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NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

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    NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

    Student Name

    Capella University

    NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

    Prof. Name

    Date

    Biopsychosocial Population Health Policy Proposal

    Amidst the ongoing concerns of cost and accessibility in the healthcare sector, there exists a pressing need for developing effective policies that ensure ethical, equitable, and effective delivery of care. Especially for vulnerable and underserved populations, policy development becomes instrumental in driving improvements in health outcomes. The proposed policy here focuses on one such issue, adolescent depression, which has emerged as a significant public health concern in recent years. This policy proposal aims to present a comprehensive strategy for enhancing the quality of care and outcomes for adolescents suffering from depression.

    Policy and Guidelines Proposal to Improve Outcomes for Adolescent Depression

    The rise in adolescent depression is an alarming health challenge that impacts academic outcomes, interpersonal relationships, and escalates the risk of suicide among teenagers (Beirão et al., 2020). Therefore, the suggested policy focuses on proactive detection and comprehensive intervention for depression, utilizing a multidisciplinary strategy for optimal care provision. Herein are the guidelines that our policy entails:

    1. Early Detection: Routine mental health evaluations in educational and primary healthcare facilities are proposed for the swift recognition of depression symptoms among teenagers (Fuhr et al., 2020).
    2. Interdisciplinary Collaboration: Cooperation among different professionals including educators, counselors, primary healthcare providers, mental health experts, nursing staff, and social workers is encouraged to ensure a holistic approach towards diagnosis, formulation of treatment regimen, and delivery of mental health services (De Los Reyes et al., 2022).
    3. Education and Awareness Initiatives: Promoting programs that enhance understanding about adolescent depression among the vulnerable individuals, their family members, and the broader community is recommended to reduce stigma associated with mental health and encourage early help-seeking behavior (Slater et al., 2023).
    4. Stringent Monitoring and Follow-ups: Strict adherence to follow-up routines, especially important for teenagers under pharmacological treatments, is suggested to monitor potential side effects and track improvements in a timely manner (Slater et al., 2023).
    5. Individualized Treatment Strategies: The policy emphasizes on developing treatment strategies tailored to each teenager’s unique circumstances, preferences, and needs (De Los Reyes et al., 2022).

    Implementing this policy might face challenges such as societal stigma related to mental health, resource limitations, lack of sufficient professional training, and coordination issues within the interdisciplinary team. To combat these challenges, the policy recommends launching anti-stigma campaigns, advocating for increased financial allocation towards mental health services, facilitating adequate professional training, and improving communication systems for effective interdisciplinary collaboration (World Health Organization, 2019).

    Advocacy for the Proposed Policy

    The urgency for the proposed policy becomes evident when we evaluate the current outcomes and quality of care for adolescent depression. The significant impact of depression on adolescents’ academic performance, social relationships, and suicide risk is well-documented (World Health Organization, 2019). It’s clear that while existing interventions have demonstrated efficacy, their late application often leads to suboptimal outcomes. For instance, delayed diagnosis frequently results in poor academic performance, broken relationships, and in severe cases, self-harm or suicide attempts before intervention takes place.

    Moreover, the current system’s reactive rather than proactive stance has led to inefficiencies in care delivery, often marked by fragmented care, underuse of psychotherapy, over-reliance on pharmacological treatment, and insufficient monitoring of treatment progress (Fuhr et al., 2020). In light of these issues, the growing incidence of depression among adolescents forms a compelling case for policy reform. A coordinated interprofessional approach to early detection and comprehensive treatment is necessary.

    Contrarily, some arguments revolve around the potential risks linked with medication treatments, such as adverse side effects and the development of drug dependency. Others express concerns about the potential for overdiagnosis and subsequent unnecessary treatment. While these viewpoints are valid and integral to the broader discussion, they highlight the importance of a meticulous, personalized treatment approach with stringent monitoring protocols, rather than contradict the need for early intervention and comprehensive care (Cooper et al., 2019). These perspectives only further underline the need for the proposed policy, not diminish its importance.

    Interprofessional Approach to Implementing the Proposed Policy

    The application of an interprofessional approach in implementing the policy can significantly boost the quality and efficiency of care for adolescents suffering from depression. The essence of this approach lies in harnessing the unique skills and perspectives of diverse healthcare professionals. For instance, school counselors and teachers, who have daily interactions with students, are well-positioned to observe changes in behavior, performance, or mood that might indicate the onset of depression.

    Primary care physicians, being the first point of contact in healthcare, can play a pivotal role in early detection during routine health check-ups. Psychiatrists and psychologists bring their expertise in mental health to diagnose the severity of depression and develop personalized treatment plans, which might include cognitive-behavioral therapy, interpersonal therapy, or pharmacological treatments. Nurses, with their holistic and patient-centered care approach, can offer continuous support and monitor treatment progress. Social workers can identify and address socio-economic issues that might impact mental health or access to care (World Health Organization, 2019).

    NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

    Moreover, an interprofessional team can not only provide individual care but also drive systemic changes. They can lead awareness and education initiatives targeting adolescents, their families, and the broader community. This could involve conducting workshops in schools, organizing community events, and using digital platforms to disseminate information about adolescent depression, its symptoms, and available help options. Such initiatives are critical to stigma reduction and fostering early help-seeking behavior. Collectively, these interprofessional actions may lead to more immediate intervention, improved health outcomes, and overall superior care for adolescents grappling with depression (Naslund & Deng, 2021).

    However, certain knowledge gaps and areas of uncertainty persist that demand further investigation. The influence of social determinants on adolescent mental health, the long-term effectiveness and safety of pharmacological treatments, and the optimal strategies for early detection of depression among adolescents require additional research (Fuhr et al., 2020). Moreover, understanding how to build effective interprofessional teams in diverse healthcare settings remains a challenge. More research is needed to identify best practices for interprofessional collaboration, including communication, role clarification, and conflict resolution. These areas of uncertainty offer exciting opportunities for future research and policy development, with the potential to further enhance the care for adolescents suffering from depression (Klevan et al., 2021).

    Conclusion

    Adolescent depression is a critical public health issue that needs urgent attention. Implementing a policy aimed at early detection, an interprofessional approach to care, personalized treatment plans, and extensive follow-ups can significantly contribute to improving health outcomes. While there are challenges to be addressed, such as stigma, resource constraints, and professional training, effective strategies and persistent efforts can help overcome these obstacles. This policy proposal serves as an example of how master’s-prepared nurses can advocate for improvements in health outcomes for vulnerable populations. By acknowledging potential difficulties and identifying areas of uncertainty, it also emphasizes the importance of continuous learning and improvement in healthcare policy-making and implementation.

    References

    Beirão, D., Monte, H., Amaral, M., Longras, A., Matos, C., & Villas-Boas, F. (2020). Depression in adolescence: A review. Middle East Current Psychiatry, 27(1). https://doi.org/10.1186/s43045-020-00050-z 

    Cooper, M. C., Kilvert, H. S., Hodgkins, P., Roskell, N. S., & Eldar-Lissai, A. (2019). Using matching-adjusted indirect comparisons and network meta-analyses to compare efficacy of Brexanolone injection with selective serotonin reuptake inhibitors for treating postpartum depression. CNS Drugs, 33(10), 1039–1052. https://doi.org/10.1007/s40263-019-00672-w 

    De Los Reyes, A., Talbott, E., Power, T. J., Michel, J. J., Cook, C. R., Racz, S. J., & Fitzpatrick, O. (2022). The Needs-to-goals gap: How informant discrepancies in youth mental health assessments impact service delivery. Clinical Psychology Review, 92, 102114. https://doi.org/10.1016/j.cpr.2021.102114 

    NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

    Fuhr, D. C., Acarturk, C., Sijbrandij, M., Brown, F. L., Jordans, M. J. D., Woodward, A., McGrath, M., Sondorp, E., Ventevogel, P., Ikkursun, Z., El Chammay, R., Cuijpers, P., & Roberts, B. (2020). Planning the scale up of brief psychological interventions using theory of change. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05677-6 

    Klevan, T., Sommer, M., Borg, M., Karlsson, B., Sundet, R., & Kim, H. S. (2021). Part III: Recovery-oriented practices in community mental health and substance abuse services: A meta-synthesis. International Journal of Environmental Research and Public Health, 18(24), 13180. https://doi.org/10.3390/ijerph182413180 

    Naslund, J. A., & Deng, D. (2021). Addressing mental health stigma in low-income and middle-income countries: A new frontier for digital mental health. Ethics, Medicine and Public Health, 19, 100719. https://doi.org/10.1016/j.jemep.2021.100719 

    Slater, T. M., Rodney, T., & Finnell, D. S. (2023). Promoting the integration of peer support specialists into the healthcare team. Nursing, 53(2), 50–55. https://doi.org/10.1097/01.nurse.0000903972.32588.ad 

    World Health Organization. (2019). Advocacy for mental health, disability and human rights. WHO QualityRights guidance module. https://apps.who.int/iris/bitstream/handle/10665/329587/9789241516792-eng.pdf