Capella Technology and Care Coordination for Adolescents Mental Health Assessment

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qnzvtb78

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Health Medical

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Capella University

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assessment

determine how health care technology, coordination of care, and community resources can be applied to address the patient, family, or population problem you've defined. In addition, plan to spend approximately 2 direct practicum hours exploring these aspects of the problem with the patient, family, or group you've chosen to work with and, if desired, consulting with subject matter and industry experts. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form. Report on your experiences during the second 2 hours of your practicum.

IntroductionAs a baccalaureate-prepared nurse, you’ll be positioned to maximize the use of technology to achieve positive patient outcomes and improve organizational effectiveness. Providing holistic coordination of patient care across the entire health care continuum and leveraging community resource services can lead both to positive patient outcomes and to organizational improvements.PreparationIn this assessment, you’ll determine how health care technology, coordination of care, and community resources can be applied to address the health problem you’ve defined. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.To prepare for the assessment:Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.Conduct sufficient research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.Review the Practicum Focus Sheet: Assessment 3 [PDF], which provides guidance for conducting this portion of your practicum.Note: Remember that you can submit all, or a portion of, your draft assessment to Smarthinking for feedback, before you submit the final version. If you plan on using this free service, be mindful of the turnaround time of 24-48 hours for receiving feedback.InstructionsComplete this assessment in two parts.Part 1Determine how health care technology, the coordination of care, and the use of community resources can be applied to address the patient, family, or population problem you’ve defined. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 3 [PDF] provided for this assessment to guide your work and interpersonal interactions.Part 2Report on your experiences during the second 2 hours of your practicum.Whom did you meet with? What did you learn from them?Comment on the evidence-based practice (EBP) documents or websites you reviewed. What did you learn from that review?Share the process and experience of exploring the effect of the problem on the quality of care, patient safety, and costs to the system and individual. Did your plan to address the problem change, based upon your experiences?What surprised you, or was of particular interest to you, and why?CORE ELMSUpdate the total number of hours on the NURS-FPX4900 Volunteer Experience Form in CORE ELMS.RequirementsThe assessment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format and length and for supporting evidence.Analyze the impact of health care technology on the patient, family, or population problem. Cite evidence from the literature that addresses the advantages and disadvantages of specific technologies, including research studies that present opposing views.Determine whether the evidence is consistent with technology use you see in your nursing practice.Identify potential barriers and costs associated with the use of specific technologies and how those technologies are applied within the context of this problem.Explain how care coordination and the utilization of community resources can be used to address the patient, family, or population problem. Cite evidence from the literature that addresses the benefits of care coordination and the utilization of community resources, including research studies that present opposing views.Determine whether the evidence is consistent with how you see care coordination and community resources used in your nursing practice.Identify barriers to the use of care coordination and community resources in the context of this problem.Analyze state board nursing practice standards and/or organizational or governmental policies associated with health care technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Core Elms Volunteer Experience Form. Explain how these standards or policies will guide your actions in applying technology, care coordination, and community resources to address care quality, patient safety, and costs to the system and individual.Describe the effects of local, state, and federal policies or legislation on your nursing scope of practice, within the context of technology, care coordination, and community resources.Explain how nursing ethics will inform your approach to addressing the problem through the use of applied technology, care coordination, and community resources.Document the time spent (your practicum hours) with these individuals or group in the Core Elms Volunteer Experience Form.Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.Apply APA style and formatting to scholarly writing.Additional RequirementsFormat: Format your paper using APA style. APA Style Paper Tutorial [DOCX] is provided to help you in writing and formatting your paper. Be sure to include: A title page and reference page. An abstract is not required.Appropriate section headings.Length: Your paper should be approximately 5-7 pages in length, not including the reference page.Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.Proofreading: Proofread your paper, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on its substance.Competencies MeasuredBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 4: Apply health information and patient care technology to improve patient and systems outcomes. Analyze the impact of health care technology on a patient, family, or population problem.Competency 5: Analyze the impact of health policy on quality and cost of care. Analyze state board nursing practice standards and/or organizational or governmental policies associated with health technology, care coordination, and community resources and document the practicum hours spent with these individuals or group in the Core Elms Volunteer Experience Form.Competency 6: Collaborate interprofessionally to improve patient and population outcomes. Explain how care coordination and the utilization of community resources can be used to address a patient, family, or population problem.Competency 8: Integrate professional standards and values into practice. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.Apply APA style and formatting to scholarly writing.Practicum Focus Sheet Assessment 3Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with during this portion of your practicum, exploring issues of technology, care coordination, and community resources associated with the health problem you’ve defined. This includes time spent in consultation with subject matter or industry experts.For this portion of your practicum, discuss in depth how health care technology, the coordination of care, and the use of community resources can be applied to address the problem. Consider the following questions to help guide your exploration of these aspects of the problem and make the most of your time:TechnologyDo they use a device, such as a blood pressure cuff, pulse oximeter, or glucose monitor, to monitor the problem?Have they used a smartphone app to help manage the problem?Would telehealth be an option to help manage the problem?Are any websites used to obtain more information about the problem?Care Coordination and Community ResourcesHave home care, physical therapy, dialysis, or other types of care been used to manage the problem?Is transportation available to travel to problem-related appointments?Have support groups been helpful in addressing the problem?Hav religious institutions been helpful in managing the problem?

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1 Mental Health in Adolescence Dagny Amigo Capella University NURS-FPX4900 Kyle Savitz 02/18/2022 2 Mental Health in Adolescence Population health outcomes depend on various risk factors and evidence-based solutions implemented with the population. Nurses and nurse leaders should do more than merely providing care to people presenting with different health conditions. They should proactively identify patient and population health issues, research current evidence on addressing them, and implement evidence-based practice to address those concerns. The focus of this capstone project is adolescents as the primary target group. Adolescence is a critical stage in life and development whereby significant life changes occur and the adolescent may experience additional risks to physiological and mental health outcomes not experienced during childhood. This paper outlines the current literature on mental health for adolescents and necessary leadership and collaborative strategies to address the health issue. Population Health Problem The population health problem to be explored is adolescent mental health, especially depression during adolescence. Adolescents face many challenges including peer pressure and biological changes that may affect how they experience the world, consequently affecting their mental health. Depression, anxiety, and other behavioral disorders are some of the leading causes of death and disability among adolescents and the rates of suicide have been associated with relatively high depression rates in the age group (Gijzen et al., 2021). It is important to address mental health in this population group to promote their well-being and resilience to reduce the risk of mental illness and other connected complications of the same. This capstone project will seek to address mental health challenges among high school students to promote health outcomes and reduce mental illness. 3 Mental illness is a significant challenge for this population and hence it deserves attention from a nursing perspective. According to the World Health Organization (WHO), one in seven people aged between 10 and 19 has a mental health disorder (WHO, 2021). Depression has become a major challenge especially among girls. 13% of all teenagers have had a major depressive episode in the last one year and girls are more likely (20%) than boys (7%) to experience depression (Geiger & Davis, 2019). These high rates of mental illness and especially depression are also connected to drug abuse and suicidal tendencies. As a result, mental illness is a multidimensional health issue for adolescents. The high prevalence of mental illness among adolescents requires attention from nursing staff and other healthcare professionals to minimize the impact of mental illness on overall health outcomes. Moreover, addressing mental health in adolescents is relevant to the baccalaureateprepared nurse because it aligns with the nursing essentials of practice. The nurse has a responsibility to implement preventive care to improve population health outcomes. Nursing essential VII states that “health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of baccalaureate generalist nursing practice” (American Association of Colleges of Nursing, 2008). Focus on the mental health and outcomes in adolescents is a form of health promotion and disease prevention. The aim of the project is to reduce the incidence of mental illness in adolescents and this reduction can be achieved through proactive prevention and promotion of mental wellness in the target population. 4 Evidence Supporting Nursing Actions Research on adolescence mental health has provided many evidence-based solutions that could be adopted in primary healthcare. First, research supports the existence of a serious mental health issue among adolescents. Loneliness and social isolation have been linked with higher levels of depression and mental illness in adolescents and young adults (Christiansen et al., 2021). However, as observed in practice, it is not often that teenagers are assessed for feelings of loneliness and social isolation. This is a gap in practice that should be addressed. A systematic review focusing on mental health during COVID-19 found that adolescents have increased levels of anxiety and depression as well as cannabis and alcohol use during COVID-19 pandemic (Jones et al., 2021). These are just a few conditions that may be affecting the mental health epidemic among adolescents but the literature is clear that adolescents are an at-risk population when it comes to mental health outcomes. Moreover, evidence has shown that significant barriers exist in implementing evidencebased practice (EBP) to address mental health issues among adolescents. One of the most significant barriers is organizational and provider capacity (Damian et al., 2018). Failure to ensure availability of mental health services and failing to train staff on mental health interventions could lead to suboptimal care. Similarly, the youth may experience challenges accessing professional help in mental health (Damian et al., 2018). Another major barrier identified by youths is parental consent to participate in mental health research. Findings suggest that many parents lack an understanding or adolescent mental health and hence the youths may be reluctant to seek consent (Cavazos-Rehg et al., 2020). Failure to participate in research projects also leads to poor reliability of EBP which can be used to advance interventions for 5 mental wellness. Resources, access, and lack of knowledge are some of the common barriers to providing quality mental health services to adolescents. Elsewhere, current literature has not tackled much on nursing standards and policies for mental health among adolescents. However, the experiences of nurses in delivering mental health care to the age group have been highlighted. Jönsson et al. (2017) found that nurses in schools had a state of worriedness due to their patients’ mental wellness. However, providing mental health services was an opportunity for professional and personal development and brought satisfaction in the experience of making a difference in the lives of young people (Jönsson et al., 2017). Current policies and standards allowing school nurses to provide mental health services to adolescents, therefore, facilitate a framework for understanding challenges that young people face and the need for improvements in mental health services. Nurses are also central to the policy-making process and should be involved in creating policies to improve adolescence mental health outcomes. The nurse’s role has traditionally been to implement policies and provide care to patients. However, as identified by Salmond and Echevarria (2017), EBP is increasingly shifting nursing roles to policymaking especially through being fully-contributing members of interprofessional teams. This role of the nurse is significant in determining necessary interventions and how they should be implemented to make the most impact and bring the most benefit to the target population. Additionally, nurses are now increasingly serving on the governing boards of healthcare organizations and this increases their ability to affect change and engage in policymaking (Cleveland et al., 2019). This shift in nursing role provides an opportunity for nurses to lead change in implementing mental health interventions among adolescents. 6 Lastly, various nursing and healthcare theoretical frameworks may be used in promoting nurses’ role in adolescents’ mental health. Comprehensive assessment and care theoretical framework is one of the approaches that has been identified in the literature. Mental health services in schools could be transformed to ensure comprehensive patient assessment and interventions (Cavioni et al., 2020). This is especially because in the past, a reactive approach has been largely deployed as opposed to effecting proactive assessments. Nurses can be trained to promote social and emotional learning in schools and also assess and identify behavioral problem risks early to prevent behavioral problems (Cavioni et al., 2020). Generally, a comprehensive assessment and treatment approach should be deployed in schools to improve mental health outcomes among adolescents. Standards and Policies Nursing standards and policies influence the quality and impact of healthcare focusing on the mental health outcomes of adolescents. One major policy affecting these outcomes is the implementation of integrated care models in the past decade. Most integrated care models were created under the Affordable Care Act (ACA) and use psychiatric mental health nurses as well as advanced practice nurses as health providers and managers (Delaney et al., 2018). This policy has enabled nurses to b on the forefront of providing mental healthcare to adolescents and other populations. Therefore, the policies implementing integrated health models in different healthcare settings promote nurse participation in enhancing the mental health of adolescents and others as well. On the other hand, the scope of practice in nursing is significantly limited due to state and federal policies. One of the effective means of providing access to mental healthcare is through 7 telehealth services. However, current telehealth use policies restrict majority of nurses from using the technology to reach their clients (Gajarawala & Pelkowski, 2021). These policies limit reimbursement-related to telehealth services to only some professionals, mainly physicians and advanced practice nurses. This reduces the scope of practice in restricting nurse use of technology to assess and provide mental health services to adolescents. While some policies and standards enhance nurses’ ability to provide care, others are limiting factors and barriers to effective mental healthcare services to the target population. Leadership Strategies Leadership must play a central role in enhancing the mental health of adolescents. The main role of leadership in this project is facilitating care and education on mental wellness. A great leader is an educator and uses their influence to enable others’ success through knowledge and guidance (Barr & Dowding, 2019). Therefore, facilitation and ensuring adequate access to knowledge for nurses and the target population is an important leadership approach. Leaders also motivate their followers by creating a vision and working towards its completion. Creating clear intervention goals and a pathway to achieve them will be another leadership strategy to use. Lastly, collaboration, communication, and change management are also essential for successful EBP and will be used in this project. The main strategy for collaboration and communication will be initiating an interprofessional team for the change. Moreover, in change management, leaders will ensure stakeholder buy-in by providing proper education and involving them in designing and implementing care interventions (Barr & Dowding, 2019). Collaboration and communication will be enabled in the interprofessional care context while change management will be made possible through stakeholder engagement. 8 Conclusion Nursing interventions to address mental health outcomes for adolescents are necessary and should be implemented in an EBP context. Mental health is a significant issue in this population group and should be addressed to reduce the rates of teenage depression. Nurses are central to such EBP projects and should be involved in planning and implementing policies. Current literature supports the role of nurses and EBP in addressing the health condition. Interprofessional collaboration will be implemented to enhance care outcomes and improve mental health wellness in the target group. 9 References American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author. Barr, J., & Dowding, L. (2019). Leadership in health care. Sage. Cavazos-Rehg, P., Min, C., Fitzsimmons-Craft, E. E., Savoy, B., Kaiser, N., Riordan, R., & Wilfley, D. (2020). Parental consent: A potential barrier for underage teens' participation in an mHealth mental health intervention. Internet Interventions, 21, 100328. https://doi.org/10.1016/j.invent.2020.100328 Cavioni, C., Grazzani, I., & Ornaghi, V. (2020). Mental health promotion in schools: A comprehensive theoretical framework. International Journal of Emotional Education, 12(1), 65-82. https://www.um.edu.mt/library/oar/handle/123456789/55039 Christiansen, J., Qualter, P., Friis, K., Pedersen, S. S., Lund, R., Andersen, C. M., & Lasgaard, M. (2021). Associations of loneliness and social isolation with physical and mental health among adolescents and young adults. Perspectives in Public Health, 141(4), 226-236. https://doi.org/10.1177/17579139211016077 Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable care: Harnessing the power of nurses. Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/OJIN.Vol24No02Man02 Damian, A. J., Gallo, J. J., & Mendelson, T. (2018). Barriers and facilitators for access to mental health services by traumatized youth. Children and Youth Services Review, 85, 273-278. https://doi.org/10.1016/j.childyouth.2018.01.003 Delaney, K. R., Naegle, M. A., Valentine, N. M., Antai-Otong, D., Groh, C. J., & Brennaman, L. (2018). The effective use of psychiatric mental health nurses in integrated care: Policy 10 implications for increasing quality and access to care. The Journal of Behavioral Health Services & Research, 45(2), 300-309. https://doi.org/10.1007/s11414-017-9555-x Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221. https://doi.org/10.1016/j.nurpra.2020.09.013 Geiger, A. W., & Davis, L. (2019). A growing number of American teenagers–particularly girls– are facing depression. Pew Research Center, 12. https://www.pewresearch.org/facttank/2019/07/12/a-growing-number-of-american-teenagers-particularly-girls-are-facingdepression/ Gijzen, M. W., Rasing, S. P., Creemers, D. H., Smit, F., Engels, R. C., & De Beurs, D. (2021). Suicide ideation as a symptom of adolescent depression. A network analysis. Journal of Affective Disorders, 278, 68-77. https://doi.org/10.1016/j.jad.2020.09.029 Jönsson, J., Maltestam, M., Tops, A. B., & Garmy, P. (2019). School nurses’ experiences working with students with mental health problems: A qualitative study. The Journal of School Nursing, 35(3), 203-209. https://doi.org/10.1177/1059840517744019 Jones, E. A., Mitra, A. K., & Bhuiyan, A. R. (2021). Impact of COVID-19 on mental health in adolescents: A systematic review. International Journal of Environmental Research and Public Health, 18(5), 2470. https://doi.org/10.3390/ijerph18052470 World Health Organization. (2021, Nov. 17). Adolescent mental health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
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Technology and Care Coordination for Adolescents’ Mental Health- Outline
Thesis Statement: Adolescents can leverage technology and community resources to prevent
mental illness and tackle existing mental health challenges.
I. Introduction
A. Technology, care coordination, and community resources are important aspects of
health improvement initiatives as they play key roles in enhancing care.
B. The current project aims to improve mental health outcomes among high school
students and could benefit from technology and care coordination.
II. Impact of Health Care Technology
A. Numerous technologies have been used to address mental wellness and their
sophistication varies from simple texting to complex mental health management
applications.
B. One of the technologies that the target group could utilize more is texting for
mental health support.
C. Another technology that could apply well for high school students is smartphone
applications.
D. The healthcare organization does not leverage technology to improve mental
health outcomes in adolescents and implementing improvements has notable costs
and barriers.
III. Care Coordination and Community Resources
A. Care coordination is essential for mental health services to be accessible to all
adolescents and prioritized in healthcare.

B. Moreover, the available community resources are support groups, the adolescents’
families, and school nurses available to them.
C. Several barriers must be addressed for care coordination to be effective for this
project.
IV. Impact of Standards and Policies
A. Standards and policies dictate how care is provided and one of the most relevant
is consent laws for minors.
B. Moreover, in line with nursing standards of practice, the nurse will seek for
assistance with unfamiliar technologies that may be proposed or used in rendering
mental health services.
C. Another important policy is the Healthcare Insurance Portability and
Accountability Act (HIPAA) which relates to technology use and handling
patients’ data.
V. Conclusion
A. The current project could use technology, care coordination, and access to
community resources to enhance care access and mental wellness for adolescents.
B. Current technology and resources are important for promoting mental health in
the target population.

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Technology and Care Coordination for Adolescents’ Mental Health

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Technology and Care Coordination for Adolescents’ Mental Health
Technology, care coordination, and community resources are important aspects of health
improvement initiatives as they play key roles in enhancing care. Technologies define how
patients interact with clinicians, information, and healthcare delivery. Care coordination and
community resources determine the accessibility of healthcare resources to patients. Adolescence
mental health is a crucial healthcare issue which could benefit from technology, care
coordination, and access to community resources. The current project aims to improve mental
health outcomes among high school students and could benefi...