- NURS FPX 4015 Assessment 3 Concept Map The 3 Ps and Mental Health Care.
Introduction
Nursing intervention is directed towards nursing as a discipline using the triadic integration known as 3Ps: Patients, Provider, and Policy. The model aims to help share care mental health nursing, which is an approach that involves caring for the patients in an emotional, psychological, and social level.
The assessment for Capella University’s RN to BSN program has the purpose of making certain that registered nurses are prepared to properly implement the university program outcomes. The treatment for the patient’s mental health concept map is as a function of achieving the 3 P’s model and evidence-based practice patient outcome improvement. Explore NURS FPX 4015 Assessment 2 Enhancing Holistic Nursing Care with 3Ps for more information.
The 3 Ps Framework in Mental Health Care
Patient Perspective in Mental Health Care
In therapeutic treatment of the patient, Advanced Practice Psychiatry Nursing is practiced using evidence-based Patient-Centered Care with psych patients, as caring for these patients is more complex. Planning the care should take into consideration the emotions, needs and symptoms of the patient. The NURS FPX 4015 Assessment 3 Concept Map The 3 Ps and Mental Health Care advocates for the patient’s integrity by outlining conditions for the provider and the policy that shapes mental health care in such a way that the mental health is optimally cared to for.
Common Mental Health Disorders
- Depression: Extremely sad affect, anhedonia, and impairment of mentation.
- Anxiety Disorders: Generalized anxiety disorder (GAD), panic disorder, and phobias.
- Schizophrenia: Psychotic chronic psychiatric illness with hallucinations, delusions, and thought disorder.
- Bipolar Disorder: Fluctuation of mood in manic-depressive fashion.
- Post-Traumatic Stress Disorder (PTSD): Psychiatric illness caused by trauma.
Patient-Centered Approach
- A patient’s holistic assessment takes into consideration how their body, mind, and social life interact with each other and is evaluated thoroughly.
- Therapeutic communication takes place utilizing empathy, motivational interviewing, and active listening.
- Support Systems: Utilizing the patient’s family, as well as the community for resources.
Provider’s Role in Mental Health Care
Collaboration is essential for the effective treatment of mental health for every provider, including nurses, physicians, and mental clinicians.
NURS FPX 4015 Assessment 3 Concept Map: The 3 Ps and Mental Health Care
Nurse’s Role in Mental Health Management
- Using measures like PHQ 9 instruments to determine depression severity and GAD 7 scales to measure the severity of anxiety helps achieve accurate assessment and diagnosis.
- Medication Administration: Ensuring medication compliance with the established psychotropic regimen.
- Crisis Intervention: Evaluating the risk of suicide can be a psychiatric crisis intervention measure.
- Psychotherapy Support: Assisting in the delivery of cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT).
- Ethical and legal aspects include informed consent, issues of confidentiality, and patient rights.
Policy and Its Impact on Mental Health Care
Policies significantly impact the method and manner through which mental health is approached and treated, including access, expenditure, and the quality of resources offered. Clinical interventions for mental health are beset with both institutional and governmental policy issues.
Key Mental Health Policies
- Mental Health Parity and Addiction Equity Act (MHPAEA): Covers psychiatric illness and drug and alcohol dependencies.
- Affordable Care Act (ACA): Broadens access to mental health services for the most vulnerable populations.
- State and Institutional Policies: States and certain institutions have specific policies governing psychiatric restraining orders and involuntary treatment, as well as community mental health initiatives.
- HIPAA Regulations: Protection of confidentiality and privacy in the practice of mental health.
Advocacy and Policy Development
- Nurse Advocacy: Defender of the patient’s rights and access to appropriate level of care.
- Policy Reform: Advocacy groups focused on increased budget and resource allocation to mental health services.
- Community Programs: Advocacy for primary mental health illness public education campaigns at the local level.
Concept Map for the 3 Ps in Mental Health Care
This diagram illustrates the interrelation between the patient, provider, and policy on one visual graphic and how they collate towards the provision of integrated mental health care. An explanation of the diagram is provided below:
Central Theme: Mental Health Care
Patient (Individual Needs)
- Patient/Individual (Self Needs)
- Individual Patient (Self Needs)
- Mental Health Disorder
Provider (Healthcare Team)
- Provider (Healthcare Team)
- Rental (Healthcare Team)
- Nursing Care and Counseling
Policy (System-Level Influence)
- Policy (System-Level Change)
- Policy (System-Level Change)
- Laws & Policies
Evidence-Based Interventions in Mental Health Care
Pharmacological Interventions
- SSRIs (Selective Serotonin Reuptake Inhibitors): Depression and anxiety medicines (e.g., fluoxetine, sertraline).
- Mood Stabilizers: Treats Bipolar Disorder (examples: lithium, valproate).
- Antipsychotic Medicine: Treats schizophrenia and some severe mood disorders (examples: risperidone, olanzapine).
Non-Pharmacological Interventions
- Cognitive Behavioral Therapy (CBT): Helps subdue intrusive thoughts.
- Mindfulness and Meditation: Lowers the level of worry and helps changing emotions.
- Exercise Therapy: Improves mood and decreases the symptom of anxiety.
- Family and Group Therapy: Improves relationships with peers and support.
Challenges in Mental Health Care
While mental health treatment has been more accepted, problems still persist:
- Stigma and Discrimination: People still do not seek assistance due to social stigma.
- Limited Access to Services: There are too few mental health treatment centers and clinicians.
- Financial Barriers: Prices for therapist services and medication are too high.
- Burnout Among Providers: Mentally exhausted nurses working in the field of mental health.
Strategies for Improvement in Mental Health Nursing
Enhancing Nurse Training and Competency
- Enhancing Nurse Competency and Education
- Continuous education for psychiatric nurses.
- Mental health first aid qualification.
Improving Patient-Centered Care
- Utilization of joint decision-making regarding treatment plans.
- Utilization of competence to care for patients of different cultures.
- Formation of interdisciplinary cooperation.
Advocating for Policy Changes
- More funding for mental illness.
- More telepsychiatry.
- Stronger legislation for mental health protection.
Conclusion
The 3 Ps model—Patient, Provider, and Policy— breaks down mental health nursing into specific categories. Nurses are actively engaged in improving mental health outcomes through meeting the patient’s needs, enhancing the provider’s role, and supporting the policies that are aimed at bettering the whole system. The NURS FPX 4015 Assessment 3 Concept Map The 3 Ps and Mental Health Care explores how mental health nursing is progressively moving toward a more responsive and comprehensive integrated care system using the objectives of the Capella University RN to BSN program, which focuses on evidence-based practice, interprofessional collaboration, or advocacy.
References
Information on the federal law that requires mental health and substance use disorder benefits to be equivalent to medical/surgical benefits. https://www.cms.gov/CCIIO/Programs-and-Initiatives/Other-Insurance-Protections/mhpaea_factsheet
Information about how the ACA increased access to mental health care and enhanced mental health coverage. https://www.healthcare.gov/mental-health-care/
Official information about how HIPAA safeguards patient confidentiality, including mental health. https://www.hhs.gov/hipaa/for-professionals/special-topics/mental-health/index.html
Technical information about common mental illness, i.e., depression, anxiety, schizophrenia, and bipolar disorder. https://www.nimh.nih.gov/health/topics
Description: Background of CBT, its effectiveness, and application in the management of mental illnesses. https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
Description: Definition of Mental Health First Aid, a training to equip an individual with knowledge to be a first source of assistance to someone in a mental emergency. https://www.mentalhealthfirstaid.org/
Information, facts, and resources for mental health ranging from stigma reduction and access to treatment for mental health. https://www.cdc.gov/mentalhealth/index.htm
International evaluation of mental health policy and practice for improved care for the mind. https://www.who.int/mental_health/policy/en/
Evidence-based practice guidelines for the treatment of mental health illnesses. https://www.psychiatry.org/psychiatrists/practice/clinical-practice-guidelines
Mental health professional resources and tools, such as crisis intervention and treatment. https://www.samhsa.gov/