Final Care Coordination Plan
Capella University
NURS-FPX 4050: Coordinating Patient-Centered Care
Final Care Coordination Plan
Mental health is a growing health concern and is increasing in global prevalence. There are a variety of mental health disorders, making it a challenging and complex subject to address specifically, as it is typically grouped under an umbrella term. Some examples of mental health issues include anxiety disorders, eating disorders, post-traumatic stress disorder (PTSD), depression, suicide, and schizophrenia. This care coordination plan will specifically focus on the
issues that the mentally ill encounter, including lack of communication, stigma, and decreased access to treatment. The final care plan will design patient-centered interventions, discuss the ethical decisions for patient-centered interventions, identify relevant health policy implications for the coordination of care, and identify the priorities of the care coordination plan.
Patient-Centered Health Interventions
The first health issue that patients with mental illnesses face is a lack of communication with healthcare providers. When healthcare providers are unable to effectively communicate with patients, this can lead to poor patient outcomes and a decrease in quality of health. An appropriate intervention is to integrate therapeutic communication. Therapeutic communication
based on verbal and non-verbal communication plays an important role in promoting the health and recovery of patients. A study found that therapeutic communication provides a sense of
security to patients suffering from mental symptoms and unfamiliar environments. The increased
sense of security allowed the patients to adapt to the hospital environment, cooperate in treatment, and influenced the relief of symptoms (Joung & Park, 2019). Available resources to help improve communication skills include local libraries (to find books on how to improve communication skills), engaging in communication skills courses, such as provided by Business Training Works, and using technological resources such as YouTube to find best strategies. The second health issue mental health patients experience is stigma. Stigma assumed by
healthcare providers can be linked to lack of training, inadequate inexperience, and cultural dynamics. It has been shown to cause negative impacts in perceptions, attitudes, and behaviors associated with providing necessary specialized mental healthcare (Dalky et al., 2019). An intervention to help reduce stigma surrounding mental health is to implement an anti-stigma
intervention. Stigma reduction can help advance life opportunities for people with mental illness.
Some resources available to help reduce the stigma around mental health include engaging in
intergroup contact therapy to raise awareness, the Education not Discrimination program, and
Rethink Mental Illness all provide significant information on ways people can learn about mental
illness and find strategies to reduce stigma (Gronholm et al., 2017).
The third health issue that mentally ill patients face is a decrease in access to necessary
medical treatment. Despite all the available resources, many people with mental health issues do not receive the help they need. The National Alliance on Mental Illness (NAMI) found that each year, millions of Americans with mental illness struggle to find the care they need, with nearly half of the 60 million adults and children living in the United States going without treatment. An intervention that can be implemented is expanding reimbursement models that integrate health, mental health, and substance use disorder care, such as the Collaborative Care Model to improve
coverage under the federal parity law (National Alliance on Mental Illness, n.d.). Resources available include the Mental Health American Affiliate Network, the Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Locator, and the Crisis Text Line.
Considering Ethical Decisions for Patient-Centered Interventions
The American Nurses Association (ANA) developed the Code of Ethics for Nurses as a
guide to carry out nursing responsibilities in a manner consistent with quality nursing care and