NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Name

Capella university

NURS-FPX 4050 Coord Patient-Centered Care

Prof. Name

Date

Final Care Coordination Plan

In the field of public health, addressing mental health disorders is a critical issue affecting individuals and communities globally. This assessment aims to thoroughly evaluate educational strategies specifically designed to tackle significant mental health concerns, including anxiety disorders, depression, and availability of mental health treatments in the Southeast Texas community. By conducting a comprehensive review of current literature and best practices in health education, the objective is to refine and enhance learning sessions to better align with the ambitious goals of Healthy People 2030. By identifying gaps in existing educational methods and suggesting necessary improvements, we aim to ensure that the content effectively educates and empowers individuals and communities to take proactive steps towards promoting mental well-being. This alignment with Healthy People 2030 highlights our dedication to advancing public health goals through evidence-based education on mental health disorders and prevention strategies.

Patient-Centered Health Interventions and Timelines

Developing patient-centered interventions and setting precise deadlines are critical elements of the comprehensive care coordination strategy for mental health. Healthcare providers play a vital role in assisting individuals in managing their mental health, thereby improving their overall well-being and reducing potential complications. By tailoring plans to each patient’s specific needs and goals, healthcare professionals can offer a more effective and personalized approach. Mental health is notably impacted by factors such as stigma and shame, access to mental health services, and the comorbidity of physical and psychosocial needs.

Interventions for Depression 

Over the next three months, we plan to launch Cognitive-Behavioral Therapy (CBT) group sessions as an intervention for individuals struggling with depression. These weekly sessions will provide a structured environment for participants to recognize and confront harmful thought patterns, create coping mechanisms, and build supportive social networks (Gautam et al., 2020). Collaborating with key community resources, these sessions will be facilitated in partnership with Spindletop Center, a cornerstone of mental health support in Southeast Texas. Spindletop Center offers a comprehensive array of services, including crisis intervention, outpatient treatment, and community-based support, ensuring a continuum of care tailored to diverse needs. Their 24-hour Crisis Hotline is 1-800-937-8097, which provides immediate assistance to those in crisis and ensures timely interventions (Spindletop Center, n.d.).

Additionally, Depth Therapy, known for its specialized mental health services at (832) 380-9941, will provide individual and group therapy sessions focusing on resolving underlying problems that fuel mental health difficulties. Their targeted approach aims to improve long-term mental health outcomes by addressing underlying causes such as anxiety, depression, trauma, and relationship issues (Depth Therapy, n.d.). Mental Health America of Southeast Texas (MHASETX), located in Beaumont at 700 North Street, Suite 95, and reachable at 409-550-0134, is committed to raising mental health awareness and providing essential services.

MHASETX conducts free and confidential mental health screenings and offers referrals, educational programs, and advocacy initiatives. Their efforts reduce stigma and enhance accessibility to mental health support within the community, ensuring individuals receive early detection and appropriate treatment (Mental Health America of Southeast Texas, n.d.). By leveraging these community resources, our goal is to establish a holistic support system that empowers individuals on their journey toward mental wellness in Southeast Texas.

Public Awareness Campaign to Reduce Stigma and Shame

The persistent stigma and shame surrounding mental illness pose significant challenges to mental health care. Many individuals fear seeking help or sharing their experiences due to potential prejudice or discrimination. Efforts are focused on raising public awareness, educating the community, and fostering open discussions about mental health to reduce this stigma. Key community resources include local mental health advocacy groups, educational institutions, and social media platforms. A year-long public awareness campaign has been planned to tackle the stigma and shame associated with mental health issues.

The first three months are dedicated to careful planning and consultations with mental health specialists, communicators, and community leaders. This period also involves establishing necessary partnerships with influential locals and organizations. During months three to six, the campaign’s dynamic phase begins, sharing engaging information across various media channels. Webinars and town hall meetings are organized to facilitate community dialogue. From months seven to nine, the focus shifts to collaborative outreach. Local celebrities and influencers share personal stories and endorsements, while panel discussions offer diverse perspectives. The final months, ten to twelve, involve a comprehensive evaluation, collecting data on the campaign’s effectiveness and reach through surveys and community feedback. The results inform adjustments for the next year’s strategy, ensuring a dynamic, patient-centered initiative dedicated to reducing stigma and fostering an inclusive environment for mental health services (Javed et al., 2021).

Addressing the Challenge of Accessing Mental Health Services

To tackle the critical issue of accessing mental health services, we propose launching an Outreach and Awareness Campaign starting within the next month and continuing indefinitely. This initiative aims to enhance the utilization of mental health hotlines and support services by distributing informational pamphlets, organizing awareness events, and conducting outreach efforts, particularly targeting underserved communities (McGorry et al., 2022).

Utilizing community resources in Southeast Texas, including Spindletop Center, Depth Therapy, and Mental Health America of Southeast Texas (MHASETX), we will collaborate to provide guidance on accessing mental health care. Spindletop Center, renowned for its crisis intervention and comprehensive mental health services, will play a crucial role in providing immediate support through its 24-hour Toll-Free Crisis Hotline (1-800-937-8097) (Spindletop Center, n.d.). Depth Therapy, specializing in mental health therapy at (832) 380-9941, will offer individualized support through therapy sessions focusing on navigating mental health care (Depth Therapy, n.d.). MHASETX, located in Beaumont and reachable at 409-550-0134, will contribute by conducting educational programs and mental health screenings, raising awareness, and promoting access to mental health resources within the community (Mental Health America of Southeast Texas, n.d.).

Furthermore, partnerships with local community centers and libraries will facilitate the distribution of informational materials and the hosting of awareness events. These efforts aim to educate the community about available mental health services and empower individuals to seek the necessary support for their mental well-being (Wahler et al., 2019). Through this comprehensive approach, we aim to bridge gaps in accessing mental health care in Southeast Texas, ensuring that individuals get the assistance they require for their mental well-being.

Ethical Decisions in Patient-Centered Health Interventions

When designing patient-centered treatments for mental health issues like anxiety, depression, and challenges accessing mental health services, ethical considerations are critical. Informed consent is essential for participants in Cognitive-Behavioral Therapy (CBT) groups, ensuring they fully grasp the intervention’s nature and potential risks. Upholding strict confidentiality creates a safe space for participants to openly share personal experiences (Lattie et al., 2022). Cultural sensitivity in adapting CBT techniques promotes inclusivity.

Similarly, in mindfulness meditation and stress management workshops for anxiety, respecting autonomy allows participants to determine their level of engagement. Beneficence guides the use of evidence-based practices to alleviate anxiety symptoms, while non-maleficence ensures participant well-being during activities. In outreach campaigns to improve access to mental health services, principles of equity and justice require reaching underserved communities (Hoffman et al., 2020). Transparency in providing information about available services empowers individuals to make informed choices, and collaboration with local organizations ensures cultural sensitivity and relevance. By adhering to these ethical principles, interventions become effective, respectful, fair, and empowering for individuals seeking assistance with mental health disorders (Hays & Shepard Payne, 2020).

Relevant Health Policy Implications

Several key health policy implications influence the continuum of care and coordination for mental health disorders. The Affordable Care Act (ACA) of 2010, for example, improved access to mental health services by mandating that insurance companies cover mental health and substance use disorder treatments on par with medical and surgical benefits. This provision ensures that individuals with mental health conditions can access a broad range of services without discriminatory coverage limits (Glied et al., 2020). Additionally, group health plans and insurers are not allowed to place less favorable coverage restrictions on mental health and substance use disorder benefits than on medical and surgical benefits under the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. (Li & Ma, 2019). By enforcing coverage parity, MHPAEA promotes equitable access to mental health care and facilitates care coordination across various healthcare settings.

Furthermore, Medicaid plays a crucial role in supporting mental health services by providing coverage for eligible low-income individuals, including comprehensive mental health benefits and Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services for children with mental health needs (Jones et al., 2020). This ensures that vulnerable populations receive early intervention and ongoing treatment, thereby contributing to the continuum of care for mental health disorders. These policy provisions underscore the importance of access, parity, and integration of mental health services in ensuring effective care coordination and continuity of care. They address access barriers, promote fair treatment, and facilitate the delivery of comprehensive, patient-centered care across healthcare settings.

Prioritizing Education, Adaptation, and Community Engagement

The care coordinator collaborates with patients and their families to prioritize key factors and implement evidence-based adjustments in treatment. Firstly, personalized treatment approaches tailored to each patient’s needs and preferences are emphasized. This includes discussing effective methods like Cognitive-Behavioral Therapy (CBT) for addressing depression and anxiety and mindfulness meditation for managing stress (Gautam et al., 2020). Additionally, early intervention and continuous support in managing mental health disorders are highlighted as crucial. This may involve modifying intervention timelines, such as initiating CBT group sessions for depression earlier to promptly address symptoms and prevent escalation, as early intervention has been linked to improved treatment outcomes and reduced relapse risk (Colizzi et al., 2020).

Moreover, holistic care and integration of community resources are prioritized in the care plan. Recognizing the interconnectedness of mental health with physical health and social support, the coordinator advocates for incorporating activities like yoga sessions and utilizing local community resources such as support groups offered by organizations like NAMI and MHAO. Research supports holistic approaches that address multiple aspects of an individual’s life, leading to better mental health outcomes (Colizzi et al., 2020). When discussing changes to the treatment plan, the care coordinator provides clear explanations for each adjustment based on evidence-based practices. For instance, when modifying the frequency or format of mindfulness meditation workshops, the coordinator cites studies demonstrating the effectiveness of mindfulness-based interventions in reducing symptoms of anxiety (McGorry et al., 2022).

Literature-Guided Evaluation and Alignment with Healthy People 2030

When comparing the content of our learning sessions for mental health disorders with best practices from the literature, it is evident that evidence-based interventions such as Cognitive-Behavioral Therapy (CBT), mindfulness-based therapies, and psychoeducation are highly effective (Gautam et al., 2020; McGorry et al., 2022; Zhou et al., 2020). Our proposed interventions, which include CBT group sessions for depression and other mental health issues,  an outreach campaign to enhance service accessibility and psychoeducation, are well-aligned with these best practices. Furthermore, aligning our teaching sessions with Healthy People 2030 objectives involves focusing on mental health promotion, prevention, treatment, and recovery (U.S. Department of Health and Human Services, n.d.).

By educating on evidence-based strategies, raising awareness of available resources, and encouraging community engagement, our sessions support the broader goals of Healthy People 2030, aiming to improve mental health outcomes and reduce stigma associated with mental health disorders. One area for potential improvement is incorporating more diverse and culturally sensitive approaches into our interventions. Research indicates that cultural factors significantly influence mental health outcomes and treatment preferences (Ungar & Theron, 2020). Therefore, adapting our interventions to be more culturally responsive can enhance engagement and outcomes for individuals from diverse backgrounds.

Conclusion

The comprehensive care coordination strategy detailed in this plan underscores the importance of personalized, patient-centered interventions, early intervention, and holistic care. By leveraging community resources and aligning educational efforts with Healthy People 2030 objectives, we aim to improve mental health outcomes, reduce stigma, and ensure equitable access to mental health services for all individuals, while continuously adapting to diverse cultural needs to enhance overall community well-being.

References

Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems, 14(1), 1–14. https://doi.org/10.1186/s13033-020-00356-9

Depth Therapy. (n.d.). Therapy & counseling services | Houston, TX | deptherapy. https://www.deptherapy.com/?gad_source=1&gclid=Cj0KCQjwv7O0BhDwARIsAC0sjWNDPNO9Kj-DAEhNVh2w_JGDREozavkETPkJVKrx3eg_hsbUeOeij40aAlBREALw_wcB 

Gautam, M., Tripathi, A., Deshmukh, D., & Gaur, M. (2020). Cognitive behavioral therapy for depression. Indian Journal of Psychiatry, 62(8), 223–229. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001356/ 

Glied, S. A., Collins, S. R., & Lin, S. (2020). Did the ACA lower Americans’ financial barriers to health care? Health Affairs, 39(3), 379–386. https://doi.org/10.1377/hlthaff.2019.01448 

Hays, K., & Shepard Payne, J. (2020). Lived experience, transparency, help, and humility: Four characteristics of clergy responding to mental and emotional problems. Journal of Pastoral Care & Counseling: Advancing Theory and Professional Practice through Scholarly and Reflective Publications, 74(1), 4–11. https://doi.org/10.1177/1542305019872437 

NURS FPX 4050 Assessment 4 Final Care Coordination Plan

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Jones, E. B., Staab, E. M., Wan, W., Quinn, M. T., Schaefer, C., Gedeon, S., Campbell, A., Chin, M. H., & Laiteerapong, N. (2020). Addiction treatment capacity in health centers: The role of Medicaid reimbursement and targeted grant funding. Psychiatric Services, 71(7), 684–690. https://doi.org/10.1176/appi.ps.201900409 

Lattie, E. G., Stiles-Shields, C., & Graham, A. K. (2022). An overview of and recommendations for more accessible digital mental health services. Nature Reviews Psychology, 1(2), 87–100. https://doi.org/10.1038/s44159-021-00003-1 

Li, X., & Ma, J. (2019). Does mental health parity encourage mental health utilization among children and adolescents? Evidence from the 2008 Mental Health Parity and Addiction Equity Act (MHPAEA). The Journal of Behavioral Health Services & Research, 47(1). https://doi.org/10.1007/s11414-019-09660-w 

McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez‐Jimenez, M., & Killackey, E. (2022). Designing and scaling up integrated youth mental health care. World Psychiatry, 21(1), 61–76. https://doi.org/10.1002/wps.20938

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NURS FPX 4050 Assessment 4 Final Care Coordination Plan

Ungar, M., & Theron, L. (2020). Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry, 7(5). https://doi.org/10.1016/s2215-0366(19)30434-1 

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Zhou, X., Guo, J., Lu, G., Chen, C., Xie, Z., Liu, J., & Zhang, C. (2020). Effects of mindfulness-based stress reduction on anxiety symptoms in young people: A systematic review and meta-analysis. Psychiatry Research, 289, 113002. https://doi.org/10.1016/j.psychres.2020.113002