Deliverables RWH update
MentorsDeliverables RWH update
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files (6)PresentationonPrivateMentalHealthPractice.pptx
DNPProjectReport5finalfall2024finalreport12-15-24.docx
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PresentationonPrivateMentalHealthPractice.pptx
Presentation on Private Mental Health Practice
Student’s Name
Institutional Affiliation
Course
1
Current Practice Setting
The setting is private mental health practice which operates independently from larger healthcare systems.
It offers specialized mental health services in a more personalized and flexible environment.
The patient population includes individuals experiencing conditions such as anxiety, depression, post-traumatic stress disorder (PTSD), bipolar disorder, and others (Wang et al., 2023). Each of these conditions presents unique challenges in terms of diagnosis, treatment planning, and patient engagement. In terms of demographic, it can include working with adolescents, adults, and seniors facing both acute and chronic mental health issues. A multidisciplinary team is suitable to handle the issues and can include therapists, psychiatrists, and counselors who are mental health professionals. The practice emphasizes outpatient care which is cost-effective and less disruptive to patients' daily lives. All patients with mental health issues will integrate therapy and medication management into their routines.
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Identified Clinical/Practice Issue
The issue is high patient non-adherence to treatment plans (Stewart et al., 2022).
Non-adherence can occur in various forms like missing scheduled appointments, failing to follow prescribed medication regimens, neglecting to engage in recommended therapy sessions, or ignoring self-care strategies.
Non-adherence significantly compromises the effectiveness of mental health treatments. Mental health care treatment plans are designed to work over time, and missing medications or therapy sessions disrupts that process. When patients do not adhere to their prescribed treatments, they are at a higher risk of experiencing mental health crises which leads to an increase in emergency room visits and hospitalizations. Also non-adherence places a heavy burden on mental health providers who must repeatedly address the same issues without making meaningful progress. Patients who do not adhere to their treatment plans often experience little to no improvement in their mental health and this can lead to dissatisfaction with the care they receive.
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Collaborative Practice Strategy
A multidisciplinary care team approach is the best strategy to address complex mental health challenges (Durand & Fleury, 2021).
This strategy promotes shared decision-making which ensures that patients are active participants in their treatment plans.
The core of this strategy involves a team-based approach where mental health professionals who are therapists, psychiatrists, and counselors work closely with primary care providers and patient support systems which includes family members or caregivers. The mental health professionals will manage the psychological and emotional aspects of the patient’s condition, while primary care providers help monitor physical health conditions that may contribute to or be affected by mental health. Additionally, involving family or caregivers ensures that the patient has a support network to help with treatment adherence and daily self-care. To ensure seamless care, the multidisciplinary team holds regular case consultations where they discuss the patient's progress, challenges, and any necessary adjustments to the treatment plan.
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How the Strategy Addresses the Issue
A major benefit of the multidisciplinary approach is enhanced communication.
When mental health professionals, primary care providers, and family members work together, the patient receives consistent messaging about their treatment plan.
A result is improvement of physical health and social factors such as relationships and support systems as the multidisciplinary team approach allows for the development of comprehensive treatment plans that address all aspects of a patient's well-being. Further, there can be greater accountability and patient support that leads to better adherence. When multiple providers and family members are involved in a patient’s care, there are more opportunities to check in on progress, reinforce the importance of adherence, and offer encouragement. There will then be a trend of better care management as the patients may feel more accountable for their health when they know that their providers are working together and that they have a support network invested in their well-being.
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Rationale for Selecting This Strategy
Mental health conditions like anxiety, depression, and PTSD often involve multiple dimensions which are psychological, social, and sometimes even physical (Singh et al., 2022).
As a result, each aspect of the patient's condition is addressed.
One of the primary reasons for non-adherence is the lack of patient engagement in their treatment plans. This strategy emphasizes shared decision-making, where patients actively participate in crafting their care plans alongside their healthcare providers. By involving patients in this way, they obtain a sense of ownership and responsibility for their treatment which boosts their commitment to following through.
Further, the study leverages expertise from various disciplines for comprehensive care since mental health is multifaceted and no single discipline can address all the factors that influence a patient’s well-being. Leveraging the expertise of various professionals will ensure that the care team develops a comprehensive treatment plan that integrates all aspects of the patient's health.
6
Expected Outcomes
Increase in treatment adherence rates
Improved patient mental health outcomes
Reduction in emergency interventions and hospitalizations
Higher patient satisfaction and trust in healthcare team
With enhanced communication, accountability, and support systems in place, patients are more likely to attend scheduled appointments, take their medications as prescribed, and actively participate in therapy sessions. Moving on, patients who consistently engage in therapy, take prescribed medications, and practice recommended self-care strategies are more likely to see reductions in symptoms like anxiety, depression, and PTSD.
One of the major impacts of non-adherence is the increased likelihood of mental health crises which often require emergency room visits or hospitalizations (Stewart et al., 2022). By improving adherence and providing continuous monitoring, this collaborative approach helps prevent relapses or deteriorations in the patient’s condition.
7
Implementation Plan
The first step is regular multidisciplinary team meetings for case reviews.
The second step is to involve patients in care planning and decision-making.
The third step is to provide training for staff on collaboration techniques.
The first step to establish routine meetings where mental health professionals and primary care providers discuss patient cases. These case reviews will allow team members to share updates on the patient's progress, discuss challenges, and collaboratively adjust treatment plans as needed. There will then be open communication that ensures that all members of the care team are aligned in their approach to each patient. A core component of this strategy is engaging patients in their own care during the intake process and follow-up appointments. They shall be invited to participate in shared decision-making where their preferences, concerns, and goals will be taken into consideration. In order for the multidisciplinary approach to be effective, all staff members need to be trained in collaboration techniques which are team-based care models, conflict resolution, and patient-centered communication.
8
Conclusion
Collaboration among healthcare professionals and involving patients in their care will create a supportive environment that encourages adherence to treatment plans.
The complexity of mental health issues clearly needs a comprehensive and coordinated approach.
A multidisciplinary strategy is now the best since it allows for the integration of various expertise by professionals who ensure that all aspects of a patient’s well-being are addressed. This is particularly beneficial in private mental health practices where individualized care is highly imperative. By collaborating across disciplines providers can offer tailored and holistic treatment that meets the diverse needs of their patients. The success of this strategy is contingent upon maintenance of open lines of communication among the care team, patients, and their support systems. Continuous education for both patients and staff is essential to ensure that everyone involved understands their roles and responsibilities in the care process.
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References
Durand, F., & Fleury, J. (2021). A multilevel study of patient-centered care perceptions in mental health teams. BMC Health Services Research, 21. https:// doi.org/10.1186/s12913-020-06054-z
Singh, V., Kumar, A., & Gupta, S. (2022). Mental Health Prevention and Promotion—A Narrative Review. Frontiers in Psychiatry, 13. https:// doi.org/10.3389/fpsyt.2022.898009
Stewart, S.-J. F., Moon, Z., & Horne, R. (2022). Medication nonadherence: health impact, prevalence, correlates and interventions. Psychology & Health, 38(6), 1–40. https:// doi.org/10.1080/08870446.2022.2144923
Wang, K., Feng, M., Fang, Y., Lv, L., Sun, L., Yang, L., Guo, P., Cheng, F., Qian, C., & Chen, X. (2023). Psychological trauma, posttraumatic stress disorder and trauma-related depression: A mini-review. World Journal of Psychiatry, 13(6), 331-339. https://doi.org/10.5498/wjp.v13.i6.331
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DNPProjectReport5finalfall2024finalreport12-15-24.docx
DNP Project Progress Report
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DNP Project Title |
Implementing an evidenced based scale that measures depression, anxiety and stress in a outpatient mental health private practice. |
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Project Site |
Wilkerson & Company LLC |
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DNP student |
Ramona Wilkerson |
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Reporting period |
11-24-24 through 12-15-24 |
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Section One: Summary |
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Please provide a short overview (1-2 paragraphs) of project progress during this reporting period. Changed title of project and changed the site. During this reporting period, the project successfully completed its initial 12-week phase, which included a title change and a site transition. The focus during this time was on integrating the new framework and conducting the first round of data collection and analysis. This phase yielded valuable insights into the prevalence of anxiety, depression, and stress among our clients, significantly informing our treatment planning and intervention strategies. As we move forward, ongoing communication with the clinical team remains a priority to address any challenges and ensure smooth implementation. The analysis of the initial data is crucial for making necessary adjustments that will enhance the effectiveness of the DASS21 tool in our practice, setting the stage for future rounds of data collection and refinement.
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Section Two: Activities and Progress |
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Report on activities for the period covered by this report and describe any deviation or changes in the project and the reasons for these. Include any additional activities undertaken that are not part of the project and the background for their inclusion. The focus is on the implementation of the DASS21 (Depression Anxiety Stress Scales) tool to measure stress and depression in patients at Wilkerson & Company LLC, a private mental health practice. This change was driven by the need to align the project more closely with current clinical settings and the specific needs of the patient population. During Week 12 of the implementation of the DASS21 (Depression Anxiety Stress Scales) tool at Wilkerson & Company LLC, we engaged in several key activities to facilitate the integration of this assessment tool into our clinical practice. These activities included conducting follow-up training sessions for staff, addressing any questions or concerns about the DASS21, and refining our data collection protocols based on initial feedback from clinicians. Additionally, we began gathering preliminary data on patient responses, which has provided valuable insights into the current levels of anxiety, depression, and stress among our clients. There were a few deviations from our original project plan during this reporting period. Initially, we intended to launch the DASS21 tool across all patient demographics simultaneously; however, we decided to stagger the implementation by starting with high-risk patient groups first. This change was driven by the need to prioritize those who might benefit the most from immediate assessment and intervention, aligning the project more closely with the clinical realities of our practice. This approach also allows us to refine our processes based on the experiences of these initial groups before expanding to the broader patient population. In addition to the core activities related to the DASS21 implementation, we undertook a supplementary initiative to enhance patient engagement in the assessment process. We developed informational materials that explain the purpose and benefits of the DASS21 tool, aiming to demystify the assessment for clients and encourage their participation. This decision was made in response to feedback indicating that some patients were hesitant to engage with the tool due to a lack of understanding. By providing this additional context, we hope to foster a more supportive environment that facilitates open discussions about mental health and encourages patients to take an active role in their assessment and treatment strategy to the specific environment and patient needs at Wilkerson & Company LLC. |
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Section Three: Institutional Issues |
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Report on any changes or issues with the clinical/practice site. Do not use names. If none state none. None
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Section Four: Outputs and Deliverables |
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Are there any outputs or deliverables you would like to discuss? If none state none. None
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Section Five: Outcomes and Lessons Learned Outline any emerging outcomes or lessons if any that have been learned during this reporting period. Outcomes can be expected or unexpected, and positive, negative, or neutral. If none state none During this reporting period, several key outcomes and lessons emerged from the completed implementation of the DASS21 tool in our private mental health practice. A significant finding was the identification of stress as a triggering factor for both depression and anxiety among patients. This result not only aligns with existing literature but also underscores the critical need to address stress in our clinical interventions, as it was consistently linked to the symptoms experienced by our clients. Additionally, an important lesson learned was the variability in how different patients respond to stress. While stress was found to be a common trigger, some patients exhibited more anxiety-related symptoms, while others displayed predominantly depressive symptoms. This insight has led us to consider more individualized approaches in our treatment strategies, tailoring interventions to better meet the specific needs of each patient. Overall, the project highlights the integral role of stress in mental health and the importance of personalized care.
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Section Six: Evaluation |
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Provide brief details of progress in terms of the development and implementation of the project evaluation plan. Detail any interesting findings or emerging evaluation issues of interest. If none state none. After 12 weeks of assessing the project, significant progress has been made in the development and implementation of the project evaluation plan for the DASS21 integration. The evaluation plan is now fully operational, with clearly defined key performance indicators (KPIs) and outcome measures in place to evaluate the tool's effectiveness within our private mental health practice. Baseline data collection has been completed, focusing on patient outcomes, practitioner engagement, and overall system usability, providing a robust framework for ongoing assessment. One of the most compelling findings from the evaluation is the confirmation that stress acts as a significant triggering factor in the development of both depression and anxiety among our patients. This outcome reinforces previous research and emphasizes the necessity of addressing stress in our clinical approaches. Moreover, many patients reported a greater sense of being understood and engaged in their therapy sessions due to the structured assessment provided by the DASS21 tool, indicating a positive impact on the therapeutic process. However, an emerging evaluation issue has surfaced concerning the accuracy of data entry among staff members. Discrepancies in how the outputs of the tool are recorded in patient files could potentially compromise the reliability of our evaluation. To address this, we are implementing additional training sessions and clarifying data entry protocols to ensure consistency across the practice. This proactive approach aims to enhance the quality of our evaluation efforts and support the ongoing success of the DASS21 integration.
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Section Eight: Risks, Issues, and Challenges |
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Report on any issues or problems that have impacted on the development and implementation of the project during the reporting period. Detail what impact any issues may have on the achievement of project goal(s). Report on any unexpected project achievements. If none state none. None
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Section Nine: Collaboration and Support |
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Is there anything that you need advice and support on? If none needed state none needed. none
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Section Ten: Budget |
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Are there any budget issues? If none state no. Budget has changed 5k to now $100
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Section Eleven: Next Steps What are the next steps? 12 weeks completed
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