NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Name

Capella university

NURS-FPX4065 Patient-Centered Care Coordination

Prof. Name

Date

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Physical Considerations and Best Practices

Risks

Adults with severe psychiatric disorders frequently experience coexisting physical health issues. Common problems include cardiovascular disease, type 2 diabetes, and chronic respiratory illnesses. Evidence shows that individuals with long-term psychiatric conditions may have their life expectancy shortened by 15–20 years compared to the general population (Nielsen et al., 2021).

This reduction in lifespan is strongly associated with inadequate preventive healthcare, socioeconomic difficulties, poor lifestyle habits such as smoking or lack of exercise, and adverse metabolic side effects from medications such as antipsychotics or mood stabilizers. Without intervention, these factors create long-term health disparities.

Best Practices

Acute care providers should integrate routine health assessments with psychosocial support programs to prevent further complications. A coordinated approach ensures that patients receive holistic care addressing both physical and psychological well-being.

Intervention – Details Routine Physical Health Checks – Monitoring of BMI, blood pressure, fasting glucose, lipid profile, and smoking status. Lifestyle Interventions – Nutrition counseling, physical activity sessions, and smoking cessation support. Research confirms that structured programs targeting diet, exercise, and tobacco use significantly improve outcomes (Koomen et al., 2022).

Mental Illness

Definition

Mental illness refers to diagnosable disturbances in mood, thought, or behavior, typically resulting from biological, psychological, or developmental dysfunctions (Stein et al., 2021). These disorders disrupt daily functioning and often impair work performance, social interactions, and emotional regulation.

Prevalence and Impact

One in five U.S. adults experiences a mental health condition annually (SAMHSA, 2023). In Florida, about 2.89 million adults are currently living with a mental illness (NAMI, n.d.). By 2021, nearly 40.9% of Florida residents reported symptoms of anxiety or depression.

These figures demonstrate the urgent need for accessible, coordinated mental health services that combine preventive strategies with timely treatment.

Cultural Considerations and Best Practices

Barriers

Cultural stigma, misconceptions about psychiatric disorders, and reliance on non-medical healing practices often discourage individuals from accessing care. Additionally, patients from diverse backgrounds may distrust standardized psychiatric treatments if cultural values and traditions are not acknowledged.

Best Practices

Practice – Application Culturally Adaptable Care – Incorporating patients’ cultural values, beliefs, and traditions into treatment fosters trust and improves adherence (Ahad et al., 2023). Culturally Competent Education – Using workshops, peer-led community sessions, and culturally tailored materials to reduce stigma and promote help-seeking behavior (Ahad et al., 2023).

By embedding cultural responsiveness in care coordination, providers promote inclusivity, strengthen engagement, and enhance treatment effectiveness.

Psychosocial Considerations and Best Practices

Psychosocial health plays a central role in emotional regulation, stress management, and social functioning. For patients with severe psychiatric disorders, psychosocial interventions are crucial for relapse prevention and long-term stability.

Practice – Application Psychological Interventions – Mindfulness-Based Cognitive Therapy (MBCT) blends mindfulness techniques with cognitive strategies to reduce relapse in depression (Gkintoni et al., 2025). Emotional Support and Coping – Training in relaxation techniques such as yoga, meditation, and deep breathing strengthens resilience and improves emotional regulation. Group Psychotherapy – Encourages social connectedness, empathy, and shared recovery experiences, reducing isolation and promoting reintegration (Marmarosh et al., 2022).

Underlying Assumptions and Uncertainties

• MBCT and lifestyle-based interventions are expected to improve recovery outcomes.
• Culturally sensitive strategies are assumed to increase participation and reduce stigma.
• However, uncertainties remain regarding the consistency of stigma-reduction strategies across diverse populations.
• Implementation challenges such as workforce shortages, financial barriers, and limited infrastructure may hinder widespread application.

SMART Goals

1. Implement weekly MBCT sessions in Florida acute care settings, aiming for a 40% reduction in PHQ-9 depression scores within six months.
2. Conduct biweekly culturally tailored workshops to increase awareness and reduce stigma, with a target of a 60% improvement in mental health literacy measured through pre- and post-program surveys within six months.

Community Resources

Organization – Services Offered – Contact Information Mental Health Association of Central Florida (MHACF) – Provides free counseling, peer support, workshops, and professional referrals – Phone: 407-898-0110, Address: 605 E Robinson St., Suite 450, Orlando, FL 32801 (MHACF, 2025). Caron Florida – Offers CBT, DBT, medication management, and family therapy – Phone: 1-855-548-0352, Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024). NAMI Florida – Provides peer support, advocacy, education, and awareness programs – Phone: 850-671-4445, Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025). Care Resource – Offers sliding-scale counseling, behavioral health services, and free programs for uninsured patients – Phone: 305-576-1234, Address: 3510 Biscayne Blvd, Miami, FL 33137 (Care Resource, 2025).

References

Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. https://doi.org/10.7759/cureus.39549

Care Resource. (2025). Behavioral health. Care Resource. https://careresource.org/services/behavioral-health/

Caron Florida. (2024). Mental health program. Caron Transformational Care. https://www.caron.org/treatment-programs/mental-health-program

Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness-based cognitive therapy in clinical practice: A systematic review of neurocognitive outcomes and applications for mental health and well-being. Journal of Clinical Medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703

Koomen, M., van, J., Deenik, J., & Cahn, W. (2022). Lifestyle interventions for people with a severe mental illness living in supported housing: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 966029. https://doi.org/10.3389/fpsyt.2022.966029

Marmarosh, C. L., Sandage, S., Wade, N., Captari, L. E., & Crabtree, S. (2022). New horizons in group psychotherapy research and practice from third wave positive psychology: A practice-friendly review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3), 643. https://doi.org/10.4081/ripppo.2022.643

Mental Health Association of Central Florida. (2025). About us. https://mhacf.org/learn-more/

NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/

National Alliance on Mental Illness. (n.d.). Mental health in Florida. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf

Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7

Stein, D. J., Palk, A. C., & Kendler, K. S. (2021). What is a mental disorder? An exemplar-focused approach. Psychological Medicine, 51(6), 894–901. https://doi.org/10.1017/S0033291721001185

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Substance Abuse and Mental Health Services Administration. (2023). Key substance use and mental health indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/

World Health Organization. (2023). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response