Capella 4060 Assessment 1 Health Promotion Plan

Name

Capella university

NURS-FPX 4060 Practicing in the Community to Improve Population Health

Prof. Name

Date

Health Promotion Plan

The mental illness such as depression is pervasive, affecting millions globally across diverse demographics. Its origins lie in a complex interplay of biological, psychological, and social factors, including genetic predispositions, psychosocial stressors, and socio-economic inequalities. According to the World Health Organization, depression was identified as the primary cause of global disability, impacting approximately 322 million individuals and accounting for 7.5% of total years lived with disability (Agostino et al., 2021). While evidence-based treatments like therapy and medication exist, uncertainties persist regarding their long-term effectiveness and integration into diverse community settings. Structural barriers to accessing care, coupled with cultural stigma, further complicate efforts to address depression at the community level.

Despite promising approaches such as integrating mental health care into primary settings and leveraging social support networks, questions remain about scalability and cultural competence. To effectively promote mental health within communities, interventions must address underlying assumptions and uncertainties while tailoring strategies to diverse cultural and social contexts.

Need for Health Promotion of Mental Illness in Florida

In Florida, tackling the pervasive issue of depression is critical for effective health promotion within the population, supported by current and relevant data. With 17.8% of adults reporting a diagnosis of depressive disorder, the state faces a significant mental health challenge (America’s Health Rankings, n.d.). This prevalence underscores the importance of addressing depression to ensure the well-being of Florida’s diverse population, considering factors such as socioeconomic status, ethnicity, and age. Moreover, depression’s impact on health outcomes cannot be understated, as it often exacerbates chronic conditions prevalent in the state, such as diabetes and heart disease (Najafi et al., 2022).

Compounded by limited access to mental health services, particularly in rural and underserved areas, the burden of depression is further heightened, contributing to health disparities. Florida’s unique social and environmental factors, including climate-related disasters and economic instability, also play a role in exacerbating mental health challenges (Abukhalaf et al., 2023). Therefore, tailored health promotion initiatives are imperative to address depression comprehensively, reduce disparities, and enhance access to care, ultimately fostering improved well-being for all residents of Florida.

Individual Demographics

Olivia is a 35-year-old Caucasian woman of Irish and Italian descent residing in Miami, Florida. She is unmarried and lives alone in a small apartment in the urban area of Miami. Olivia holds a bachelor’s degree in marketing and works as a mid-level manager in a marketing firm. Her annual income falls within the middle-income bracket for Miami, but she often struggles to make ends meet due to the high cost of living in the city. Despite her education and professional success, Olivia faces numerous stressors in her life, including demanding work deadlines, financial pressures, and strained interpersonal relationships.

She leads a busy lifestyle, juggling work responsibilities, household chores, and occasional social outings with friends. As a middle-aged woman living in an urban area with a moderate income, Olivia represents a demographic group that is particularly vulnerable to mental health issues like depression. Her high-stress job, coupled with financial challenges and social isolation, exacerbates her susceptibility to depression, highlighting the importance of tailored health promotion efforts to address the unique needs of individuals like Olivia within the Florida population.

Establishing SMART Goals for the Target Individual

Following three SMART goals were obtained on collaborating with Olivia considering her health concern and needs:

Goal #1: By the end of three months, Olivia will reduce her frequency of engaging in negative rumination and self-criticism (Time-Bound) as she actively participates in cognitive-behavioral therapy (CBT) sessions (Attainable), ultimately decreasing her symptoms of depression (Relevant). Olivia will aim to reduce the frequency of negative thoughts from five to two times a day (Measurable) through CBT techniques such as cognitive restructuring and mindfulness exercises (Specific) (Roberts et al., 2021).

Goal #2: Over three months, Olivia will increase her engagement in regular physical activity (Time-Bound) by attending a fitness class twice a week and incorporating daily walks into her routine (Attainable). This increased physical activity will contribute to the release of endorphins, promoting improved mood and reducing symptoms of depression (Relevant). Olivia will aim to gradually increase her weekly exercise duration from 60 minutes to 120 minutes (Measurable) through structured exercise sessions and outdoor activities (Specific) (Pearce et al., 2022).

Capella 4060 Assessment 1 Health Promotion Plan

Goal #3: Within three months (Time-Bound), Olivia will enhance her social support network by attending a support group for individuals experiencing depression to seek understanding and connection with others facing similar challenges (Relevant). Olivia will commit to attending at least one support group meeting per week and actively participating in discussions (Attainable). By the end of the three months, Olivia aims to increase her social connectedness and reduce feelings of isolation, as evidenced by self-reported assessments and increased social interactions outside the support group (Measurable) (Czaja et al., 2021).

The evaluation process for Olivia’s goals involves regular assessments to measure progress and effectiveness. For Goal #1, Olivia will keep a weekly mood journal to track the frequency of negative thoughts, aiming for a reduction from five to two times a day after three months of CBT sessions. Goal #2 will be evaluated through weekly tracking of exercise sessions using a fitness tracker to gradually increase total exercise duration from 60 to 120 minutes per week. Lastly, for Goal #3, monthly self-assessment surveys will gauge Olivia’s feelings of social connectedness and participation in support group meetings, ensuring regular engagement and involvement. These evaluation methods will provide Olivia and her healthcare provider with valuable insights to adjust the intervention plan and support Olivia’s journey toward improved mental health and well-being.

Conclusion

In conclusion, the discussion highlights the pervasive impact of depression, particularly in Florida, where 17.8% of adults report a diagnosis of depressive disorder. Olivia Alexander represents many challenges, including balancing work, finances, and social isolation. Through collaborative efforts, three SMART goals were established to address Olivia’s depression, focusing on coping skills, physical activity, and social support. Supported by evidence-based interventions, these goals offer a holistic approach to Olivia’s well-being. Regular evaluations will ensure the effectiveness of the intervention plan, facilitating Olivia’s progress toward improved mental health. By tailoring interventions to meet individual needs, we can promote resilience and recovery within the population. With continued support, Olivia and others like her can embark on a better quality of life.

References

Abukhalaf, A. H. I., Naser, A. Y., Cohen, S. L., von Meding, J., & Abusal, D. M. (2023). Evaluating the mental health of international students in the U.S. during the COVID-19 outbreak: The case of the University of Florida. Journal of American College Health, 1–10. https://doi.org/10.1080/07448481.2023.2168547 

Agostino, D. M., Wu, Y.-T., Daskalopoulou, C., Hasan, M. T., Huisman, M., & Prina, M. (2021). Global trends in the prevalence and incidence of depression: A systematic review and meta-analysis. Journal of Affective Disorders, 281, 235–243. https://doi.org/10.1016/j.jad.2020.12.035 

America’s Health Rankings. (n.d.). Explore depression in Florida | AHR. America’s Health Rankings. Retrieved April 18, 2024, from https://www.americashealthrankings.org/explore/measures/Depression_a/FL 

Czaja, S. J., Moxley, J. H., & Rogers, W. A. (2021). Social support, isolation, loneliness, and health among older adults in the PRISM randomized controlled trial. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.728658 

Capella 4060 Assessment 1 Health Promotion Plan

Najafi, K., Khoshab, H., Rahimi, N., & Jahanara, A. (2022). Relationship between spiritual health with stress, anxiety and depression in patients with chronic diseases. International Journal of Africa Nursing Sciences, 17, 100463. https://doi.org/10.1016/j.ijans.2022.100463 

Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F. B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A., Tainio, M., Brage, S., & Woodcock, J. (2022). Association between physical activity and risk of depression: A systematic review and meta-analysis. JAMA Psychiatry, 79(6). https://doi.org/10.1001/jamapsychiatry.2022.0609 

Roberts, H., Jacobs, R. H., Bessette, K. L., Crowell, S. E., Westlund-Schreiner, M., Thomas, L., Easter, R. E., Pocius, S. L., Dillahunt, A., Frandsen, S., Schubert, B., Farstead, B., Kerig, P., Welsh, R. C., Jago, D., Langenecker, S. A., & Watkins, E. R. (2021). Mechanisms of rumination change in adolescent depression (rumechange): Study protocol for a randomised controlled trial of rumination-focused cognitive behavioural therapy to reduce ruminative habit and risk of depressive relapse in high-ruminating adolescents. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03193-3