...Abstract The population of mental illness who seek treatment solely through a primary care physician raises question for concern. Many healthcare facilities and organizations are working on a plan to integrate diverse professions into one comprehensive medical model home to optimize effective patient-centered care outcomes. The goal is to reduce costs, expand the healthcare teams knowledge base while improving patient outcomes. How can the core competency of teamwork and collaboration impact the healthcare delivery system? How can we treat older adults that are more likely to seek and accept psychological services in primary care verses specialty mental health care settings? What are the challenges healthcare providers are facing that impede collaboration? There are many obstacles to face and barriers to cross before health care providers can work together more efficiently to achieve a higher level of teamwork and collaboration. Teamwork & Collaboration in Health Care Teamwork and collaboration among health care providers allows each profession to function competently within their own scope of practice as part of the interdisciplinary team to collaborate on shared goals, respect different views, communicate measureable processes for a positive effective outcome, and expand our knowledge base while providing patient-centered care. The IOM stated that: “An inter-disciplinary /inter-professional team is composed of members from different professions...
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...and setting personal goals. In the second phase of TTIM, the nurse educator and peer specialist engage participants in brief maintenance sessions over the telephone. In a randomized control trial of 200 adults (mean age 53 years old) with serious mental illness (schizophrenia 25%, major depressive disorder 48%) and diabetes mellitus, TTIM program participants reported improved psychiatric symptoms and general functioning compared to usual care 37. TTIM participants demonstrated significantly greater knowledge of diabetes compared to the control group and 98% of TTIM participants considered the program to be useful. However, no differences were found between the intervention and control group with respect to general health status, self-management of diabetes, systolic blood pressure or body mass index. Integrated Illness Management and Recovery (I-IMR) Integrated Illness Management and Recovery (I-IMR) is a recovery-oriented intervention that combines training and coaching in both psychiatric and medical illness self-management into a single integrated curriculum and program aimed at improving outcomes for older adults (age 50+) with SMI and chronic health conditions38,39. Integrated Illness Management and Recovery (I-IMR)...
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...Access to Mental Health Services Abstract Within the American Healthcare system there are three key components. The key components include access, cost, and quality. Access to healthcare is the ability to obtain healthcare services in a timely manner when one needs it. Cost refers to many things in healthcare. It depends upon the individual, national, or provider’s perspective of costs. Quality is the desired healthcare outcomes of an individual or the healthcare outcomes of the population. Access to mental health services is a major issue in the United States. Children are greatly affected by this and often fall through the cracks in the system. Less than half of all children receive the mental health services they need. The Affordable Care Act initiated by President Obama is setting strides to improve the availability of mental health services within communities. This law requires that all health insurance providers cover mental health services. Congress has also increased funding to improve access of child mental health services. Improvements with access include, but are not limited to, integrating primary care physicians with mental health providers and the expansion of child mental health services. These improvements will educate primary care physicians on the available mental health services in their surrounding communities, allowing them to refer their patients as needed while providing a continuum of care. The expansion of child mental health services...
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...Health Promotion: Primary, Secondary, and Tertiary levels According to The World Health Organization (WHO), “Health promotion is the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions.” (WHO, 2014). Nurses are continuing to assist patients in enhancing and changing their life styles, while at the same time striving to provide optimal health on a holistic level. This essay will review three recent journal articles from professional nursing organizations on how the roles of nurses has evolved in regards to health promotion, specific ways that nurses implement methods of health promotion, as well as the primary, secondary, and tertiary levels of health promotion prevention. Promoting health in Nursing Health can be considered as physical, spiritual, mental, and social functioning of human beings (Edelman, Kudzma, & Mandle, 2014). Cultural and religious beliefs can also influence health promotion, as well as environmental factors that may pose risks for individuals who are unaware. The purpose of health promotion in nursing practice lies in the fact that nurses are on the front line of educating, implementing, and enforcing health promotion in all aspects of life to their patient’s. As the health care system continues to evolve and change, so does the role of nurses and all interdisciplinary staff that are directly involved in patient...
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...NURSE PRACTITIONERS HAS A PRIMARY CARE PROVIDERS Primary care is usually the patient’s first contact with the treatment system, according to chapter 1 of Barton, Roemer’s model of a health services system defines primary care as the entry point into the health services system where diseases are diagnosed and initial treatment is provided, episodic care for non chronic illness and injuries is rendered, prescription drugs to treat common illness are provided, routine dental care done and potentially serious physical or mental health conditions that require prompt referral for secondary or tertiary care are diagnosed. A nurse practitioner is a registered nurse who has achieved an advanced level of education and training with a master degree as well as a higher level of training in the diagnoses and treatment of a range of common medical conditions and illnesses. Some nurse practitioners seek training in highly specialized areas of medicine as well. Their job is very similar to that of a physician. In fact, these professionals often have working relationships with physicians. They can perform the duties of a primary health care provider and can offer medical care to patients of all ages and are legally allowed to prescribe medications. Nurse practitioners will be in high demand, according to healthcare industry experts because of shortage in the number of primary care physicians available to treats patients, a growing and aging population combined with the need for healthcare services...
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...evidence, their clinical expertise and the health care preferences of their clients”. The Veteran Hospital...
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...Organization of mental health services is an important factor influencing the effectiveness of these services and also influences the aims and objectives of the mental health policy. Several variables are associated with increase the likelihood of mental health care use; they include sociodemographic variables (e.g. gender, age, sex, race and educational level), access variables (employment, urban residence and health insurance coverage) and significant illness variables (e.g. mood disorders, substance use disorders and perceived need for treatment). There is a debate about which type of variables is more important than others, Rayburn (2005) reports that needs variables are more important than sociodemographic and access variables while Katz (1997) thought that sociodemographic factors are the most important in influencing the use of mental health services. Despite that hospital treatment (including long stay admission) may provide better physical assessment and treatment and decrease vulnerability to physical , sexual and financial exploitation(Thornicroft & Tansella, 1999),community based care for long stay institutional patients can enhance their quality of life if there is a well-planned and well-resourced reprovision program for supervision and adequate use (Leff & Treiman,2000) Also, an important point of debate is the availability of mental health services for patients suffering from co-morbidity of psychiatric disorders with substance use disorders in...
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...CHANGE, ADVANCING HEALTH. The Impact of The IOM Report 2010 On Transforming Education, Practice and Leadership Allan Abraham Impact on Nursing of the 2010 Institute of Medicine (IOM) on the future of nursing. There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The Robert Wood Johnson Foundation (RWJF) and IOM launched a two year initiative to respond to the need to access and transform the nursing profession. The IOM appointed a committee with the purpose of producing a report that would wake recommendations for an action oriented blue print for the future of nursing. This paper will explore the impact of the report on Nursing education, Nursing Practice particularly in primary care, nursing role as a leader and changing my practice to meet the goals of IOM report. Impact on Nursing Education. Key message: “Nurse should achieve higher levels of education and training through an improved education system that promote seemless academic progression” (IOM 2010 page 163}. The primary goal remains to meet the health care needs of diverse...
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...How Natural Doctors Will Help You Achieve Optimal Health And Wellness Are you currently like lots of people who've never heard about the word Natural Physician? So many people are surprised to locate that these kinds of doctors exist and may really help people heal illnesses that many conventional doctors say is hopeless. Lots of people look for a Naturopath once they have "attempted everything" for his or her disease, but realize that they're getting nowhere with pharmaceutical medicines. Natural doctors are trained as primary care companies. They attend a college school of medicine where they learn a combination of traditional medicine practices together with alternative treatment. However, individuals experience with likely to visit a...
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...Treating Co-Occurring Disorders 30th May 2015 Introduction The evidence-based practice has become an integral component in the delivery of primary healthcare services in many healthcare institutions. On the basis of this approach, the best practice is often based on a thorough assessment of evidence from renowned research studies that highlight the interventions necessary for maximizing the chance of benefit and minimize the risk of harm. Furthermore, evidence-based practices are aimed at delivering the desired treatment at acceptable costs. When it comes to co-occurring disorders, Integrated Treatment seems to be the most appropriate evidence-based approach in that it addresses the individual’s mental health and substance use issues in an integrated manner (Drake et al. 2004). As compared to the traditional parallel and sequential treatment approaches, Integrated Treatment model is best suited for co-occurring disorders that are often cyclical and interactive. Furthermore, the requirement that clients should obtain services in different systems of treatment seems to be at odds with the current shift towards patient-centered care which stipulates that access to services for co-occurring disorders should be available at the patient level. What is the theory of behavior change underlying the EBP? The Integrated Treatment approach is founded on the cognitive behaviour therapy that is a focused approach premised on the fact that cognitions influence behaviors and feelings...
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...Infant Mental Health Critical Review Abstract In this critical review, the newspaper article being reviewed is Infant mental health: Giving children the best head start, is described and summarized. The topic being discussed is infant mental health and how they should be receiving satisfactory care from their caregivers at an early age. Infant mental health can be defined as a field that studies the parent caregiver relationships and inner lives of infants. In agreement with this article, five scholarly academic sources arguments and findings are observed. This paper shows a critical review of infant mental health; the brain’s plasticity through a critical period and the importance of supportive infant-caregiver relationships that produce positive experiences for infants and further their developmental capabilities ultimately, helping them grow better. It also highlights the reality that the society as a whole is involved in providing better environmental influences for infants in order to supply them with a better future. Recommendations for future research and unanswered questions in infant mental health are made in response to the need of support of caregivers and the society. The news article, Infant mental health: Giving children the best head start, emphasizes the importance of the first 1000 days of an infant’s life (2015). Adulthood is shaped and impacted by our early experiences (D’alton, 2015). Professor Kevin Nugent is an expert of early child development...
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...RUNNING HEAD: Mental Illness & the Homeless Mental Illness & the Homeless Shannon Nolen 7-21-11 I have lived in many cities and visited many cities where there are a lot of homeless people. I have sometimes wondered how these people get into the situation of not having anywhere to go. I also see a lot of these people talking to themselves and I have always thought they were just on drugs which a lot of them probably are but now that I have learned more about mental illness it is very difficult to determine whether mental illness is a cause or an effect of homelessness. There is research showing that “It is thought that approximately 25 to 33 percent of the homeless population suffers from some form of mental illness” (Townsend). This number is shocking to me and made me wonder why this is? Some of the following theories have been proposed: the deinstitutionalization movement of the 50’s and 60’s, the growing number of war veterans suffering from post traumatic stress disorder, cuts in government entitlement programs for the mentally ill and substance abuse (Townsend). As nurses we have a very important role in treating the mentally ill homeless patient. We have to be able to recognize the signs and symptoms of mental illness, evaluate whether or not they are taking medications and receiving the right kind of treatment, and if they aren’t we need to guide them in the right direction for getting treatment and provide resources...
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...symptoms Reduces Involves Results to Involves Involves Involves Involves Limiting interactive conflict Effective treatment Cause of condition Presence of pain From Medical professionals Seek advice Collaborative care Monitor reaction Quality medicine principles Path physiological processes Seeking counsel Monitor patient Quality care right Physical condition threat Threat to body Threat to life Patients’ privacy Coping with patients needs Care planning Ethical responsibility Chronic illness/ disability Nursing a Person with Chronic Disease or Disability Introduction The disease process affects when a person suffers from a chronic illness or disability, the entire family and the community and the medical care offered to the patient. Chronic diseases or disability dictates that the infected person have to acknowledge the disease process as well as direct his or her attention towards leading a positive life. In similar magnitude, the community and the family of the person have to give care throughout the disease process (Manley et al. 2011). Nevertheless, accepting the condition of chronic disease or disability is a major to both affected persons and the family. The family must be ready to encourage the infected person, arrange medical care and in some instances, the disease condition may force the family or the community to assume the role of the breadwinner. In this sense, impacts of chronic disease or disability would affect the entire society...
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... June 8, 2008 The Department of Health and Human Services (DHHS) is one of the many agencies that handle an array of healthcare departments as well as research. The DHHS caters to citizens of all nationalities, race, and ethnicities. The DHHS focus is to protect the health of all Americans and providing the highest level of human services, especially for those who are least able to help themselves. The Public Health Service is divided into 42 subdivisions (Department of Health and Human Services, 2007). This paper will give highlights of the history of the DHHS, the source and scope of authority, how the day-to-day operations are guided and performed, and how DHHS is structured. In addition, examples are given as to the duties that are carried out within the department of the DHHS. History of the Agency The Department of Health and Human Services (DHHS) was established in 1953 and was referred to as the Department of Health, Education and Welfare. In 1979, the agency was recreated and renamed as the Department of Education. The DHHS agency has many components within the agency that handles and maintains day-to-day operations. (U.S. Department of Health and Human Services, 2008). Source and scope of authority According to the statement Office of Inspector General (OIG), the text reads that OIG will ensure that disseminated information meets the standards of quality set forth in the Office of Management and Budget (OMB), Health and Human Services (HHS) and OIG guidelines...
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...Health Promotion among Adults with Disabilities Stacy Jinks Grand Canyon University: NRS-429V0506 October 4, 2015 Health Promotion among Adults with Disabilities The U.S. Census Bureau has found that nearly 1 in 5 individuals in the U.S. live with a disability. That translates into over 54 million people in the United States alone. Disability has often been associated with poor health. Adults with disabilities should have the same opportunity for good health as those living without. People living with disabilities are more likely to smoke, have greater issues with obesity and have more difficulty accessing preventive health services (CDC, 2014). This paper will look at some of the disparities among adults living with disabilities, why this may be occurring and what can be done to help decrease the disparities and increase positive outcomes for this group. Review of Health Status, Disparities and Barriers to Good Health Disability has been defined in many different ways and pinpointing one definition that everyone agrees on can be difficult. In the Surgeon General’s Call to Action report (2005) it is generally defined as “a feature of the mind, body or senses that can affect a person’s daily life”. Until very recently people with disabilities have gone mostly unrecognized as a group facing health disparities but when surveys are taken from both groups, adults with disabilities versus those without, the gap between how each group views their personal health status is...
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