Capella 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 realm of public health, addressing mental health disorders is a pressing concern, impacting individuals and communities worldwide. This assessment aims to comprehensively evaluate educational strategies tailored to combat critical mental health issues such as depression, anxiety disorders, and access to mental health services. Through an extensive review of current literature and best practices in health education, the goal is to refine and enhance learning sessions to align more closely with the ambitious objectives set forth by Healthy People 2030. By identifying gaps in current educational approaches and proposing necessary revisions, we strive to ensure that the content educates and empowers individuals and communities to take actionable steps toward promoting mental well-being. This alignment with Healthy People 2030 underscores our commitment to advancing public health goals through evidence-based education on mental health disorders and prevention strategies.

Patient-Centered Health Interventions and Timelines

Interventions for Depression

Within the next three months, we plan to initiate Cognitive-Behavioral Therapy (CBT) group sessions as an intervention for individuals grappling with depression. These weekly sessions will offer a structured platform for participants to identify and challenge negative thought patterns, cultivate coping mechanisms, and foster supportive social networks (Gautam et al., 2020).  In collaboration with community resources, these sessions will be organized with the assistance of the Mental Health Association of Oklahoma (MHAO). MHAO offers a range of support groups and therapy sessions tailored to address depression, ensuring a conducive environment for healing and growth (MHAO, 2024).

Additionally, the National Alliance on Mental Illness (NAMI) will play a pivotal role in this initiative, providing access to support groups and helplines explicitly designed for individuals affected by depression. Through NAMI’s community-centered approach, participants can find camaraderie and emotional solace (NAMI, 2021). Furthermore, our partnership with Approved Community Behavioral Health Clinics (CCBHCs) will ensure comprehensive mental health services, including specialized therapy sessions focused on addressing depression (CCBHC, 2020). By leveraging these community resources, we aim to create a holistic support system that empowers individuals on their journey toward mental wellness.

Interventions for Anxiety

The proposed intervention for addressing the mental health disorder of anxiety comprises “Mindfulness Meditation and Stress Management Workshops” within the next two months. These monthly workshops aim to equip individuals with practical tools to alleviate anxiety symptoms and enhance overall well-being. Through mindfulness practices, relaxation techniques, and specialized breathing exercises, participants will learn practical strategies for managing stress and anxiety daily (Zhou et al., 2020). We will collaborate closely with essential community resources to facilitate these workshops. The Mental Health Association of Oklahoma (MHAO) will provide invaluable support by offering workshops and educational programs tailored explicitly to stress management and mindfulness techniques, catering to individuals seeking relief from anxiety (MHAO, 2024).

Additionally, our collaboration with the Substance Abuse and Mental Health Services Administration (SAMHSA) Oklahoma will enrich our initiative by tapping into their wealth of resources and information on anxiety management. SAMHSA’s expertise in this field will ensure that our workshops are grounded in evidence-based practices and provide participants with comprehensive knowledge on managing anxiety effectively (OMHSA, 2020). Moreover, we will engage with local yoga studios and wellness centers to complement our workshops. Partnering with these establishments will enable us to incorporate yoga sessions into our program, highlighting the benefits of yoga for anxiety management and fostering a holistic approach to mental well-being (Musial, 2021). By leveraging these community resources, we aim to create a supportive and empowering environment where individuals can learn, practice, and thrive in managing anxiety and achieving mental wellness.

Intervention for Issue of Access to Mental Health Services

To address the critical healthcare issue of access to mental health services, we propose launching an Outreach and Awareness Campaign, commencing within the next month and continuing ongoing. This initiative aims to increase the utilization of mental health hotlines and support services by disseminating informational pamphlets, organizing awareness events, and conducting outreach efforts, particularly in underserved communities (McGorry et al., 2022). Leveraging community resources, such as the National Alliance on Mental Illness (NAMI) and the Substance Abuse and Mental Health Services Administration (SAMHSA) Oklahoma, we will collaborate to offer guidance on obtaining mental health care, including hotlines and support groups while also offering advocacy services and resources to support individuals in navigating the healthcare system (OMHSA, 2020; SAMHSA, 2020).

Additionally, partnerships with local community centers and libraries will facilitate the distribution of informational materials and the hosting of awareness events to raise awareness of mental health services and resources available within the community (Wahler et al., 2019). Through this multifaceted approach, we aim to bridge gaps in access to mental health care and empower individuals to seek the support they need for their mental well-being.

Ethical Decisions in Patient-Centered Health Interventions

When creating patient-centered treatments for mental health problems such as anxiety, depression, and limited access to mental health services, ethical considerations are paramount. Informed consent is crucial for participants in Cognitive-Behavioral Therapy (CBT) group sessions, ensuring they understand the intervention’s nature and risks. Maintaining strict confidentiality fosters a safe environment for participants to share personal experiences (Lattie et al., 2022). Cultural sensitivity in tailoring CBT techniques ensures inclusivity.

Similarly, in mindfulness meditation and stress management workshops for anxiety, respecting autonomy allows participants to choose their level of engagement. Beneficence dictates the use of evidence-based techniques to reduce anxiety symptoms, while non-maleficence ensures participants’ well-being during practices. In outreach campaigns for mental health service access, equity and justice demand reaching underserved communities (Hoffman et al., 2020). Transparency in providing information about available services empowers individuals to make informed decisions, while collaboration with local organizations ensures cultural sensitivity and relevance. By adhering to these ethical principles, interventions become practical, respectful, equitable, and empowering for those seeking support for mental health disorders (Hays & Shepard Payne, 2020).

Relevant Health Policy Implications

The following are pertinent health policy implications for the continuum of care and coordination of mental health disorders. The Affordable Care Act (ACA) of 2010, for instance, increased access to mental health services by mandating that insurance companies pay for services related to mental health and substance use disorders on a par with benefits for surgery and medical care. According to Glied et al. (2020), this clause guarantees that people with mental health conditions can access a wide range of services without having their coverage limited in a discriminatory manner.

Furthermore, group health plans and health insurance issuers are prohibited by the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 from placing coverage restrictions on mental health and substance use disorder benefits that are less favorable than those on medical and surgical benefits (Li & Ma, 2019). By enforcing parity in coverage, MHPAEA promotes equitable access to mental health care and supports care coordination across different healthcare settings.

Moreover, the Medicaid program plays a critical 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 have access to early intervention and ongoing treatment services, contributing to the continuum of care for mental health disorders. By interpreting and applying these policy provisions, it is evident that policies promoting access, parity, and integration of mental health services are essential for ensuring effective coordination and continuity of care for individuals with mental health disorders. These policies address barriers to access, promote equitable treatment, and support the delivery of comprehensive, person-centered care across healthcare settings.

Prioritizing Education, Adaptation, and Community Engagement

The care coordinator works with patients and their family members to prioritize several vital factors and implement adjustments that are grounded in evidence-based treatment. Firstly, the coordinator emphasizes the significance of personalized treatment approaches tailored to patients’ needs and preferences. This would involve discussing evidence-based approaches such as Cognitive-Behavioral Therapy (CBT) for depression and anxiety and mindfulness meditation for stress management, highlighting the effectiveness of these approaches in improving mental well-being (Gautam et al., 2020).

Additionally, the care coordinator would stress the significance of early intervention and ongoing support in managing mental health disorders. This may involve adjusting the timeline of interventions, such as initiating CBT group sessions for depression sooner rather than later, to address symptoms promptly and prevent escalation. Evidence suggests that early intervention leads to better treatment outcomes and reduces the risk of relapse (Colizzi et al., 2020).

Capella 4050 Assessment 4 Final Care Coordination Plan

Furthermore, the coordinator would prioritize integrating holistic care and community resources into the plan. Recognizing the interconnected nature of mental health with other elements of wellbeing, including physical health and social support, the coordinator would advocate for incorporating activities like yoga sessions and utilizing local community resources like support groups offered by organizations such as NAMI and MHAO. Evidence indicates that holistic approaches, which address multiple aspects of a person’s life, improve mental health outcomes (Colizzi et al., 2020).

In discussing changes to the plan, the care coordinator would clearly explain the rationale behind each adjustment, drawing upon evidence-based practice to support their recommendations. For example, if adjusting the frequency or format of mindfulness meditation workshops, the coordinator would cite studies demonstrating the efficacy of mindfulness-based interventions in reducing anxiety symptoms (McGorry et al., 2022). 

Literature-Guided Evaluation and Alignment with Healthy People 2030

In comparing learning session content for mental health disorders with best practices from the literature, evidence-based interventions such as Cognitive-Behavioral Therapy (CBT), mindfulness-based therapies, and psychoeducation stand out as practical approaches (Gautam et al., 2020; McGorry et al., 2022 Zhou et al., 2020). Our proposed interventions, including CBT group sessions for depression, mindfulness meditation workshops for anxiety, and an outreach campaign to increase access to services, closely align with these best practices. Additionally, aligning teaching sessions with Healthy People 2030 objectives involves addressing goals related to mental health promotion, prevention, treatment, and recovery (U.S. Department of Health and Human Services, n.d.).

By providing education on evidence-based strategies, increasing awareness of resources, and promoting community engagement, our sessions contribute to the broader objectives outlined in Healthy People 2030, aiming for enhanced mental health results and less stigma associated with mental health disorders. One area for potential revision is incorporating more diverse and culturally sensitive approaches within the interventions. Research suggests cultural factors significantly influence mental health outcomes and treatment preferences (Ungar & Theron, 2020). Therefore, adapting interventions to be more culturally responsive can improve engagement and outcomes for individuals from diverse backgrounds.

Conclusion

In conclusion, our final care coordination plan addresses mental health disorders through evidence-based interventions, community engagement, and policy advocacy. By aligning interventions with best practices from the literature and Healthy People 2030 objectives, we aim to empower individuals and communities towards mental wellness. Ethical considerations, such as informed consent and cultural sensitivity, guide our approach, ensuring a safe and inclusive environment. Relevant health policies, including those in the ACA and MHPAEA, support equitable access to care. Prioritizing personalized, holistic care and community involvement, we strive to create a comprehensive support system for individuals with mental health disorders, fostering resilience and well-being.

References

CCBHC. (2020). Oklahoma department of mental health and substance abuse services. Oklahoma Department of Mental Health and Substance Abuse Services. https://oklahoma.gov/odmhsas/treatment/ccbhc.html

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 

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 

Hoffman, L., Wisniewski, H., Hays, R., Henson, P., Vaidyam, A., Hendel, V., Keshavan, M., & Torous, J. (2020). Digital opportunities for outcomes in recovery services (DOORS). Journal of Psychiatric Practice, 26(2), 80–88. https://doi.org/10.1097/pra.0000000000000450 

Capella 4050 Assessment 4 Final Care Coordination Plan

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 

MHAO. (2024). Housing, healing, wholeness. Mental Health Association Oklahoma. https://mhaok.org/

Musial, J. (2021). Yoga during COVID-19: Perpetual pandemics. Race and Yoga, 6(1). https://doi.org/10.5070/r36155795 

NAMI. (2021). Mental health in Oklahoma. NAMI. https://www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/Oklahoma

Capella 4050 Assessment 4 Final Care Coordination Plan

OMHSA. (2020). The Oklahoma department of mental health and substance abuse services. Oklahoma Department of Mental Health and Substance Abuse Services. https://oklahoma.gov/odmhsas.html

SAMHSA. (2020). SAMHSA – Substance abuse and mental health services administration. Samhsa.gov. https://www.samhsa.gov/

U.S. Department of Health and Human Services. (n.d.). Mental health and mental disorders – healthy people 2030 | health.gov. Health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/mental-health-and-mental-disorders#:~:text=Healthy%20People%202030%20focuses%20on 

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 

Wahler, E. A., Provence, M. A., Helling, J., & Williams, M. A. (2019). The changing role of libraries: How social workers can help. Families in Society: The Journal of Contemporary Social Services, 101(1), 34–43. https://doi.org/10.1177/1044389419850707 

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