Legal case and the ethical decisions

In the Bouvia v Superior Court, what was the evidence presented in the resolution of the legal case and the ethical decisions that were made?

Problems in the Connecticut community or organizations

Identify two problems in the Connecticut community or organizations that have the capacity to be advocated through legislation.

Identifying a standardized assessment instrument/tool to measure a disorder

You are tasked with identifying a standardized assessment instrument/tool to measure a disorder from the Sleep or Wake Disorders group. Choose one diagnosis from the Sleep or Wake Disorders group

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.
Scan Pages 361-422

Overview

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

1)List what DSM diagnosis the tool/instrument is used for.
2)Identify an assessment/diagnosis instrument.
3)Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
4)Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
5)Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
6)Discuss the psychometrics/scoring of the instrument, including reliability and validity.
7)Discuss any limitations associated with the use of the instrument.
8)Include a link to view the assessment if possible.

Neurocognitive Disorders group and Mini-Mental Status Exam (MMSE)

Choose one diagnosis from the Neurocognitive Disorders group and use the Mini-Mental Status Exam (MMSE) as your tool

Choose one of the tools/instruments from the pdf link:

Heart and Stroke. (n.d.). Mini-mental state examination (MMSE) (Links to an external site.). [PDF]
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.
Scan Pages 591-643

Overview

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

1)List what DSM diagnosis the tool/instrument is used for.
2)Identify an assessment/diagnosis instrument.
3)Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
4)Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
5)Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
6)Discuss the psychometrics/scoring of the instrument, including reliability and validity.
7)Discuss any limitations associated with the use of the instrument.
8)Include a link to view the assessment if possible.

Diagnostic and statistical manual of mental disorders

You are tasked with identifying a standardized assessment instrument/tool to measure one diagnosis from the Substance-Related and Addictive Disorders group.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.
Scan Pages 481-585

Overview

As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients.

You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

1)List what DSM diagnosis the tool/instrument is used for.
2)Identify an assessment/diagnosis instrument.
3)Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
4)Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
5)Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
6)Discuss the psychometrics/scoring of the instrument, including reliability and validity.
7)Discuss any limitations associated with the use of the instrument.
8)Include a link to view the assessment if possible.

Unit 6 Required Resources
Required Reading
Vincent, D., Hastings-Tolman, M., Gephart, S., & Alfonzo, P. M., (2013). Nurse practitioner clinical decision-making and evidence-based practice (Links to an external site.). The Nurse Practitioner. <link is hidden> /> Hart, L. & Little, A., (2017). Interpreting measures of risk: Translating evidence into practice (Links to an external site.). The Nurse Practitioner. <link is hidden> /> Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs (Links to an external site.). World Views on Evidence-Based Nursing. <link is hidden> /> McSweeney, M., Spies, M., & Cann, C. J. (2001). Finding and evaluating clinical practice guidelines (Links to an external site.). The Nurse Practitioner, 26(9), 30-33. <link is hidden> /> Beauchemin, M., Cohn, E., and Shelton, R. (2019). Implementation of clinical practice guidelines in the health care setting: A concept analysis (Links to an external site.). Advances in Nursing Science doi: 10.1097/ANS.0000000000000263. <link is hidden> /> (2019). Locating clinical practice guidelines (Links to an external site.). Nurse Educator doi: 10.1097/NNE0000000000000699. <link is hidden> /> Kulgar, M. (2019). Using evidence synthesis and clinical practice guidelines in everyday decision-making process: Is it real or a dream? (Links to an external site.) International Journal of Evidence-Based Healthcare, 17, doi: 10/1097/XEB.0000000000000171. <link is hidden> /> EBP Resources for Mental Health
Barbui, C., Purgato, M., Churchill, R., Adams, CE., Amato, L., Macdonald, G., McCleery, J., Minozzi, S., Sheriff, RS. (2017). Evidence‐based interventions for global mental health: role and mission of a new Cochrane initiative (Links to an external site.). Cochrane Database of Systematic Reviews, Issue 4. Art. No.: ED000120. DOI: 10.1002/14651858.ED000120.
Mission Harbor Behavioral Health. (2020). A guide to evidence-based treatment methods (Links to an external site.). <link is hidden> /> Substance Abuse and Mental Health Services Administration. (2020). Evidence-based practices resource center (Links to an external site.). US Department of Health and Human Services. <link is hidden> /> American Occupational Therapy Association. (2020). Mental health evidence-based practice resources (Links to an external site.). AOTA. <link is hidden>
Kids Mental Health Info.com. (n.d.). What are evidence-based practices (Links to an external site.)? Child Health and Development Institute of Connecticut. <link is hidden> /> Mental Health America. (2020). Position statement 12: Evidence-based healthcare (Links to an external site.). MHA. <link is hidden>

Evidence-based practice interventions

Evidence-Based Practice interventions: Post a discussion constructed as the ‘P’ (treatment plan) that completes the partial SOAP note.

 

Review the partial SOAP note accessed through this link. ( SEE ATTACHED DOCUMENT)

Initial Post

Post a discussion constructed as the ‘P’ (treatment plan) that completes the partial SOAP note accessed through the link above.

Include in the discussion:
1)Your treatment “Plan” for the first two diagnoses (see note below on how to structure the ‘P’)
2)Citations for each of the evidence-based practice (EBP) interventions included in your Plan
3)For each article you cited in support of an element of the Plan, provide your thoughts about the strength of the evidence presented in the article(s)

Plan (P):

These are the interventions that relate to each individual, numbered diagnosis.

Document individual plans directly after each corresponding assessment (Ex. Assessment­ Plan). Address the following aspects (they should be separated out as listed below):

Diagnostics: labs, diagnostics testing – tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your workup for the patient’s chief complaint

Therapeutic: changes in meds, skincare, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications.

Educational: information clients need in order to address their health problems. Include follow­ up care. Anticipatory guidance and counseling.

Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning.

NOTE: please input N/A where appropriate for the above 4 categories, do not assume that your clinical faculty person will know it was not applicable.

 

Unit 6 Required Resources
Required Reading
Vincent, D., Hastings-Tolman, M., Gephart, S., & Alfonzo, P. M., (2013). Nurse practitioner clinical decision-making and evidence-based practice (Links to an external site.). The Nurse Practitioner. <link is hidden> /> Hart, L. & Little, A., (2017). Interpreting measures of risk: Translating evidence into practice (Links to an external site.). The Nurse Practitioner. <link is hidden> /> Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs (Links to an external site.). World Views on Evidence-Based Nursing. <link is hidden> /> McSweeney, M., Spies, M., & Cann, C. J. (2001). Finding and evaluating clinical practice guidelines (Links to an external site.). The Nurse Practitioner, 26(9), 30-33. <link is hidden> /> Beauchemin, M., Cohn, E., and Shelton, R. (2019). Implementation of clinical practice guidelines in the health care setting: A concept analysis (Links to an external site.). Advances in Nursing Science doi: 10.1097/ANS.0000000000000263. <link is hidden> /> (2019). Locating clinical practice guidelines (Links to an external site.). Nurse Educator doi: 10.1097/NNE0000000000000699. <link is hidden> /> Kulgar, M. (2019). Using evidence synthesis and clinical practice guidelines in everyday decision-making process: Is it real or a dream? (Links to an external site.) International Journal of Evidence-Based Healthcare, 17, doi: 10/1097/XEB.0000000000000171. <link is hidden> /> EBP Resources for Mental Health
Barbui, C., Purgato, M., Churchill, R., Adams, CE., Amato, L., Macdonald, G., McCleery, J., Minozzi, S., Sheriff, RS. (2017). Evidence‐based interventions for global mental health: role and mission of a new Cochrane initiative (Links to an external site.). Cochrane Database of Systematic Reviews, Issue 4. Art. No.: ED000120. DOI: 10.1002/14651858.ED000120.
Mission Harbor Behavioral Health. (2020). A guide to evidence-based treatment methods (Links to an external site.). <link is hidden> /> Substance Abuse and Mental Health Services Administration. (2020). Evidence-based practices resource center (Links to an external site.). US Department of Health and Human Services. <link is hidden> /> American Occupational Therapy Association. (2020). Mental health evidence-based practice resources (Links to an external site.). AOTA. <link is hidden>
Kids Mental Health Info.com. (n.d.). What are evidence-based practices (Links to an external site.)? Child Health and Development Institute of Connecticut. <link is hidden> /> Mental Health America. (2020). Position statement 12: Evidence-based healthcare (Links to an external site.). MHA. <link is hidden>

Clinical decision-making models

Examine clinical decision-making models and Investigate healthcare coding systems
Identify key assessments that have the potential to impact the patient’s decision-making
Explore scholarly literature relative to patient care decision-making requirements
Integrate key concepts from clinical decision-making models to develop a personal approach to clinical decision-making
Test selected clinical decision-making models with hypothetical clinical scenarios

Selecting an instrument to measure a diagnosis of ADHD for either adult or pediatric

You are tasked with selecting an instrument to measure a diagnosis of ADHD for either adult or pediatric

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.

Instructions:

Instrument/ Tool criteria:

For each assessment, you are tasked with selecting, you will identify an instrument and:

List what DSM diagnosis the tool/instrument is used for.
Identify an assessment/diagnosis instrument.
Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice.
Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis.
Discuss the psychometrics/scoring of the instrument, including reliability and validity.
Discuss any limitations associated with the use of the instrument.

Components of trauma-informed care

What are the main components of trauma-informed care? Why is the ACEs model of screening so important in primary care and psychiatric mental health care for ALL patients?

instructions:

Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be substantive, containing a minimum of 250 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source.
Review the article related to the ACEs study: Hilgen Bryan, R., DNP, AGNP. (2019, February 01). Getting to why: Adverse childhood experiences’ impact on adult health (Links to an external site.). The Journal for Nurse Practitioners, 15(2). p153-157. <link is hidden> />
Review Tool Kit: Aces Aware. (2020). Provider toolkit (Links to an external site.). State of California Department of Health Care Services. <link is hidden> />

Required Reading

Office of Disease Prevention and Health Promotion. (2020). Mental health and mental disorders (Links to an external site.). Healthy People 2020. <link is hidden> /> Office of Disease Prevention and Health Promotion. (2019). Social determinants of health (Links to an external site.). Healthy People 2020. <link is hidden> /> Centers for Disease Control and Prevention. (2019). Social determinants of health: Know what affects health (Links to an external site.). US Department of Health and Human Services. <link is hidden> /> Deferio, J. J., Breitinger, S., Khullar, D., Sheth, A., & Pathak, J. (2019, April). Social determinants of health in mental health care and research: A case for greater inclusion (Links to an external site.). Journal of the American Medical Informatics Association, 26(8-9), 895–899
Research Gate. (2014, August). Social determinants of mental health (Links to an external site.). International Review of Psychiatry 26(4). <link is hidden> /> Med Portal. (2020). Social determinants in child mental health (Links to an external site.). McMaster University. <link is hidden> /> Lund, C., PhD., Brooke-Sumner, C., PhD., Baingana, F., MSc., Breuer, E., MPH., Baron, E.C., MSc. Chandra, P., MD. Haushofer, J., PhD. et al. (2018, April 1). Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews (Links to an external site.). The Lancet 5(4), 357-369.
Thomas-Henkel, C. & Schulman, M. (2017). Screening for social determinants of health in populations with complex needs: Implementation considerations (Links to an external site.). <link is hidden> /> Center for Health Care Strategies, Inc. (2017). AccessHealth Spartanburg: Social determinants screen tool (Links to an external site.). <link is hidden> /> Centers for Medicare & Medicaid Services. (n.d.). The accountable health communities health-related social needs screen tool (Links to an external site.). <link is hidden> /> American Academy of Family Physicians. (2018). Three tools for screening for social determinants of health (Links to an external site.). <link is hidden> /> American Academy of Family Physicians. (n.d.). Social needs screening tool (Links to an external site.). <link is hidden>

Model used to initiate behavioral changes

Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes?