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provision of proper interventions for a person with a mental health condition, using available resources

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The care plan to be implemented in this study mainly focused on the provision of proper interventions for a person with a mental health condition, using available resources. The plan is primarily based on the transfer of the patient from various health facilities to a local homecare facility that is dedicated to the provision of proper health services to chronic disease and mental health patients, as well as the elderly. Such a facility operates in the capacity of a healthcare facility as I have all the resources, including qualified personnel, to provide various services that can improve the recovery rate of the patients. Moreover, the facility’s services are more cost-effective as it mainly makes use of the readily available resources in the society such as the trained nursing professionals, pharmacists, and other professionals that can contribute to the active recovery of the patients (Daumit et al., 2019). Moreover, it significantly relies on care coordination, whereby different professionals, the patients, and their immediate family members are involved in the general service provider to improve the comfort and satisfaction of the patients. Ideally, contemporary research suggests that one in every four individuals in the U.S is likely to have mental disorders which show the magnitude of the health problem in the American community. In this regard, the coordination plan detailed in this study should be considered for adoption within the society to make care services more affordable and also to promote the achievement of desired patient outcomes.

Patient Issues

The

patient considered in this care coordination plan is Alvin, a 27-year-old

mental health patient. He had lived with psychological complications since 2012

when he was first diagnosed with the problem. Alvin was initially substance

depended which has been primarily considered as one of the fundamental elements

contributing to the development of his mental condition. He has been to various

healthcare facilities since 2012, with each trying its best to provide the most

appropriate interventions that would facilitate his healing. However, he is yet

to recover entirely, and an effective care plan is required to ensure that his

needs are adequately met. Besides, the patient requires extensive social and emotional

support from family members and close friends as that is essential or an

individual who is focusing on making a positive change in their lives. Some of

the problems noted with the patient include substance dependence, manic

episodes, and depression. Besides, they have been showing little progress after

the implementation of the recommended interventions in the previous mental

health facilities visited. This is an issue that indicates ineffectiveness and

inappropriateness of the interventions used. It is therefore essential that the

care coordination plan focuses on the application of revolutionary and

evidence-based interventions that will facilitate the acquisition of the

desired patient outcomes and his eventual full recovery.

Community Resources for Use in addressing client problems

The

healthcare coordination plan formulated for the patient requires resources that

can easily be attained from the immediate community. In this regard, it is

essential that we first focus on ensuring that there is a sufficient resource

that can be used to meet the needs of the patient, according to their problem.

One of the essential support required is the availability of a healthcare

facility that can provide a wide range of mental health services to the

patient, such as injections and close monitoring. This will be essential in the

addressing of the patient’s manic episodes which can get out of hand at times.

Ideally, the healthcare facilities available in the Bronx community can

perfectly provide such services and enable the patient to start experiencing

recovery. The other resource is the availability of substance abuse

rehabilitation specialists which are also available in the mental healthcare

facilities and rehabilitation centers in the Bronx. Ideally, the patient has a

substance dependency problem which should be addressed specialists who will

take him through the standard rehabilitation program. First, the program will

ensure that they get rid of the substance dependency problem and focus on

giving him a positive attitude towards drugs free life. The community based

mental health facilities also have professionals with extensive expertise in

areas such as psychiatry and counseling, among other specialities. The patient

requires comprehensive advice and psychological support to eradicate the

suicidal thoughts and make them see the positive side of life. It is through

counselling, and the application of various behavioral conditioning and

transformation approaches that the patient will be able to fully overcome the suicidal

behaviour and focus on building a positive lifestyle.

Ethical Considerations

Dealing

with mental health patients can be quite complicated as the nurses have to

ensure adherence to ethical policies and principles. The nurse practitioners

also face many dilemmas regarding the decisions they make, and this significant

impact on the quality of service provided. The care coordination plan has to

consider various ethical issues which might arise in the care provision process

regarding patient behavior. To begin with, the care services provided should

uphold respect for the client’s dignity, while at the same time prioritizing

his general wellbeing. In this regard, the care coordination plan should focus

on implementing the best interventions to facilitate healing, even when the

client is reluctant. Mental health patients are not fit to be involved in

making decisions regarding their care plan, and the immediate family should be

significantly involved in deciding the best approaches and setting the care goals

(Hannigan et al., 2018). This is explored in the beneficence ethical principle,

which suggests that all the actions should maximize the benefit for the

patient. In this case, the care coordination plan has to ensure that it

prioritizes the wellbeing of the patient.

Each

of the decisions made by the coordination should primarily consider the

standard ethical principles and policies that revolve around service provision.

For instance, the information of the patient should be handled with a high

degree of discretion. This is an ethical requirement that personal health

information of patients is protected and shared in a way that does not create a

risk for unauthorized access. In this regard, the teams involved in the care

coordination have to exercise a reasonable degree of discretion when sharing

information about the patient (Jones et al., 2018). Besides, it is essential

that the team considers the opinions of the family members and ensure their

involvement in the step by step processes that the patient will be taken

through. This will not only increase accountability but also ensure that the

patient receives constant social and psychological support which he needs

during this period.

Policy Implications

The

processes undertaken in the care coordination to facilitate continuum are

likely to be affected by a variety of federal policies. One of the strategies

that will affect the care coordination plan processes is the Medicare

Community-based Care Transitions Program (CCTP) which is a primary policy under

the Accountable Care Act. It was established to ensure evaluation of transition

models. Ideally, conducting the transition of the patient to the home care will

be guided by the application of this policy. The best transition model will be

used to ensure that he is successfully moved to the facility. Another strategy

that should be considered in the implementation of care coordination plan is

the Insurance Portability and Accountability Act (HIPAA). This policy aims at

enforcing patient information protection. In this regard, the transition and

care coordination processes will have to portray strict adherence to patient

information protection measures. Only involved healthcare practitioners will

have access to the information. Besides, every practitioner will only be

provided with information that is relevant to the service they provide. Lastly,

the affordable care act allows for the establishment of health homes to provide

healthcare services to people with chronic conditions (Rodriguez-Monguio,

Errea, & Volberg, 2017). The transfer of the patient will be following the

provisions of this policy as mental illness is in the list of vulnerable

individuals that can be admitted to the home care. Overall, the process will

ensure strict adherence to all governmental and healthcare policies to optimize

the service provision and facilitate the achievement of desired patient

outcomes.

Evaluation of Care

Several

approaches can be applied to evaluate the care provided to the patient. The

main reason for the assessment, in this case, will be to measure the

effectiveness of the care coordination plan in facilitating improved care

quality and achievement of improved patient outcomes. One of the evaluation

approaches is checking patient outcomes. Improvement in the rate of recovery of

the patient is a show of better service quality and effectiveness of the

interventions provided by the plan. Another approach that can be used is

patient satisfaction (Cordasco et al., 2019). The services provided through the

coordination should prioritize patient comfort, and it is for this reason that

increased levels of satisfaction in the patient should be considered an

indication of care effectiveness. The recovery of mental health patients is a

long term process that may take up to a few years, and the team involved in the

care coordination must exercise a reasonable degree of patience. However, any

interventions that seem not to be yielding results should be modified to

facilitate the achievement of the fundamental goals of the care plan.

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