to-home rates among geriatric health service facilities (facilities) in Japan.
Polypharmacy and questionably beneficial medication use are common among nursing home (NH) residents with dementia. Deprescribing patterns in this population are not well described. This study describes trajectories of medication use in NH residents with dementia in the year prior to death.
With the aging population, community-based activities promoting social connections are increasingly encouraged internationally to delay functional decline. In Japan, “community gathering places” are municipally supported for disability prevention. However, whether participation in such programs reduces lon...