Evidence map›Paper›PMID 41072741›Full record

ArticleJournal of pain and symptom management2026

Mental Healthcare Delivery in Palliative Care: Patient and Caregiver Perspectives.

Mia Pattillo, Jeffers Guthrie, Molly A Nowels, Maureen Ekwebelem, Karolina Sadowska, Milagros Silva, M Carrington Reid, Daniel Shalev

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mia PattilloDepartment of Psychiatry (M.P.), University of California-Los Angeles, Los Angeles, California, USA.
Jeffers GuthrieDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA.
Molly A NowelsDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA.
Maureen EkwebelemDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA.
Karolina SadowskaDepartment of Psychiatry (K.S.), Duke University, Durham, North Carolina, USA.
Milagros SilvaDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA.
M Carrington ReidDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA.
Daniel ShalevDivision of Geriatrics and Palliative Medicine (J.G., M.N., M.E., M.S., M.C.R., D.S.), Weill Cornell Medicine, New York, New York, USA. Electronic address: Das2043@med.cornell.edu.

Funding

The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
Reid Aging and Pain Research Training ProgramK24AG053462 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI REID, MANNEY CARRINGTON · 2016 to 2025
$1.8M
CoCM-PAL: Adapting Collaborative Care for Older Adults with Serious Illness and Comorbid Depression or Anxiety Receiving Ambulatory Palliative CareK76AG083287 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Daniel Shalev · 2024 to 2026
$729k
NIA NIH HHS K24 AG053462NIA NIH HHS K76 AG083287NIA NIH HHS T32 AG049666
6 · The paper itself

Abstract

backgroundPalliative care (PC) aims to improve quality of life for individuals with serious illness, yet mental health needs in this population often remain underaddressed. Currently, little is known about how patients and caregivers perceive the role of mental health services within PC.

objectivesTo explore patient and caregiver perspectives on 1) current delivery of mental health support in PC for serious medical illnesses and 2) preferences for integrated specialty mental health services.

methodsWe conducted semistructured interviews with 23 patients receiving ambulatory PC and 11 caregivers at an academic medical center. Interviews explored experiences with mental health care, perceived roles of PC, and preferences for integration. Transcripts were analyzed using thematic analysis.

resultsParticipants described strong therapeutic relationships with PC clinicians, who offered informal mental health support through conversations, medication management, and referrals. However, many were uncertain whether mental health care formally fell within providers' roles. Both patients and caregivers expressed broad support for integrated mental health services, citing benefits such as improved care coordination, streamlined logistics, and access to clinicians with knowledge about serious illness. Caregivers emphasized their own emotional burdens and advocated for inclusion as recipients of mental health support.

conclusionPatients and caregivers view integrated mental healthcare as a valuable addition to PC. Integration models should include specialist mental health providers, address caregiver needs, and offer flexible delivery formats. PC's transdiagnostic scope, interdisciplinary structure, and psychosocial orientation make it a strategic site for integrated care.

Indexed as

CaregiversMental HealthMental Health ServicesPalliative CareAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedIntegrated careMental healthPalliative carePalliative care psychiatryPsychiatryPsycho-oncology

Identifiers

PMID41072741
PMCPMC12556379

What Socratic holds

Textmetadata
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 Socratic graph.