Integration of Psychological Assessment Services in VHA Community Living Centers
2024

Psychological Assessment Services in VA Community Living Centers

Sample size: 88 publication Evidence: moderate

Author Information

Author(s): Kyle Edward Hines, Jr., Ryu HyeRim, Elizabeth MacDonald, Benjamin Szymanski, Kimberly Curyto, Michele Karel

Primary Institution: VA Hospital, Oak Park, Illinois, United States

Hypothesis

What is the status of mental health practice and psychological assessment services in VHA Community Living Centers?

Conclusion

Psychological assessment services are crucial for informing treatment plans for Veterans with complex care needs.

Supporting Evidence

  • 82% of respondents were psychologists.
  • 92% do not complete portions of the Minimum Data Set assessment.
  • 57% use brief cognitive tests for residents showing dementia warning signs.
  • 75% conduct focused or expanded cognitive testing batteries.
  • 87% reported their cognitive evaluations impact treatment plans.
  • 94% conduct medical decision-making evaluations at least sometimes.
  • 85% complete comprehensive suicide risk evaluations if initial screening is positive.

Takeaway

Psychologists in VA nursing homes help assess and treat Veterans' mental health, but many feel they need more training.

Methodology

An anonymous national survey of CLC mental health professionals was conducted.

Limitations

A significant minority of psychologists reported needing additional training in neurocognitive and capacity evaluations.

Participant Demographics

Participants were mental health professionals working in VHA Community Living Centers, primarily psychologists.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3435

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