NURS FPX 6030 Assessment 5 Evaluation Plan Design

Name

Capella university

NURS-FPX 6030 MSN Practicum and Capstone

Prof. Name

Date

Abstract

Mental health illness is related to severe disruption of individual’s cognitive abilities, behavior and emotion regulation, leading to mental disfunctionality. It is common in adults; they most commonly suffer from depression and anxiety. The capstone project centers on offering behavior psychotherapy to adult patients in the outpatient setting. The project spans for six months and follows adult patients’ progress. The fundamental goal of the project is to improve adult mentally ill patients’ outcomes in terms of quality of life and symptom reduction through improving their self-control.

Findings exhibited that behavior psychotherapy programs based on Cognitive Behavior Therapy (CBT) and Mindfulness-Based Therapy (MBT) improve adult patients’ mental health by equipping them with coping capabilities. Adult patients who participated in CBT and MBT sessions have improved their mental condition by promoting their awareness about their condition and self-regulation through mindfulness practices and CBT strategies.

They show improved outcomes in comparison to mental illness patients with only pharmacological care. Adding telehealth, like apps and teletherapy accelerates the behavior psychotherapy practices for adult patients. Recognizing interdisciplinary collaboration, ethical and cultural aspects, and organizational and federal policies strengthen the intervention plan. The evidence revealed that caregivers can boost adult patients’ outcomes, reducing relapse and hospital rates.

Keywords: Mental health illness, behavior psychotherapy, CBT, MBT, telehealth.

Introduction

The capstone project’s major goal is to address the various needs of adult mentally ill patients in an outpatient setting. Mental health illness is a frequent that involves behavioral, emotional, and cognitive impairments. High recurrence and morbidity rates, poor quality of life, and severe fiscal and resource constraints on health facilities highlight the issue. In 2019, over 970 million adults internationally were impacted by mental disorders, with the most frequent being anxiousness and depression (Laranjeira et al., 2023). The health cost was $225 billion in 2019. The project will center on adult mental illness patients in the outpatient setting.

Patients’ inadequate outcomes due to inadequate self-regulation have a significant influence, resulting in frequent psychotic episodes or relapses and unnecessary hospital stays (Laranjeira et al., 2023). The intervention strategy for adult mental illness patients is integrated, including behavior psychotherapy like MBT and CBT-based psycho-education and training programs. The effort seeks to promote and enhance self-control practices in adult patients by offering awareness of the disease, meditation exercises, and coping skills, encouraging symptom management, and changing behavior and thought patterns (Sverre et al., 2023). To mitigate the suffering and inadequate living standards of adult mentally ill patients, an intervention plan must be executed.

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Mental illness patients face difficulties like sadness, stress, disruptive feelings, dysfunctional conduct, and social difficulties. Incorporating a behavior psychotherapy program improves the standard of life and patient outcomes while providing guidance to prevent the self-rectification of unfavorable emotions and boosting self-regulation and mental wellness (Nakao et al., 2021).The behavior psychotherapy intervention plan, which combines interdisciplinary teamwork among nurses, psychiatrists, medical practitioners, clinical instructors, and executives, seeks to provide successful intervention in the outpatient setting. Considering nursing care frameworks, state legislation, and management and management techniques enhances patient outcomes by motivating specialists to collaborate.

Adult patients benefit from therapy programs increase their awareness, behavior adjustments, and self-control (Biringer et al., 2020). The assessment plan will monitor the intervention’s results over six months. The assessment strategy examines the intervention’s effect on adult patients by tracking medical metrics like cognition, mood, and sleep pattern shifts, and examining reduce symptoms, hospital stay, relapse rate, and psychotic episodes. The pre-post test methods will be utilized to compare changes in patients’ skills toward coping symptoms before and after therapy. The intervention effectiveness of  will also be evaluated using a survey, input and  questionnaires (Creed et al., 2022).

Evaluation of the Best Available Evidence

To evaluate the intervention, extensive literature searches were undertaken utilizing Medline, CINAHL, and PubMed databases. The investigation focuses on the effectiveness of behavior psychotherapy programs such as CBT and MBT on the self-regulation of mentally ill patients. It has a major effect on patients’ outcomes, the standard of life, symptom management, recurrence, and readmission rates. The evidence shows that behavior psychotherapy-based education boosts patients’ self-control and enhances their mental health (Nakao et al., 2021).

Problem Statement (PICOT)

In adult patients of mental health illness (P), does behavioral psychotherapy (I), in comparison to pharmacological intervention (C), improve patient outcomes in the outpatient setting (O) within six months?

Needs Assessment

The effort specifically deals with a critical gap in wellness promotion and better care for adult patients with mental illnesses. The main goal is to implement a comprehensive care plan that includes behavior psychotherapy. Adult patients benefit from these approaches, which go beyond medication therapies for mental illness treatment. Resolving this need is crucial, where effective outcomes rely on the patient’s ability to manage condition through coping mechanisms and symptom control (Agbor et al., 2022). It assists patients in understanding the causes of their psychological issues, like prior trauma, depression, disruptive thoughts, and dysfunctional behaviors. By targeting these difficulties, patients can develop appropriate coping strategies. 

Resolving this need is crucial since adult mental illness patients have high rates of hospital stays and poor standards of living due to insufficient self-control. Patients who do not successfully manage their mental illnesses tend to have adverse results. The findings of Nakao et al. (2021), support the importance of this need. CBT assist patients in overcoming evasive and safety-seeking actions that inhibit self-rectification of opposing opinions, boosting stress control. Agbor et al. (2022), stated that behavior psychotherapy via education boosts patient outcomes by teaching patients essential abilities like managing emotions, resolving issues, and enhancing their well-being. These findings underscored the vitality of behavioral psychotherapy in managing patients’ mental health by increasing self-control. The assumption is that behavioral psychotherapy will boost outcomes for adult mental disorder patients (Nakao et al., 2021).

Population and Settings

The project addresses adults with mental illnesses who are incapable of successfully managing their condition. This demographic is especially susceptible to illness management challenges, which typically result in increased relapse rates and hospital stays. A study by Guarnido et al. (2021), states that the relapse rate and total hospitalizations are much higher among individuals who do not receive psychotherapy interventions. It is preventable by the continuation of behavioral psychotherapy treatment and better patient outcomes.

The importance of addressing needs among this population is exacerbated by the fact that adult mental illness patients experience problems like social isolation, compromised quality of life, physiological issues, and cognitive impairment, which makes their medical care difficult. The targeted setting for this initiative is an outpatient setting, like a community wellness center, with a focus on mental illness care that goes beyond typical medical procedures such as pharmaceuticals. This setting is favored because it offers a constant care setting in which adult mental illness patients can receive ongoing counseling and assistance.

It is crucial to conduct interventions such as behavioral psychology therapy because they enable immediate and ongoing patient-medical staff communication. This is critical because research shows that behavioral and psychosocial counseling programs are effective. It can improve self-administration and provide emotional support for mentally ill patients (Agbor et al., 2022). However, dealing with this demographic has challenges, such as patients’ varying understanding, affect capacity to control symptoms. Stigma, cultural and linguistic disparities can hinder intervention. Solving these challenges is crucial to executing the intervention and meeting the population’s demands (Anik et al., 2021).

Intervention Overview

The recommended intervention is to provide behavior psycho therapies like CBT and MBT to adult patients with mental illnesses, assisting them in boosting their self-control abilities, interpersonal abilities, and psychological compassion and reducing symptoms such as depression and anxiousness. It is critical to raise mental disease patients’ understanding and counseling for effective symptom control. According to Zhang et al. (2021), MBT has been proven to reduce adverse emotions like tension and anxiety while increasing feelings of optimism and improving focus, self-control, and cognitive awareness.

MBT can regulate adverse reinforcement mechanisms in patients with depression. The CBT is a problem-solving education program that combines guided inquiry and behavioral trials. CBT is crucial for preventing episodes of psychosis in patients, reducing anxiety, and improving self-esteem and emotional health (Agbor et al., 2022). However, the obstacles lay in specialized counseling and psychotherapy to meet various patient medical levels, as well as the assets needed for specific patient counseling. 

Comparison of Approaches

Using behavioral psychotherapy instead of pharmaceutical care is an enhanced strategy for providing efficient care to adult mental disease patients. A lack of behavioral psychotherapy in mental health care raises various concerns. For instance, a lack of counseling and behavioral therapy leads to non-compliance with care routines. It eventually leads to adverse effects for patients. A lack of understanding of coping mechanisms leads to illness progression, symptom relapse, hospitalization, and comorbidity (Semahegn et al., 2020).

Traditional treatment without behavioral psychotherapy fails to follow clinical recommendations for mental illness patients, elevating related complications. The pharmacological approach cannot improve individuals’ self-administration attitudes due to a lack of wellness awareness and coping skills. Pharmacological interventions focus on symptoms rather than the emotional or behavioral reasons for mental disorders. It demands continued use of drugs to retain its positive effects, and withdrawal can result in a symptoms relapse (Semahegn et al., 2020). In comparison, effective behavioral psychotherapy such as MBT and CBT enable caregivers to increase the expertise and counseling of patients, assisting them in coping with their situation (Biringer et al., 2020). 

Interprofessional teamwork is vital for the effective execution of the behavioral psychotherapy intervention, which includes psychoeducation and counseling sessions. Interprofessional teams, encompassing health providers, health educators, and psychologists, are critical to implementing the intervention. Clinical experts, such as psychological nurses and doctors, help patients by teaching them about their circumstances.

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Health educators help raise knowledge about the effects and severity of diseases. Psychologists help patients improve their symptoms through CBT and MBT, as well as their self-control, by teaching them coping methods to combat anxiety and depression (Biringer et al., 2020). One alternate strategy to the proposed behavioral psychotherapy is an interdisciplinary care model, entail interprofessional team, interact cooperatively to manage mental illness in adults (Ee et al., 2020). This approach promotes collaborative care by combining the experience of diverse medical specialists to develop a holistic care regimen to meet patients’ needs.

The strategy, nvolves an interprofessional team, can address symptoms and thought pattern monitoring, offering patient psycho-education. This approach guarantees that all factors contributing to mental illness are appropriately addressed (Ee et al., 2020). The approach can use a telehealth platform to do virtual group discussions and consultations. It allows the interprofessional team to cooperate efficiently, evaluate patient information in real-time, and develop customized therapy plans and care coordination. However, an integrated care approach based on telehealth can demand extra resources, such as staff, infrastructure, and technological expertise (Philippe et al., 2022). 

Initial Outcome

The preliminary outcome is a substantial boost in patient results and mental health after six months of behavioral psychotherapy using CBT and MBT programs rather than standard treatment based on pharmaceutical intervention. The purpose of implementing behavioral psychotherapy is to improve patients’ coping skills and health outcomes. It focuses on following self-control protocols and self-empowerment (Agbor et al., 2022).

Behavioral psychotherapy psychotherapy such as MBT can transform patient conditions by enhancing the positive attitude of patients with mental illness, improving thoughts, controlling symptoms through self-control, and reducing illness consequences (Zhang et al., 2021). The behavioral psychotherapy approach is developed to meet the urgent demands of the targeted group, with the goal of improving contact between staff and patients to promote engagement in clinical care and patient outcomes. The outcome serves as a benchmark for assessing the intervention’s performance.

Assessing adult patients’ improvement in self-control defines specific goals (Sverre et al., 2023). The goal of achieving a significant (almost 55%) reduction in symptoms documented in clinical records is to serve as a benchmark for controlling symptoms, alterations in attitudes, reducing relapses and psychotic episodes, and boosting patient outcomes (Gomez & Castellvi, 2020). To attain these outcomes, Plan-Do-Study-Act (PDSA) strategy will be used. It will evaluate the intervention, analyze its effect on symptom management and self-regulation in patients, and make any necessary revisions based on clinical follow-up data and patient feedback (Nicholls et al., 2022).

Time Estimate 

The adequate duration of six months is ideal for developing and implementing the intervention for adult mental disorder patients. The creation period, which includes preparation, resource allocation, and design of intervention resources, is expected to take three months. This stage comprises developing specialized counseling resources. Assuming the complexity of the intervention, this time frame is accurate, but proper resources and participation from stakeholders can have an impact.

The next step, which is implementation, includes carrying out the intervention with patients, which is expected to span three months. This duration allows for the gradual execution of intervention parts, reviewing early patient reactions, and refining CBT and MBT based on input. A six-month integration period relates to the necessity of sufficient time for witnessing substantial impacts on patient outcomes such as health status and relapse rates. However, hurdles such as patient engagement, variability in patients’ understanding, cultural perspective, and commitment levels, requiring ongoing revisions to the intervention approach.

Literature Review

The literature clearly demonstrates the value of incorporating behavioral psychotherapy interventions into mental health disease care. For example, Sabé et al. (2024), claimed that MBT can mitigate negative attitudes, including tension and anxiety, promote positive feelings, and boost concentration, self-regulation, and self-awareness. Emotional symptoms, inadequate self-worth, and unfavorable beliefs can all lead to the emergence of psychotic symptoms (Sønmez et al., 2020). CBT psychotherapy mitigates suicidality among initial psychosis individuals and boosts self-esteem.

Etzelmueller et al. (2020), emphasized the importance of web-based CBT approaches. Web-based CBT with therapy coaching is helpful in preventing and treating prevalent mental illnesses. The findings revealed an average decline in rates of 3.2% for depression and 3.1% for anxiety. People suffering from mental disorders are more likely to have sleep problems. MBT is helpful in treating insomnia. It aids in fostering a feeling of awareness to help patients cope with anxiousness, depression, or discomfort (Chan et al., 2022). MBT helps patients sleep better by enhancing awareness and adaptive responses to sleep disruptions. 

Bourdon et al. (2021), asserted that CBT can significantly improve the standard of life among patients with mental issues like traumatic disorders. It improves their coping abilities, mitigates negative thoughts, and improves their mental conditions. Hagerty et al. (2020), found that several behavioral psychotherapy treatments, like MBT and CBT, help participants strengthen their self-regulation and self-empowerment in managing their mental health. It improves patients’ well-being and efficiently reduces depressive relapse. Through psychotherapy, positive attitudes develop among adult mental illness patients towards managing care and improving patient outcomes.

NURS FPX 6030 Assessment 5 Evaluation Plan Design

Healthcare cost reductions are linked to incorporating interventions like trauma-focused CBT and psycho-education, reducing costs from 91% to 96% in the medical system (Aas et al., 2020). Moreover, Koly et al. (2021), emphasized that to close mental health therapy gaps, medical staff must be competent in identifying and handling mental health issues. Training programs on psychological counseling, primary therapeutic abilities, CBT, and resolving problems help clinicians improve their ability to provide effective treatment to patients. 

McCall et al. (2021), emphasized the importance of telehealth-based behavioral psychotherapy to boost patient outcomes. Using technology to provide CBT through mobile apps can help improve patient access. The findings indicate that tools used for mental care increased self-control and patient outcomes, lowering costs. However, various factors, like stigma and cultural attitudes, impede the intervention success. To improve patient involvement, it is critical to add culturally appropriate approaches. Cultural relevant training boost specialist multicultural abilities, promoting patient participation and intervention efficacy (Huey et al., 2023). 

Evaluation and Synthesis of Relevant Health Policy

Different medical policies are necessary to implement behavioral psychotherapy interventions for adult mental disorder patients successfully. For instance, the American Psychological Association (APA) policies are crucial for treating adult mental disease patients. They encourage patients to improve their self-regulation to mitigate mental issues. APA policy is essential for medical equity as it increases the availability of behavioral psychotherapy. APA policies encourage initiatives mainly concerned with proven therapies for mental disease patients, such as psychotherapy or counseling, that adhere to APA standards (APA, 2022).

The Mental Health Parity and Addiction Equity Act (MHPAEA) is crucial for guaranteeing equal access to mental illness care. MHPAEA decreases costs while encouraging an integrated care.  It increases access to behavioral psychotherapy by mandating Medicare and Medicaid to cover mental health treatments (APA, 2022). It promotes cooperation among medical providers to offer psychological therapies. Aligning project efforts with MHPAEA will improve medical results.

Intervention Plan

Intervention Plan Components

The plan aims to promote patient outcomes by improving adult mental illness patients’ quality of life and reducing symptoms and relapse. It will ultimately enhance their cognitive functionality. It centers on behavior psychotherapy, like CBT and MBT, to boost patients’ positive thoughts and avoid negative reinforcement, improving self-control and patient safety (Sverre et al., 2023). The CBT and MBT-based behavior psychotherapy intervention is crucial to fulfilling the needs of adult mental illness patients’ medical conditions in outpatient settings.

Behavior psychotherapy initiatives entailing psycho-education and counseling can mitigate disease progression, relapse, and prolonged hospitalization. Behavior psychotherapy, through education and training, equips patients with coping strategies and skills to control symptoms like anxiety and stress (Agbor et al., 2022). It also aids in improving the comprehension of their condition and cognitive functioning through stress and emotion regulation and positive behaviors, improving patient safety and standard of life. CBT and MBT-based mental illness patient counseling offer patients mindfulness practices like meditation and boost positive thoughts, improving their mental condition. Obtaining adequate disease data is a practical method for preventing potential implications and boosting well-being (Sverre et al., 2023).

Impact of Cultural Needs on the Intervention

Adult mental illness patients in outpatient settings have diverse cultural backgrounds, demanding a holistic approach to intervention considering their principles and values. Cultural views on mental health have a profound impact on how people experience, receive treatment, and recuperate from mental disorders. Mental disease patients’ cultures have various beliefs, thoughts, and practices that influence their understanding of mental illnesses and self-control (Anik et al., 2021). For instance, stigma and shame among Americans prevent them from taking psychotherapy services.

They feel hesitant to discuss their condition with specialists. Africans believe that mental illness is caused by spiritual or paranormal forces, like abduction by ghosts, curses, or divine wrath. They prefer traditional healing and spiritual approaches to mental health treatment (Jidong et al., 2021). Acknowledging these thoughts and values is critical for medical staff to provide culturally acceptable behavior psychotherapy methods to their patients. Individuals from different cultures should be assisted to develop the necessary abilities and comprehension for self-regulation. Cultural understanding is required for empathy to reduce this difference.

To improve the efficiency of the therapeutic strategy, the intervention must be adapted to improve the self-control and coping skills of mentally ill patients (Anik et al., 2021). It is assumed that the adult mental illness group holds ingrained cultural ideas. Adding cultural variables to interventions is believed to boost care (Jidong et al., 2021). The emphasis must be on culturally acceptable behavior psychotherapy that improves patient outcomes by promoting self-control and positivity. To facilitate the adoption of intervention, a joint effort involving patients, psychologists, medical instructors, and cultural leaders is required (Anik et al., 2021).

Theoretical Foundations of Nursing Models, Discipline Strategies, and Technology

Different nursing models, like The Health Belief Model (HBM), are valuable for understanding and predicting patients’ health conduct, particularly their ways of engaging in mental illness therapy. The HBM investigates the process by which patients prefer to participate in therapy sessions in response to signs of mental disorder. The HBM reflects a patient’s opinions about their condition. It offers advantages through self-efficacy during behavior psychotherapy and aids in adopting self-efficacy to improve patient outcomes. However, the HBM failed to handle societal experiences that influence compliance with medical rules or coping abilities (Lilly et al., 2020).

Orem’s Self-Care Model is crucial in the intervention plan. It offers a realistic clinical framework for applying self-care and self-efficacy concepts. It promotes the pivotal role of self-efficacy in coping with mental illness. It supports teaching patients and fostering self-care through self-awareness and resilience among mental illness patients. However, this paradigm limits services, is unable to assist mentally ill patients with comorbidities, and does not address social or emotional factors in care (Lotfabadi et al., 2021).

Other disciplines’ interventions, like cultural proficiency training, assist health workers in recognizing adult mental illness patients’ cultural choices in an outpatient setting. It empowers them to develop culturally suitable behavioral psychotherapy programs that meet their choices. However, such intervention can be lengthy and costly and require more assets (Anik et al., 2021). Many studies underscore that peer and social support is a crucial approach to improving the mental health condition of patients. It offers peer and social assistance to impact patients’ perceptions and support peer experiences, improving hope and coping skills (Shalaby & Agyapong, 2020).

However, peer and social support can be inconsistent and have fewer benefits in mental illness care. Telehealth technology, apps, and video conferencing-based behavioral psychotherapy programs improve outcomes. Technology-based CBT can assist patients in gaining better access. It is an efficient choice for persons with access barriers or stigma (Philippe et al., 2022). However, telehealth involves a solid technological structure and needs patient skills to use these tools. Privacy and ethical issues are also linked with leveraging technology.

Justification of the Components of the Intervention

The intervention plan primarily focuses on improving adult mentally ill patients’ coping abilities, emotional and stress management, and self-regulation through psycho-education and training, including in CBT and MBT, over six-month period. It improves patients’ cognitive functioning, standard of life, and outcomes. Evidence showed the efficacy of behavior psychotherapy in improving patients’ mental health conditions (Agbor et al., 2022). Such patients need support and coping abilities to manage symptoms and reduce relapse. In comparison, the pharmacological approach has no significant effect as it demands regular medication and withdrawal reverse effects and causes relapse (Semahegn et al., 2020).

Nakao et al. (2021), stated that CBT assists patients in recognizing and altering detrimental or upsetting thoughts that have adverse effects on their emotions and conduct. CBT encourages balanced thinking and behaviors by offering coping strategies like problem-solving, avoiding thought and cognitive remodeling, and deep breathing, which improves stress management in depressed patients. For better patient care, they should be equipped with mindfulness practices to aid in controlling anger and disturbance. Sverre et al. (2023), asserted that MBT offers mindfulness practices like yoga, meditation, and attention, which assist patients in improving self-empowerment to boost emotional well-being. It enhances the patient’s health, reducing depression recurrence.

Stakeholders, Policy, and Regulations

The therapeutic approach aims to boost adult mental illness patients’ outcomes, coping abilities, and standard of life. It entails critical stakeholders like psychological nurses, clinicians, medical instructors, psychologists, and executives. Patients’ cultural perspectives, needs, and preferences affect the success of behavior psychotherapy intervention in outpatient settings. Adequate culturally suitable education and counseling and frequent input from patients are crucial for personnel to refine approaches like CBT and MBT (Jidong et al., 2021). These stakeholders and matrices for need analysis are valuable for reviewing the therapy’s performance, practicability, and credibility. Moreover, medical care policies can affect mental illness care.

The APA guidelines are critical for offering behavior psychotherapy, including education to adult mentally ill patients. These guidelines motivate patients to strengthen their coping abilities to reduce the negative effects of mental diseases. The APA policy promotes medical fairness by increasing the affordability of behavioral psychotherapy services (APA, 2022). The MHPAEA offers guidelines for offering effective and equitable accessibility of mental care services, particularly behavior psychotherapy. The regulation reduces expenses by fostering an integrated approach to medical care. It expands access to behavioral psychotherapy by requiring Medicaid to support psychological therapy (Centers for Medicare and Medicaid Services, 2021). The assumption is that health policies have effects on strategies for self-control in mentally ill patients. Stakeholder involvement is critical to the efficacy of the mental care intervention. The intervention should integrate guidelines of APA and MHPAEA to boost patient outcomes.

Ethical and Legal Implications

Psychologists and other stakeholders are morally and legally bound to retain mentally ill patients’ safety and privacy in outpatient settings. They should adopt ethical values like autonomy, beneficence, and nonmaleficence. Professionals should adopt measures to maintain patient privacy during behavior psychotherapy sessions or use telehealth for education and counseling. Regarding autonomy, they should design behavior psychotherapy sessions considering patients’ preferences. They should focus on beneficence and nonmaleficence by taking measures to avoid harm (Varkey, 2021).

Incorporating data security measures while using technologies aids in improving mental illness patients’ privacy. Using telehealth solutions like apps and video conferencing, caregivers are obliged to adhere to the Health Insurance Portability and Accountability Act (HIPAA) to sustain the confidentiality of patient data (Lustgarten et al., 2020). Breaking HIPAA leads to penalties and legal actions, impacting the care process. The research recognizes the legal and ethical values of medical facilities. However, knowledge gap about security and training for staff about protecting data during telehealth based psychotherapy sessions. Staff training must be offered to preserve patient data (Lustgarten et al., 2020).

Implementation Plan

Management and Leadership

The intervention approach focuses on providing integrated care that includes behavioral psychotherapy programs to improve adult mental illness patients’ coping skills and self-control, lowering medical risks. Successful plan execution requires Transformational Leadership (TL), quality enhancement management, evidence-based processes, and Interprofessional Collaboration (IPC). TL can use strategies like multifaceted development, compassion, esteem, and frequent discussions to strengthen the team’s knowledge, develop cooperation, and efficiently tackle intervention difficulties (Bornman & Louw, 2023).

The proactive strategy to manage change in the intervention strategy entails performing risk analyses, recognizing execution difficulties, and modifying plans. IPC can be used to apply the behavior psychotherapy intervention to improve patient outcomes by enhancing cognitive functioning. This strategy promotes teamwork, open dialogue, and feedback. Moreover, an IPC strategy entails developing a professional team that includes psychological nurses, clinicians, psychologists, and executives. Frequent interdisciplinary meetings can be planned to review patient progress, alter therapy plans as needed, and resolve any issues that develop (Esperat et al., 2023).

Inter-Professional Collaborative Practice (IPCP) enables nurses to collaborate with staff to identify and address problems during intervention plan execution, improving quality. Psychological nurse training can help patients improve their self-control by providing current approaches that utilize communication and teamwork skills (Davidson et al., 2024). Leadership and management strategies and nursing procedures are intended to help intervention strategies work smoothly and increase IPC. However, there are challenges with practical ways to lead, managerial approaches, and nurses’ processes to execute interventions. For example, different viewpoints on inadequate resources, change hesitation, and legal constraints must be recognized. (Davidson et al., 2024).

Implications of Change

The proposed strategies for managing, leading, and encouraging IPC within the behavior psychotherapy intervention plan have several implications for improving therapy efficacy, patient experience, and cost reduction. Interventions like MBT and CBT-based psycho-education and training in symptom control can improve adult mental illness patients’ coping abilities, regulating their mental condition (Sverre et al., 2023). The proposed CBT and MBT intervention significantly improve patient care and outcomes by enhancing their self-regulation through mindfulness practices and improving negative feeling patterns.

It also elevates the satisfaction and experience of patients by enhancing self-regulation. Self-control via coping skills can improve patient safety and standard of life by offering understanding and fostering open communication with medical personnel. Assessing the possible benefits and hazards of the proposed intervention is critical to ensuring that patients are adequately informed and acquire support in care regimens. Behavior psychotherapy interventions have a significant impact on care personnel’s competence to control and enhance outcomes for mental illness patients (Sverre et al., 2023).

By fostering IPC in behavior psychotherapy, the care level offered to mental illness patients can be enhanced. The IPC offers patient-centered care where patients are involved in their treatment and experience satisfaction with care practices (Esperat et al., 2023). It also reduces costs, optimizes resources, and improves service quality by streamlining behavior psychotherapy processes, employing telehealth technology, and managing patients’ conditions. It offers continuous support and training to manage symptoms like anger and stress. It reduces hospital stays, psychosis episodes, and relapses (Philippe et al., 2022). More study is needed to determine the impact of transformation on stakeholders and cultural perspectives, introducing behavioral psychotherapy intervention for adult mental illness patients (Anik et al., 2021). 

Delivery and Technology

Behavior psychotherapy, including CBT and MBT, can be delivered through different methods that aid adult patients in improving their condition in the outpatient setting. For instance, face-to-face and in-person CBT and MBT sessions in an outpatient setting. It entails individual and group sessions that offer individualized approaches like mindfulness practices and meditation, improving thoughts to improve the adult mental illness patients’ symptoms management and mental condition (Romijn et al., 2021). Moreover, telehealth delivery methods, including video conferencing, provide online training and psycho-education sessions to adult mentally ill patients, overcome access challenges, offer real-time assistance and guidance, and monitor the patient’s condition (Philippe et al., 2022).

Behavior psychotherapy using mobile apps can improve coping abilities by giving awareness and offering therapeutic exercises, stress mitigation tools, and mood surveillance, improving patient outcomes. It delivers online CBT resources, and patients can engage in care in their own time and convenience. It boosts the intervention efficacy by promoting patients ‘ self-care abilities (Diano et al., 2023). The assumption is that patients have adequate knowledge of digital tools, and effective results can be attained by recognizing patients’ demands, and assets accessibility (Philippe et al., 2022). Teletherapy or telemedicine technology is crucial for providing online behavior psychotherapy and can assist patients in gaining swift access to resources such as education.

Teletherapy can assist patients in addressing care barriers, such as geography and mobility limitations, by allowing them to interact with therapists online. They provide tailored online psychotherapy and guidance for dealing with problems and self-regulating symptoms such as anxiety. However, there can be challenges to teletherapy adoption, like the need for personnel training, legal and privacy concerns (Odugbose et al., 2024). Mental health apps provide clinical information and services, allowing adult patients to self-manage. Analyzing gaps in knowledge and uncertainty is crucial for the effectiveness of the proposed delivery modalities. The plan recommends employing telehealth tools to assist adult patients in self-regulation. However, more study is needed to address privacy and technological concerns (Diano et al., 2023).

Stakeholders, Policy, and Regulations

The inspection of several stakeholders and legislative consequences is crucial for effectively managing adult mentally ill patients. It ensures that the therapy plan is carried out adequately. An efficient behavior psychotherapy intervention strategy in an outpatient context for adult mentally ill patients involves stakeholders such as patients, clinical instructors, nurses, psychologists, legislators, and executives. Every stakeholder performs a specific duty, leading to improved outcomes (Waardt et al., 2022). The intervention strategy must consider stakeholders’ perspectives and desires. Patient requirements, cultural factors, stigma, and literacy impact the intervention’s success. Staff must adhere to standards, provide culturally suitable behavior psychotherapy-based psycho-education and feedback for progress. Stakeholder involvement in delivering interventions and feedback can assist in adjusting the plan (Anik et al., 2021).

Establishing mental care enhancement plan with legislative implications is critical to success. Compatibility with HIPAA, patient privacy standards, and obtaining the authorization all have regulatory repercussions. Telehealth, like apps, teletherapy, and video conferencing for behavioral psychotherapy, must adhere to national and state security and educated consent regulations. Addressing regulatory repercussions assist in executing the intervention smoothly (Lustgarten et al., 2020). Federal entities, like the APA, offer resources and guidance to intervention efforts like behavior psychotherapy.

They offer educational and supportive assets for psychotherapy, allowing the intervention plan to manage patients. The APA guidelines assist patients in boosting self-control abilities, lowering mental disease’s effects. Therapists can provide awareness to patients about their issue and self-control to manage disease (APA, 2022). It is anticipated that stakeholders can support and implement behavior psychotherapy to improve patients’ self-regulation but issues and conflicts can restrict its impact (Waardt et al., 2022).

Existing or New Policy Considerations

The MHPAEA rules for mental illness care can assist in adopting an intervention strategy for adult patients. The MHPAEA law, through Medicaid and Medicare, can help to reduce medical charges, ensuring that mental illness patients have access to sufficient care. MHPAEA helps to provide integrated health services, such as behavioral health, self-regulation through psychotherapy, and cost reductions in mental care. Policies can facilitate and inhibit the adoption of behavior psychotherapy interventions for mental patients. Changes to MHPAEA insurance plans and policies can impede intervention seamless execution. For example, MHPAEA’s legal restrictions can make difficult for personnel to deliver behavior psychotherapy, lowering the intervention’s success (Centers for Medicare & Medicaid Services, 2021).

Timeline

The duration of six months is suitable for developing behavior psychotherapy for adult mentally ill patients. It entails mobilizing stakeholders and undertaking a needs evaluation for the intervention. Financing, assets, policy demands, or stakeholder participation can affect execution timeframes. Regular evaluation can assist in identifying necessary changes and ensure that the plan is executed properly. In the first two months, I plan to implement a needs analysis to determine adult patients’ mental health promotion demands. The following two months revolve around planning, assigning resources, and structuring CBT and MBT sessions and exercises based on participants’ cultural preferences and proficiency levels. I will review initial patient outcomes and responses by providing MBT and CBT-based psycho-education and training via delivery modes like online and in-person sessions in an outpatient setting. According to patient input, I plan to adapt the intervention in the final two months. I will research possible financial resources, satisfy legislative needs, and strive to ensure the sustained success of the intervention.

Evaluation Plan

Defining Outcomes

The behavior psychotherapy intervention’s primarily targeted outcomes to enhance adult mental illness patients’ outcomes in the outpatient setting. Its objectives are to promote adult patients’ mental health and well-being, mitigating symptoms and relapses through teaching coping strategies and self-control. Integrating evidence-based therapies like CBT-based psycho-education and MBT leads to boosting patients’ attitudes, thought patterns, or coping abilities and is vital for practical self-regulation (Sverre et al., 2023). CBT and MBT target the unique demands of patients to improve their thoughts, behaviors, and mental conditions.

CBT and MBT sessions are intended to mitigate psychosis episodes, relapses, and hospital stays and improve cognitive abilities. The plan can improve patients’ mental condition by reducing symptoms and complications and promoting mental functioning (Sverre et al., 2023). Alternative consequences must be acknowledged. Some adult patients with mental illnesses improve marginally with CBT and MBT. However, control of their mental condition is challenging, and their signs are worsened by stigma and complications. It has a varied influence on those with low literacy and cultural beliefs, and must be acknowledged (Anik et al., 2021).

Evaluation of Plan

The assessment plan intends to assess the behavior psychotherapy intervention’s impact on patients’ condition by assessing medical metrics like mood swings, cognition, and sleep pattern changes. Evaluating symptom reduction, hospitalization, relapse rate, and psychosis episodes. First, the intervention’s efficacy in improving mental illness patients’ outcomes through self-control and coping skills will be evaluated using a survey-based method, feedback, and interviews (Creed et al., 2022). The MBT and CBT-based training evaluation plan will examine how patients’ skills, and self-regulation improved during therapy programs.

Questionnaires of patients and personnel can be utilized to get suggestions for the program’s efficacy (Creed et al., 2022). Second, efficiency indicators will be evaluated by exhibiting patients’ engagement in mental health activities, like CBT tactics, behavioral counseling, yoga, mindfulness practice sessions, and meditation exercises (Diano et al., 2023). Last, a pre-post test strategy will be used to assess changes in patients’ awareness, expertise, and attitudes toward coping strategies and symptom control before and after psychotherapy. It can be used to gather benchmark facts and areas for more details. The post-test will assess promotion in self-control as intervention targets (Romijn et al., 2021). It is assumed that examining success metrics and feedback will give helpful details regarding the intervention’s efficacy and identify areas for refinement. 

Discussion

Advocacy

The Nurses’ Role in Leading Change

Nursing staff is crucial for stimulating change and improving the awareness and self-control skills of adult mentally ill patients. Nurses can adequately offer self-regulation behavior psychotherapy therapies (CBT and MBT) for adult patients through collaborative teams like psychologists. Nurses boost care standards by advocating for individualized therapy and the care continuum through efficient collaboration. Nurse-led psychotherapy education is vital in adult mental ill care as it promotes comprehension and symptom-coping practice for better psychological results (Hurley et al., 2022).

They should advocate for culturally sensitive behavior psychotherapy strategies that consider the perspectives and demands of adult mental health patients. Nursing collaboration with patients and psychologists supports developing care through CBT tactics and meditation exercises for reducing depression and problem-solving therapy to prevent relapses. Nurses’ collaboration with outpatient setting executives is critical to developing policies and aiding the delivery of behavior psychotherapy programs to improve patient outcomes. Nurses’ advocacy for holistic mental health evaluations and managing initiatives relates to improving the care standard. It is assumed that behavior psychotherapy entails a collaborative team effort to improve the mental patient’s outcomes. Nurses enhance awareness and skills, resulting in better patients’ outcomes (Hurley et al., 2022).

Effects of the Plan on Nursing and Interprofessional Collaboration

Behavior psychotherapy interventions, like MBT and CBT, to improve self-regulation can affect interdisciplinary teamwork and nurses. Nurses must collaborate with medical staff like psychologists and health instructors to provide effective CBT and MBT sessions that promote interdisciplinary cooperation. The intervention can assist medical personnel in effectively communicating and employing a patient-focused strategy to promote patients’ mental health. Practitioners collaborate to deliver integrated care by educating through CBT and MBT about illness, and empowering patients with coping skills, causing better outcomes (Wong et al., 2024).

Intervention can boost the credibility of outpatient settings and providers. It improves mentally ill patients’ reliance on psychotherapy by exhibiting a commitment to giving optimal care. Applying these behavioral psychotherapy methods reduces symptoms such as anger and stress, along with relapse and admission rates and health costs. However, patients’ participation in behavior psychotherapy needs to be analyzed. How do clinicians engage patients in medical plans by acknowledging their preferences and providing tailored psychotherapy?

Resolving uncertainty and knowledge gaps helps nurses comprehend the benefits and barriers of intervention adoption (Wong et al., 2024). It is crucial to acknowledge conflicting evidence during designing and employing behavior psychotherapy to boost the mental health of adult patients. For example, evidence showed that without patient participation, behavior psychotherapy has no significant impact on boosting patients’ mental condition. Interprofessional collaboration and patient acceptance is vital for better outcomes (Wampold & Flückiger, 2023). 

Future Steps

The behavior psychotherapy intervention can promote the outcomes by encouraging psycho-education and coping abilities training across a targeted adult population in an outpatient setting. Telehealth solutions, like apps, teletherapy, and videoconferencing, can assist providers in making MBT and CBT-based support readily accessible (Philippe et al., 2022). Mental care apps can increase coping skills by raising awareness and providing rehabilitative exercises, coping tools, and mood monitoring, resulting in better patient outcomes. It enables caregivers to provide individualized therapy to meet patients’ requirements (Diano et al., 2023).

Coordinated care model integrates care and self-administration into care practices, ensuring that patients experience integrated care. In coordinated care, adding the diverse skills of iinterdisciplinary groups, including nurses, and psychologists, clinical educators, and administrators, enhances the behavior psychotherapy process for efficient patient care. Nurses can lower the difficulties by collaboration and tracking and guiding adult patients using telehealth (Diano et al., 2023). 

Reflection on Leading Change and Improvement

The behavior psychotherapy intervention-based capstone project underscores the importance of evidence-based CBT, MBT, and interdisciplinary cooperation in improving adult mentally ill patients’ self-management skills in outpatient settings (Wong et al., 2024). Throughout the capstone, I achieved valuable professional skills and personal growth. The in-depth study on mental illness patient care, entailing behavior psychotherapy and educating patients on self-control, coping skills, and disease management, boosted my transformational leadership competencies and helped me realize the significance of behavior psychotherapy-based education and collaboration to improve care. My managerial skills have been examined and refined, resulting in a more profound feeling of reliability and dedication to providing effective therapy to patients. In my future practice, I will be integrating more research-based approaches into mental illness care so that each measure I perform is supported by evidence. 

Integration of Intervention Insights into Broader Practice

Establishing an intervention plan is valuable to offer care in the outpatient setting. The plan’s emphasis on self-control of symptoms and technology, like telehealth, makes it adaptable to mental concerns and can be adopted in other medical settings. The responsive technique entails mindfulness practices, awareness, coping skills, and coordinated care, which are enforced by research-based practices to promote patient outcomes (Sverre et al., 2023). In my future practice, reflecting on intervention project, I will be integrating research-based approaches into mental illness care so that each measure I perform is supported by evidenceThe intervention program enhances my practice of providing evidence-based care by encouraging teamwork. It can serve as a framework for projects to improve outcomes in other clinical settings.

Conclusion

The behavior psychotherapy-based project is intended to promote symptom management and improved outcomes through coping abilities among adult mentally ill patients in an outpatient setting. By executing integrated CBT and MBT programs through interdisciplinary collaboration, practitioners can offer coping strategies and meditation exercises for self-control to culturally varied patients. The findings of MBT and CBT-based project highlight the significance of behavior psychotherapy and promote patient outcomes and mental health through self-management. Specialists engaged in behavior psychotherapy intervention have gained profound skills for managing mental illness patient conditions. The behavior psychotherapy project has improved mental illness care through psycho-education, reducing relapses, and improving cognitive functioning and overall well-being. 

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