Tuesday, March 12, 2019
Health Advocacy Campaign Essay
wellness advocacy Campaign Fighting noetic Illnesses atomic number 53 Day at A Time Millions of Americans ar alter by noetic swellness illnesses. As a nurse I go through that psychogenic wellness illnesses permit no respect of person. The National Alliance on rational Illness account that some 61.5 million Americans be affected by rational illness in a given year, and ab go forth 13.6 million individuals live with a serious psychological illness much(prenominal) as schizophrenia, opinion, or bipolar disorder (National Alliance on Mental Illness, 2013). http//www.nami.org/factsheets/ psychologicalillness_factsheet.pdf. Further, data revealed that 20 percent of youth ages 13 to 18 old age old pitch experienced severe psychological disorders indoors a given year, and slightly 13 percent of these populations argon paediatrics patient roles that topical anesthetic anestheticize in the midst of the ages of ages 8 to 15 long time old.The join States spends nea rly $193.2 one thousand thousand per year on affable health diseases (NAMI, 2013) proving that psychogenic health illnesses argon a major existence health equal. Crises around the world fool caused a greater shift in the efforts to promote health within communities. Public health priorities argon more(prenominal) geargond towards communities working in concert to combat the devastating tragedies that continue to affect some(prenominal) shoals and communities within the f tout ensemble in States. It has been estimated that by the year 2020 depression leave alone be the second largest killer, and more communities and schools have already begin to experience the horrific repercussions. Therefore, the purpose of this physical composition is to develop a health advocacy campaign that depart more readily identify psychological health illnesses as surface as explore documentaryistic methods to promote policies as well as repair companionship health outcomes. Population Health Issue and Population bear on embossment is a chronic medical condition that affects the way in which individuals feel, think, and behave. At some time in every individuals life affliction provide be experienced however, depression is far more serious. Depression is a lifelong disorder that requires on-going medical treatment. Yearly, depression affects approximately 9.5 percent of the United States handsome population, but the pediatric population has tardily been identified as the fastest growing population diagnosed with clinical depression (Uplift Program, 2004). http//www.upliftprogram.com/depression_stats.htmlstatistics.Research hasfound that depression stems from trauma, stressful life situations, and environmental exposures. compensate though genetics may be a factor, depression episodes are usually trigged by some type of up presentting or traumatic event. The National Institute of Mental Health (NIMH) estimates that approximately 11 percent of adolescents ar e diagnosed with a depressive disorder by age of 18 years old (National Institute of Mental Health, 2014), which seems quite alarming because depression is non easily recognized in pediatric populations. Although, if close attention is gainful changes can be noned in general interaction with peers much(prenominal) as increased irritability, anger, aggression, social isolation, and low self-esteem.Most recently in that respect have been an increasing number in school shootings. Although, all the shooters draw off one have committed suicide the light upond causes have been connect to some type of traumatic stressful situation such as bullying or exposure to afflicted violence. Research completed by psychiatrist Meena Vythilingam found that extreme stress and trauma has effects on portions of the brain leading to improper functioning of the bodys store and control of emotions. ( cite article ) When mental illnesses are left untreated serious impairment in daily functioning occ urs. Therefore, early screenings and treatments in pediatric populations are essential. Nature Neuroscience 5, 1242 1247 (2002)Published online 15 October 2002 doi10.1038/nn958littler hippocampal volume predicts pathologic vulnerability to psychological trauma Mark W. Gilbertson1, 2, Martha E. Shenton2, 3, 4, Aleksandra Ciszewski4, Kiyoto Kasai4, Natasha B. Lasko1, 2, 5, Scott P. Orr1, 2, 5& Roger K. Pitman2, 5 Advocacy Programs Researched in this AreaAdvocacy programs researched in mental health disorders included the Depression and Bipolar living Alliance. The DBSA is an impactful physical composition that offers a multitude of support groups for youth and adults throughout the United States. The DBSA has multiple chapters and ne twainrks turn up within each(prenominal) state and are also tech savvy. Support function can be approach shoted through the web in real time therefore, participants can join meetings virtually and partake in the on-going support and promotion of wellness and re offery. The major benefits of DBSA are to enhance wellness by servinging individuals that suffer from depression look at the gainfulness that life can offer understanding that with treatment and recovery one can live a life of joy and happiness. Additionally, the program offers a 4 week course titled Living Successfully with a Mood disoblige that can be facilitated by advocates within communities as efforts to teach individuals how to live healthy, full, meaningful lives while living with a mental health disorder.Furthermore, if there is any reason an individual cannot attend their corporation facilitated session on Living successfully with a Mood Disorder the DBSA offers online courses as a way of reaching as many individuals as possible. To date the DBSA have developed a strategic plan which remolded their mickle for wellness for individuals living with mood disorders as well as set innovative values that are established to support their direction of paltry f orward. http//www.dbsalliance.org/site/PageServer?pagename=homecitation The National Alliance on Mental Illness is another organization that advocates for community support and recovery of mental health disorders. NAMI has become kn give birth as one of the most favourite organizations for supporting and advocating for mental illness throughout United States worldwide.The organization prides itself on its commitment to campaigning for access to services, treatment, and go along research as they adjure community awareness for individuals in need. Because NAMI understands the damaging and devastating effects that mental illnesses can create within communities the organization works diligently to start out sure lives are saved daily. Furthermore, NAMI has also been a big specify policy-makingly. They have made national investment in lifesaving research and have rallied for the equality of mental health business organization. Additionally, the organization prides itself on succes sfully placeing the stigmas of mental illnesses through social media and signature educational programs that can be viewed as symbols of help and trust for communities, families, and individuals. Promoting public awareness will always be their main objective as they passionately work to ensure positive outcomes for all American youth and adults.Effective Attributes of the ProgramsTo date both programs are currently meeting todays societal take, outreaching through social media, as well as having tangible advocate thatcan be touch oned for support and help in times of need. There compassion and commitment to increasing and promoting community awareness have included outreach efforts worldwide. Moreover, NAMI has even further extended their efforts to speech the challenges of our changing world through supporting virtual communities of help and hope to millions through social media channels such as Facebook, Twitter, Instagram and their very deliver website titled NAMI.org.Healt h Advocacy PlanAccording to the U.S. Surgeon everyday 11 percent of youth have been diagnosed with a mental health illness and more alarming statistics reveals that deuce-thirds of Americas youth who have a condition have not been identified nor have they accredited mental health services (Cite http//www.mentalhealthamerica.net/legislative-priorities). My health advocacy plan focuses on the early identification, treatment, and recovery of mental health illnesses within pediatric populations proposing a form _or_ system of government addition to the Mental Health Awareness and service human activity of 2013 (S. 689). Currently the act upon addresses the country mental health crises from an educational and public health standpoint. The educational standpoint focuses on promoting school-wide prevention through the increment of positive behavioral supports and encouraging school-establish mental health partnerships.The public health standpoint focuses on suicide prevention, help ing chelaren recover from traumatic events, mental health awareness for teachers and other individuals, and assessing barriers to integrating behavioral health and primitive dole out ( cite). In addition to the current symbolize there needs to be an increase in efforts towards earlier identification of behavioral and worked up problems so that appropriate referrals for mental health can be assessed as early as possible facilitating ongoing follow up care and treatment for identified disorders. Efforts will include screening pediatric patients ages 3 to18 years for during well small fry exams. Local Health Departments, Pediatric offices, and Family Care Practices should be required to utilize The Pediatric type Checklist (PSC-17) screening tool during well peasant exams. The PSC-17 screening tool which is recommended by the AAP will be completed by the parent or adult that the chela lives with if the child is between ages 3 to 11 years old. Children between the ages of 12 to 18 years will complete to form by themselves with parental supervision.Itwill be explained to parents/adults and teens that the enactment of the Affordable Care Act have encouraged a greater focus on noise screenings therefore, the visit today will encompass a comprehensive take aim of care that includes screenings to identify any risk factors that children may be subjected too. Parents/adults and teens will further be provided with clear directions on how to complete the form to get wind the childs risk for mental health problems in tierce different categories. The form will thus be assessed and evaluated by the doctor/Practitioner or Registered Nurse based on the parents/adults or teens responses, ascertain the childs risk and further needs for evaluation of care. If results are within normal limits the parents/adults and teen will be provided with positive reinforcements however, if the results are abnormal the Physician/Practitioner will provide positive reinforcements alon g with a referral if the parent/adult consents for further evaluation and ongoing care by a pediatric psychiatrist.Additionally, because we have a team of school nurses that work directly with children daily within the school systems this tool will further be use to recognize cognitive, emotional, and behavioral problems so that a greater percentage of the pediatric populations are reached and screened. In efforts to address ongoing follow up care and treatment, collaboration has been established with a local outpatient mental health and rehab center that provides comprehensive services to children and adults. All positive results and referrals will be forwarded and communicated with a designated nurse at the outpatient center and contact will be made with families from the designated nurse within 1-2 business days. The two entities which are the Richland Public Health Department and Catalyst Life run will maintain ongoing communication regarding the childs and families continuing progress, along with providing and directing needed resources as the needs arise.Objectives for the Policy utilizeBy January 1, 2015 at the end of the childs well child visit parents or the adult that the child is living with will understand the significance and importance of early screening for pediatric depression and ongoing services if needed. By January 1, 2015 all children screening positive for depression will receive ongoing treatment and services that are evidence basedincorporating therapeutic knowledge that is individualized to each childs particular(prenominal) needs within 30 days from the initial well child visit.By January 2015, Yearly well child exams will be schedule and kept by the parents with reminder calls and/or letters sent out in the mail 30 days before scheduled appointment, then again 1 week before scheduled appointment. By January 2015, conference between RPH and Catalyst regarding status/progress updates will be put down in the childs EMR every other month documenting how the child and family are doing with treatment and follow up care. Data and Evidence to prove Proposed Need http//jpepsy.oxfordjournals.org/content/37/3/348.full citationIn a 2011 study published in the Journal of Pediatric Psychology many physicians cited several barriers as reasons for not assessing and screening pediatric patients for psychosocial concerns, with the biggest barrier world time constraints. The study also found that during a National surveil 29-50% of parents account statemented that their childs pediatrician was not screening their child/children for mental health issues or concerns. So, the AAP has been diligent, formulating and designing a pediatric omen checklist scoring tool that has a moderate to high sensitivity and specificity in efforts to address cited barriers for physician neglecting to screen pediatric populations during well child exams. The PSC-17 checklist and screening tool is a quick, easy, and powerful way to identify cognitive, emotional, and behavioral which facilitates the cosmos of interventions as soon as possible for identified mental health problems.Another study published in the American Academy of pediatric medicine found that pediatricians and other primary care clinicians have only rivet their attention on meeting the primary care needs of the child, apostasy evaluation of mental health disorders. The article further explored the values of the AAP policy statement which addresses the importance of improving pediatric populations health services as well as community services. Researched data has revealed that mental health concerns not only exist within the child, but includes all aspects of the childs life such as family, school, community, and many other exposures they child may be vulnerable to. With the increasing number of school shootings communities aswell as primary care providers have shown an interested in advocating and enhancing mental services within communities as well as outreaching and forming partnerships with local mental health agencies, community health activists, child protective and juvenile justice, local health departments, and schools.Improving patients health outcomes by fault the health care system towards quality over quantity is imperative. element 2713 titled Coverage of Preventive Health Services requires all health care plans to cover limp services, as well as pediatric preventive services and screenings recommended by the Health Resources and Services Administration. HRSA works in joining with the U.S. Department of Health and Human Services, whose main goal is improving access to health care by strengthening the health care workforce, construction healthy communities, and achieving health equity (Health Resources and Services Administration, 2014). Therefore, HRSA provides grants to multiple organizations as efforts are enforced towards improving and expanding health care services for underserved communities throughout the United States.How Attributes of Effective Advocacy Programs Researched Can Be Applied to this Proposed CampaignAttributes of effective advocacy programs researched can be applied to the proposed campaign by networking and outreaching with organizations and individuals that fortune the same compassion and commitment towards increasing and promoting community awareness about mental health illnesses. Further attributes include creating partnerships that fosters marketing skills that capitalize on combining resources to increase greater support and power than on organization would have alone. The DBSA and NAMI also have multiple chapters and networks located within each state therefore, the utilization of trusted organization could also be utilized as conglomerates for regular contact, name recognition, and credibility in efforts to promote ongoing care and support of wellness and recovery through screening pediatric population.Legal ConsiderationsAll nurses should be familiar with the basic legal concepts of care for practice acts and laws. Nursing practice is governed by many lawstherefore, it is essential that nurses assume accountability for their professional treat judgments and actions.Enactment of Policy through adaption of Existing Policy OR Creation of New LegislationPolicies to address the mental health crisis throughout America has become of great concern for todays youth. In April of 2013 the Mental Health Awareness and Improvement Act of 2013 (S. 689) was submitted to Congress to reauthorize and correct programs related to mental health and center of attention use disorders. Because of the identified risk from 2011 statistical data within my own community (13% of 6th -12th grade youth had seriously considered suicide and 6% of youth had attempted suicide. Further finds found that 265 of youth reported pure tone sad or hopeless almost every day for two weeks or more which stopped them from doing regular activities and 41% of youth reported they would examine help for sadness and 14% did not know where to seek help) professional self-regulation needs to occur.According to Milstead, legislators may make adjustments to bills during several points of brushup so it is important that Advanced Practice Nurses monitor bills during this process so they can apply influences for positive outcomes ( Milsted, 75). Although, the bill addresses the use of positive behavioral interventions and supports, early intervening services, and school-based mental health programs to improve academic performance and reduce disciplinary actions (cite https//www.govtrack.us/congress/bills/113/s689/text) however, further modifications should be considered to further improve this existing policy.Pediatric screenings for mental health disorders should be mandatory for all office and clinic based physicians/practitioners/providers that provide well child exams to children ages 3 to 18 years old. This will ensure that all pediatric populations are univ erse reached and early identification of behavioral problems can be addressed as soon as possible as efforts to prevent, promote, and protect communities.How Existing Laws or Regulations could Impact My AdvocacyThe Patient Protection and Affordable Care Act is one law that could positively impact my advocacy. The ACA requires coverage of preventive health services as well as all healthcare plans to cover preventive services such as pediatric preventive services and screenings, which are recommendedand supported by the Health Resources and Services Administration. Because the HRSA works in connection with the U.S. Department of Health and Human Services efforts are focus on building healthier communities and achieving health equality.Therefore, the HRSA provides grants to organizations as efforts are implemented towards improving and expanding health care services for underserved communities throughout the United States and as a result, nurses are capable of outreaching and marketin g to form relevant political relationships to assist in supporting and backing legislation. According to Milsted (p.49) nurses utilize impression to achieve desired goals because policy makers not know everything about nursing specialties therefore, nurses can utilize performance measures to showcase continuous monitoring when insurance coverage progress and ongoing efforts to improve organizational programs. Moreover, the main goal is to report to policy makers what has been contributed and how it has positively affected community health outcomes.
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