NR 601 Week 6 Mental Health Care Screenings Discussion

Chamberlain University NR 601 Week 6 Mental Health Care Screenings Discussion– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 601 Week 6 Mental Health Care Screenings Discussion assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 601 Week 6 Mental Health Care Screenings Discussion

Whether one passes or fails an academic assignment such as the Chamberlain University NR 601 Week 6 Mental Health Care Screenings Discussion depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 601 Week 6 Mental Health Care Screenings Discussion

The introduction for the Chamberlain University NR 601 Week 6 Mental Health Care Screenings Discussion is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NR 601 Week 6 Mental Health Care Screenings Discussion

After the introduction, move into the main part of the NR 601 Week 6 Mental Health Care Screenings Discussion assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 601 Week 6 Mental Health Care Screenings Discussion

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 601 Week 6 Mental Health Care Screenings Discussion

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 601 Week 6 Mental Health Care Screenings Discussion

Mental Health Care Screenings

Conducting mental health screening is a crucial component of overall health across all stages of life. Psychological manifestations may serve as an indication of specific physiological ailments (Carroll et al., 2020). Specific psychiatric diseases might heighten the likelihood of acquiring physical health complications. This discussion presents the mental health screening methods in my clinical practicum setting.

Clinical Practicum Setting

I am currently completing my clinical practicum in a family practice setting. We offer a holistic approach to patient care, taking into account their mental, social, and physical health. We collaborate closely with patients of all age groups, encompassing both genders, to prioritize their general well-being and foster a lasting connection that facilitates their path toward improved health (Carroll et al., 2020). The majority of the patients we see are, however, the elderly population.

Mental Health Screening Tools

Our family practice clinic utilizes the Patient Health Questionnaire (PHQ-9) as a mental health screening tool. The PHQ is a quick questionnaire designed to ask patients how often they encounter problems, including decreased activity pleasure, depressive or dismal sentiments, sleep disruptions, or difficulty focusing (Carroll et al., 2020). The PHQ also asks how these problems affect day-to-day operations. All patients at this institution are not screened for mental health issues except those who exhibit signs of anxiety, sadness, recent loss, divorce, unemployment, or sleeplessness. Prioritizing mental health screening is essential because it allows for prompt detection and intervention, which closes the support and treatment gap. I would also recommend the General Health Questionnaire (GHQ), Generalized Anxiety Disorder (GAD-7), and the Insomnia Severity Index (ISI) as additional mental health screening instruments for our healthcare center.

Quality of Mental Health Care

At the family practice office, I have witnessed mental health challenges among older adults who suffer from chronic illnesses and struggle with self-care, individuals who have recently experienced the loss of loved ones or close friends, and those who live in solitude. These patients have received high-quality mental healthcare services. I noticed no disparities or biases during my practicum at the family practice office. In the family practice office, healthcare providers have access to reliable community resources to support older adults dealing with mental illness. If an elderly individual who has recently experienced a bereavement requires assistance with daily tasks and meal preparation, they can seek support from a local home care agency. These agencies offer a range of services, from round-the-clock live-in care to shorter periods of nursing aid that can assist with activities of daily living (Rhema et al., 2020). Most of the aged population has Medicare, while some older people have Medicaid covering their services.

Screening Opportunities

Older persons are susceptible groups, and chances for mental health screening may be overlooked in a busy general practice clinic. When mental illness is not detected and appropriately treated in primary care settings, opportunities to enhance mental health and overall medical outcomes are lost. The first adjustment I would make in my present family practice clinic is to test all patients who attend the office for depression rather than screening patients annually and asking PHQ-9 questions during an annual appointment since depression may strike at any moment (Carleton et al., 2019). One additional suggestion is to ensure that all patients, regardless of their risk level for depression, are informed about the helpline. This way, they will be aware of the available support in case they experience feelings of depression. A considerable number of patients are unaware that a depression hotline exists. It is crucial to educate older adult patients about the importance of screening for depression, as they may mistakenly believe that it is a normal part of aging. Failure to comprehend the concept of screening can lead to the patient being unaware of their condition, resulting in a lack of diagnosis and subsequent absence of necessary treatment.

References

Carleton, R. N., Afifi, T. O., Turner, S., Taillieu, T., Vaughan, A. D., Anderson, G., Ricciardelli, R., MacPhee, R. S., Cramm, H., Czarnuch, S., Hozempa, K., & Camp, R. D. (2019). Mental health training, attitudes toward support, and screening positive for mental disorders. Cognitive Behaviour Therapy, 49(1), 55–73. https://doi.org/10.1080/16506073.2019.1575900

Carroll, H. A., Hook, K., Perez, O. F. R., Denckla, C. A., Vince, C. C., Ghebrehiwet, S., Ando, K., Touma, M., Borba, C. P., Fricchione, G. L., & Henderson, D. C. (2020). Establishing reliability and validity for mental health screening instruments in resource-constrained settings: Systematic review of the PHQ-9 and key recommendations. Psychiatry Research, 291, 113236. https://doi.org/10.1016/j.psychres.2020.113236Links to an external site.

Rhema, S. H., Verbillis-Kolp, S., Gray, A. E. L., Farmer, B., & Hollifield, M. (2020). Mental health screening. In Springer eBooks (pp. 215–227). https://doi.org/10.1007/978-3-030-47668-7_14Links to an external site.

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Sample Answer 2 for NR 601 Week 6 Mental Health Care Screenings Discussion

Depression ranks as one of the primary factors contributing to impairment in those aged 15 and above (Barry et al., 2023). It impacts people as individuals, families, companies, and members of society and often occurs in primary care patients. Depression is prevalent among women who are pregnant or in the postpartum period, and it has an impact not only on the mother but also on her child. The USPSTF recommends screening individuals for depression, especially those who are older and pregnant or have just given birth (Depression and Suicide Risk in Adults: Screening, 2023).

In primary care settings, screening enhances the correct diagnosis of adult patients with depression, including postpartum and pregnant women. People who are undereducated, who have been married in the past, and jobless people have more excellent rates of depressive disorders than their counterparts. Additional populations who have a heightened susceptibility to developing depression include those with chronic ailments, other psychiatric conditions (including drug abuse), or a familial background of mental disorders (Barry et al., 2023). The USPSTF found sufficient evidence to conclude that depression screening programs combined with well-functioning support networks enhance clinical outcomes in adults, including expectant and new mothers (Depression and Suicide Risk in Adults: Screening, 2023).

Some clinicians may find it more straightforward to integrate depression screening into their existing wellness visit routines. This approach guarantees that clinicians initiate the discussion on depression screening with patients annually. Some of our local doctors have discovered that screening for depression at well-child visits for adolescents or gynecological care is helpful for younger individuals (Barry et al., 2023). This screening may be performed during these appointments. It is also advisable to contemplate integrating depression screening with the Medicare Annual Wellness Visit for elderly patients. Depression that has not been recognized is linked to a worse quality of life and increases the chances of death and other adverse health consequences. Hence, implementing regular annual screening can provide significant advantages.

References

Barry, M. J., Nicholson, W. K., Silverstein, M., Chelmow, D., Coker, T. R., Davidson, K. W., Davis, E. M., Donahue, K. E., Jaén, C. R., Li, L., Ogedegbe, G., Pbert, L., Rao, G., Ruiz, J., Stevermer, J. J., Tsevat, J., Underwood, S. M., & Wong, J. B. (2023). Screening for depression and suicide risk in adults. JAMA, 329(23), 2057. https://doi.org/10.1001/jama.2023.9297Links to an external site.

Depression and suicide risk in Adults: screening. (2023, June 20). https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults

Sample Answer 3 for NR 601 Week 6 Mental Health Care Screenings Discussion

a. Identify your clinical practicum setting (primary care office, urgent care, etc.) and a population that you typically see (i.e., adolescents, women, older adults).

My current practice setting is a family practice clinic where providers can take all age ranges. The majority of our patients are women and older adults who go through menopause, depression, and anxiety. I’ve seen a number of patients, ranging in age from 20 to 80. There were patients who experienced postpartum depression and were between the ages of 20 and 30. There were patients with menopause symptoms in their mid-40s to early-50s who experienced depression and daily life interference. Some patients, who were in their 80s, developed depression due to their inability to carry out their daily activities on their own as they had in the past.

b. Discuss mental health screening tools used at your clinical site. If no screening tools are currently used, which ones would you recommend?

At my clinical site, primary care physicians use the Patient Health Questionnaire (PHQ-9) to examine mental health severity. The PHQ-9 is a questionnaire that helps identifying baseline and also used for continuous assessment. The nine items are intended to detect symptoms that correspond to the nine symptoms listed in the Diagnostic and Statistical Manual of Mental Disorders (Wu et al., 2020). Downside of this tool is that it is not vital tool to reflect suicidal ideation so further assessments should be done as a provider. Yet, it is an essential tool for patients whose depressive symptoms have persisted for more than two weeks.

c. Describe the quality of the mental health care you have observed. Discuss disparities or biases, if any, in the care provided to different members of the population.

The quality of mental health care I have observed in my clinical setting is fair enough. Primary care providers may not be able to cure depression in one visit, but patients finds place where to initiate their psychiatry care. There weren’t any disparities or bias so far since my provider uses mostly open-ended questions and her assessment starts from asking their daily lives, relationships with friends and families, stress management instead of assuming their recent traumatic live events. Instead of handing out phone numbers to call or asking the elderly to return with family on their next visit, my clinic provider suggests online resources for those who are able to search for information online.

d. Screening opportunities are often missed in vulnerable populations and those with limited access to care. Describe at least TWO changes you recommend in your practice setting and community to increase the frequency of mental health screenings within vulnerable populations.

It is more challenging for depressed patients to receive treatment because the majority of them experience symptoms like fatigue, low energy, forgetfulness, and sleeplessness. I’ve observed patients utilizing telehealth to get help, which is very advantageous for them because it helps them avoid missing appointments and gives them a safe space to express their emotions. Therefore, one change I would suggest making is to provide more telehealth services to patients who report having mental health issues.

The second thing I would like to change in our setting is to include PHQ-4 questionnaires at every visit. Not all cases of depression exhibit the same symptoms. Men are also less inclined than women to discuss their emotions or seek assistance, which contributes to the high rate of undiagnosed or inadequately treated cases (National Institute of Mental Health, 2024).

References

National Institute of Mental Health. (2024). Depression. https://www.nimh.nih.gov/health/topics/depression.Links to an external site.

Wu, Y., Levis, B., Riehm, K. E., Saadat, N., Levis, A. W., Azar, M., Rice, D. B., Boruff, J., Cuijpers, P., Gilbody, S., Ioannidis, J. P. A., Kloda, L. A., McMillan, D., Patten, S. B., Shrier, I., Ziegelstein, R. C., Akena, D. H., Arroll, B., Ayalon, L., Baradaran, H. R., … Thombs, B. D. (2020). Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: a systematic review and individual participant data meta-analysis. Psychological medicine, 50(8), 1368–1380. https://doi.org/10.1017/S0033291719001314

Sample Answer 4 for NR 601 Week 6 Mental Health Care Screenings Discussion

The most recent USPSTF guideline, grade B, for depression suggests testing vulnerable populations, such as older adults and pregnant or postpartum women. Although there isn’t any data to support a PHQ visit on every visit, it will be crucial to screen those at-risk groups so that assistance can be provided promptly. The majority of patients in my clinic, particularly the elderly, fit into that category, so testing them at least once a year during an annual visit will be beneficial. According to USPSTF guidelines, it will be helpful to assess those who are more likely to develop major depressive disorder (United States Preventive Services Task Force, 2023).

References

United States Preventive Services Task Force. (2023, Depression and Suicide Risk in Adults: Screening. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults.Links to an external site.

Sample Answer 5 for NR 601 Week 6 Mental Health Care Screenings Discussion

The goal would be to have the obstetrician take lead on these screenings but from my personal experience and experience from clinical this is not the case. My personal experience was only a screening at my 6 week postpartum appointment not during my pregnancy at all. Then during clinical my patient told me that her obstetrician took her off her anxiety medication (propranolol) and when she went to them complaining of increased anxiety they didn’t listen to her and ignored her request to restart the medication despite repeated requests. In an article by Poon and Tan (2022) the 6 week mark often leaves mothers without an appointed medical provider when things get hard. This leaves mothers in a scary position if they start to experience symptoms after the 6 week mark or have difficulties with breast feeding or other problems after the 6 week mark. If the primary care provider is also screening and making a connection with patients they may be able to get the assistance that is need.

Resource

Poon, Z., & Tan, N. C. (2022). A qualitative research study of primary care physicians’ views of telehealth in delivering postnatal care to women. BMC Primary Care, 23(1), 206. https://doi.org/10.1186/s12875-022-01813-9