NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
Name
Capella university
NURS-FPX4065 Patient-Centered Care Coordination
Prof. Name
Date
Preliminary Care Coordination Plan for Adult Mental Health Patients in an Acute Health Setting
Physical Considerations and Best Practices
Risks
Adults diagnosed with severe psychiatric disorders face a heightened likelihood of developing secondary physical health problems. Common coexisting conditions include cardiovascular illnesses, type 2 diabetes, and respiratory diseases. Evidence indicates that individuals living with long-term psychiatric conditions may experience a life expectancy reduction of 15–20 years compared to the general population (Nielsen et al., 2021). This disparity is strongly linked to poor access to preventive healthcare, unhealthy lifestyle practices, and the adverse metabolic effects of antipsychotic or mood-stabilizing medications.
Best Practices
To reduce these risks, acute healthcare providers should implement comprehensive physical health assessments alongside psychosocial support programs.
| Intervention | Details |
|---|---|
| Routine Physical Health Checks | Regular monitoring of BMI, blood pressure, fasting glucose, lipid profile, and smoking status. |
| Lifestyle Interventions | Providing smoking cessation programs, guided physical activity sessions, and nutrition-focused counseling. Evidence shows that structured interventions in diet, activity, and cessation of tobacco improve both mental and physical health outcomes (Koomen et al., 2022). |
By embedding these interventions into care coordination, providers can ensure that both the physical and psychological dimensions of patient health are adequately addressed.
Mental Illness
Mental illness refers to clinically recognized disturbances in thought, mood, or behavior caused by biological, psychological, or developmental dysfunctions (Stein et al., 2021). These conditions disrupt everyday life, limiting social engagement, occupational performance, and emotional stability.
Prevalence and Impact
- About 1 in 5 U.S. adults experiences a diagnosable mental health condition each year.
- In Florida, an estimated 2.89 million adults are living with mental illness (National Alliance on Mental Illness [NAMI], n.d.).
- By 2021, 40.9% of Florida adults reported symptoms of depression or anxiety.
These statistics reflect the urgent need for coordinated care models, preventive interventions, and prompt access to treatment services.
Cultural Considerations and Best Practices
Barriers
Cultural stigma, misconceptions about psychiatric disorders, and reliance on traditional healing practices often prevent individuals from accessing evidence-based mental health care. Variability in cultural values means that interventions must be tailored to patient backgrounds to ensure acceptance.
Best Practices
| Practice | Application |
|---|---|
| Culturally Adaptable Care | Integrating patients’ values, traditions, and beliefs into the treatment process fosters trust and compliance (Ahad et al., 2023). |
| Culturally Competent Education | Delivering awareness programs through peer-led workshops, community events, and culturally tailored materials reduces stigma and encourages help-seeking behavior (Ahad et al., 2023). |
When cultural responsiveness is embedded in care planning, providers foster inclusivity and significantly improve patient engagement.
Psychosocial Considerations and Best Practices
Psychosocial health influences how individuals regulate emotions, manage stress, and interact socially. These factors are central to recovery and relapse prevention in patients with severe mental illness.
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
| Practice | Application |
|---|---|
| Psychological Interventions | Mindfulness-Based Cognitive Therapy (MBCT) integrates cognitive restructuring with mindfulness strategies to reduce relapse rates in depression (Gkintoni et al., 2025). |
| Emotional Support & Coping | Training in relaxation techniques such as deep breathing, yoga, and meditation enhances emotional regulation and resilience. |
| Group Psychotherapy | Facilitates peer support, trust-building, and empathy among patients, strengthening recovery and reintegration (Marmarosh et al., 2022). |
Underlying Assumptions and Uncertainties
- MBCT and lifestyle-based interventions are presumed to benefit most patient groups.
- Culturally sensitive approaches are assumed to reduce stigma and increase treatment participation.
- Uncertainty persists regarding consistent application of stigma-reduction interventions across diverse cultural settings.
- Acute health systems may face barriers including workforce shortages, funding limitations, and resource constraints when implementing these strategies.
SMART Goals
- Goal 1: Implement weekly MBCT sessions for adult patients in Florida to reduce depressive symptoms. Effectiveness will be measured by a 40% improvement in PHQ-9 scores within six months.
- Goal 2: Conduct biweekly culturally tailored education workshops to increase awareness and decrease stigma. The target is a 60% improvement in mental health literacy and stigma reduction, measured using pre- and post-program surveys within six months.
Community Resources
Effective care coordination extends beyond the acute care setting by connecting patients to community-based programs that support recovery and long-term well-being.
| Organization | Services Offered | Contact Information |
|---|---|---|
| Mental Health Association of Central Florida (MHACF) | Provides free counseling, peer support, education 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 individual/family therapy sessions. | Phone: 1-855-548-0352 Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024) |
| NAMI Florida | Provides advocacy, peer support, community awareness, and education programs. | Phone: 850-671-4445 Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025) |
| Care Resource | Sliding-scale fee counseling, HIV/behavioral health programs, and free services 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
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
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
World Health Organization. (2023). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
Substance Abuse and Mental Health Services Administration (SAMHSA). (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/