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Monday, January 28, 2019

Health Advocacy Campaign Essay

n early(a)ness protagonism Campaign Fighting affable Illnesses peerless Day at A Time Millions of Ameri so-and-sos be displaceed by amiable sanitaryness distemperes. As a def windup I understand that intellectual wellness illnesses harbor no respect of person. The National Alliance on Mental Illness reported that rough 61.5 million Americans argon touched by rational illness in a given year, and almost 13.6 million individuals live with a honest intellectual illness much(prenominal) as schizophrenia, printing, or bipolar disturb (National Alliance on Mental Illness, 2013). http//www.nami.org/factsheets/genialillness_factsheet.pdf. promote, data revealed that 20 share of younker ages 13 to 18 long time old piddle screwd unspeakable mental disorders indoors a given year, and about 13 percent of these populations are paediatrics perseverings that range betwixt the ages of ages 8 to 15 age old.The United States spends nearly $193.2 billion per year on mental wellness diseases (NAMI, 2013) proving that mental health illnesses are a major habitual health concern. Crises around the world have caused a great shift in the efforts to promote nearlyness within communities. Public health priorities are much geared towards communities working together to combat the devastating tragedies that continue to affect m both schools and communities within the United States. It has been estimated that by the year 2020 depression leave be the second largest killer, and m some(prenominal) communities and schools have already begin to experience the horrific repercussions. in that locationfore, the purpose of this paper is to develop a health advocacy campaign that give more readily identify mental health illnesses as well as explore realistic methods to promote policies as well as amend friendship health outcomes. Population health Issue and Population Affected first gear is a chronic medical examination condition that affects the room in which individuals feel, think, and behave. At some time in every individuals life ruefulness give be experienced however, depression is far more serious. Depression is a lifelong disorder that requires on-going medical manipulation. Yearly, depression affects approximately 9.5 percent of the United States big(a) population, just the paediatric population has recently been identified as the fastest maturement population diagnosed with clinical depression (Uplift Program, 2004). http//www.upliftprogram.com/depression_stats.htmlstatistics.Research has found that depression stems from trauma, nerve-wracking life situations, and environmental exposures. Even though genetics may be a factor, depression episodes are usu wholey trigged by some casing of upsetting or traumatic event. The National Institute of Mental wellness (NIMH) estimates that approximately 11 percent of adolescents are diagnosed with a depressive disorder by age of 18 years old (National Institute of Ment al wellness, 2014), which seems rather alarming because depression is not easily recognized in pediatric populations. Although, if close attention is paid changes can be noted in general interaction with peers such as increased irritability, anger, aggression, social isolation, and secondary self-esteem.Most recently there have been an change magnitude number in school shootings. Although, all the shooters except one have committed felo-de-se the assumed causes have been linked to some type of traumatic nerve-wracking situation such as bullying or exposure to stricken violence. Research effected by psychiatrist Meena Vythilingam found that extreme form and trauma has effects on portions of the brain leading to improper execution of the bodys memory and control of emotions. ( cite article ) When mental illnesses are left untreated serious impairment in effortless functioning occurs. Therefore, early imbueings and treatments in pediatric populations are essential. Nature N euroscience 5, 1242 1247 (2002) produce online 15 October 2002 doi10.1038/nn958Smaller hippocampal volume predicts pathologic vulnerability to mental trauma Mark W. Gilbertson1, 2, Martha E. Shenton2, 3, 4, Aleksandra Ciszewski4, Kiyoto Kasai4, Natasha B. Lasko1, 2, 5, Scott P. Orr1, 2, 5& Roger K. Pitman2, 5 Advocacy Programs Researched in this AreaAdvocacy programs researched in mental health disorders include the Depression and Bipolar Support Alliance. The DBSA is an impactful formation that purposes a multitude of support groups for young and enceintes without the United States. The DBSA has multiple chapters and networks located within each narrate and are besides tech savvy. Support function can be entrance feeed through the web in real time therefore, participants can tie concussions virtually and partake in the on-going support and promotion of wellness and recovery. The major benefits of DBSA are to enhance wellness by helping individuals that hurt fr om depression look at the positivity that life can offer understanding that with treatment and recovery one can live a life of joy and happiness. Additionally, the program offers a 4 calendar week escape titled aliveness Successfully with a Mood Disorder that can be facilitated by assists within communities as efforts to teach individuals how to live healthy, full, substantive lives while living with a mental health disorder. set aheadmore, if there is any reason an individual cannot attend their community facilitated session on Living successfully with a Mood Disorder the DBSA offers online courses as a way of reaching as many individuals as viable. To date the DBSA have authentic a strategic plan which remolded their vision for wellness for individuals living with musical mode disorders as well as set innovative values that are established to support their direction of moving forward. http//www.dbsalliance.org/site/PageServer?page spot=home inverted comma The National Alli ance on Mental Illness is an some other organization that advocates for community support and recovery of mental health disorders. NAMI has become know as one of the most popular organizations for keep and advocating for mental illness throughout United States worldwide.The organization prides itself on its committedness to campaigning for access to services, treatment, and continuing research as they raise community awareness for individuals in need. Because NAMI understands the damaging and devastating effects that mental illnesses can create within communities the organization works diligently to make sure lives are relieve fooling. Furthermore, NAMI has also been a big influence politically. They have do issue investment in lifesaving research and have rallied for the equality of mental health apportion. Additionally, the organization prides itself on successfully addressing the stigmas of mental illnesses through social media and spot educational programs that can be vi ewed as symbols of help and hope for communities, families, and individuals. Promoting public awareness go forth always be their main objective as they passionately work to guarantee supreme outcomes for all American jejuneness and adults.Effective Attributes of the ProgramsTo date both programs are currently meeting todays social needs, outreaching through social media, as well as having tangible advocate that can be contacted for support and help in times of need. There compassion and commitment to increasing and promoting community awareness have included outreach efforts worldwide. Moreover, NAMI has even further extended their efforts to address the challenges of our changing world through supporting virtual communities of help and hope to millions through social media impart such as Facebook, Twitter, Instagram and their very own website titled NAMI.org. health Advocacy Planharmonize to the U.S. Surgeon General 11 percent of early days have been diagnosed with a ment al health illness and more alarming statistics reveals that two-thirds of Americas youth who have a condition have not been identified nor have they received mental health services (Cite http//www.mentalhealthamerica.net/legislative-priorities). My health advocacy plan focuses on the early identification, treatment, and recovery of mental health illnesses within pediatric populations proposing a insurance policy increment to the Mental Health Awareness and Improvement Act of 2013 (S. 689). Currently the Act addresses the unpolished mental health crises from an educational and public health pedestal. The educational standpoint focuses on promoting school-wide prevention through the development of positive behavioral supports and support school-based mental health partnerships.The public health standpoint focuses on self-annihilation prevention, helping children recover from traumatic events, mental health awareness for teachers and other individuals, and assessing barriers to integrating behavioral health and prime fearfulness ( cite). In addition to the current Act there needs to be an increase in efforts towards earlier identification of behavioral and emotional problems so that appropriate referrals for mental health can be assessed as early as attainable facilitating ongoing learn up burster and treatment for identified disorders. Efforts will include screening pediatric patients ages 3 to18 years for during well child exams. Local Health Departments, Pediatric offices, and Family Care Practices should be required to utilize The Pediatric Symptom Checklist (PSC-17) screening tool during well child exams. The PSC-17 screening tool which is recommended by the AAP will be completed by the parent or adult that the child lives with if the child is between ages 3 to 11 years old. Children between the ages of 12 to 18 years will complete to form by themselves with parental supervision.It will be explained to parents/adults and teenages that the en actment of the Affordable Care Act have encouraged a greater focus on preventive screenings therefore, the visit today will encompass a comprehensive level of care that includes screenings to identify any chance factors that children may be subjected too. Parents/adults and teens will further be furnishd with put right directions on how to complete the form to determine the childs fortune for mental health problems in three different categories. The form will then be assessed and evaluated by the Physician/ practitioner or Registered support based on the parents/adults or teens responses, determining the childs endangerment and further needs for evaluation of care. If results are within normal limits the parents/adults and teen will be provided with positive reinforcements however, if the results are abnormal the Physician/Practitioner will provide positive reinforcements along with a referral if the parent/adult consents for further evaluation and ongoing care by a pediatric psychiatrist.Additionally, because we have a team of school nurses that work directly with children daily within the school carcasss this tool will further be utilised to recognize cognitive, emotional, and behavioral problems so that a greater percentage of the pediatric populations are reached and screened. In efforts to address ongoing follow up care and treatment, collaboration has been established with a local outpatient mental health and rehab nitty-gritty that provides comprehensive services to children and adults. All positive results and referrals will be forwarded and communicated with a designated nurse at the outpatient center and contact will be made with families from the designated nurse within 1-2 business days. The two entities which are the Richland Public Health Department and Catalyst Life Services will maintain ongoing communication regarding the childs and families continuing progress, along with providing and directing essential resources as the needs arise .Objectives for the Policy ImplementedBy January 1, 2015 at the end of the childs well child visit parents or the adult that the child is living with will understand the significance and importance of early screening for pediatric depression and ongoing services if needed. By January 1, 2015 all children screening positive for depression will receive ongoing treatment and services that are evidence based incorporating therapeutic knowledge that is secern to each childs specific needs within 30 days from the initial well child visit.By January 2015, Yearly well child exams will be scheduled and kept by the parents with monitor calls and/or letters sent out in the mail 30 days before scheduled appointment, then again 1 week before scheduled appointment. By January 2015, Communication between RPH and Catalyst regarding perspective/progress updates will be documented in the childs EMR every other month documenting how the child and family are doing with treatment and follow up ca re. Data and Evidence to Substantiate Proposed Need http//jpepsy.oxfordjournals.org/content/37/3/348.full citationIn a 2011 study publish in the Journal of Pediatric Psychology many physicians cited several barriers as reasons for not assessing and screening pediatric patients for psychosocial concerns, with the biggest barrier being time constraints. The study also found that during a National survey 29-50% of parents reported that their childs pediatrician was not screening their child/children for mental health issues or concerns. So, the AAP has been diligent, formulating and designing a pediatric symptom checklist scoring tool that has a moderate to high sensitivity and specificity in efforts to address cited barriers for physician neglecting to screen pediatric populations during well child exams. The PSC-17 checklist and screening tool is a quick, easy, and in effect(p) way to identify cognitive, emotional, and behavioral which facilitates the initiation of interventions as soon as possible for identified mental health problems.Another study published in the American Academy of Pediatrics found that pediatricians and other primary care clinicians have only focused their attention on meeting the primary care needs of the child, forgoing evaluation of mental health disorders. The article further explored the values of the AAP policy statement which addresses the importance of alter pediatric populations health services as well as community services. Researched data has revealed that mental health concerns not only exist within the child, but includes all aspects of the childs life such as family, school, community, and many other exposures they child may be vulnerable to. With the increasing number of school shootings communities as well as primary care providers have shown an interested in advocating and enhancing mental services within communities as well as outreaching and forming partnerships with local mental health agencies, community health activists, child protective and juvenile justice, local health departments, and schools.Improving patients health outcomes by shifting the health care system towards quality over quantity is imperative. Section 2713 titled Coverage of impediment Health Services requires all healthcare plans to cover preventive services, as well as pediatric preventive services and screenings recommended by the Health Resources and Services Administration. HRSA works in connection with the U.S. Department of Health and mankind Services, whose main goal is improving access to health care by strengthening the health care workforce, building healthy communities, and achieving health paleness (Health Resources and Services Administration, 2014). Therefore, HRSA provides grants to multiple organizations as efforts are implemented towards improving and expanding health care services for underserved communities throughout the United States.How Attributes of Effective Advocacy Programs Researched stand B e Applied to this Proposed CampaignAttributes of effective advocacy programs researched can be applied to the proposed campaign by networking and outreaching with organizations and individuals that share the same compassion and commitment towards increasing and promoting community awareness about mental health illnesses. Further attributes include creating partnerships that fosters marketing skills that capitalize on combining resources to increase greater support and power than on organization would have alone. The DBSA and NAMI also have multiple chapters and networks located within each state therefore, the utilization of sure organization could also be utilized as conglomerates for regular contact, name recognition, and credibility in efforts to promote ongoing care and support of wellness and recovery through screening pediatric population.Legal ConsiderationsAll nurses should be familiar with the basic legal concepts of nursing pattern acts and laws. Nursing practice is gov erned by many laws therefore, it is essential that nurses assume accountability for their professional nursing judgments and actions.Enactment of Policy through Modification of Existing Policy OR Creation of New LegislationPolicies to address the mental health crisis throughout America has become of great concern for todays youth. In April of 2013 the Mental Health Awareness and Improvement Act of 2013 (S. 689) was submitted to Congress to reauthorize and emend programs related to mental health and substance use disorders. Because of the identified risk from 2011 statistical data within my own community (13% of 6th -12th crop youth had seriously considered suicide and 6% of youth had attempted suicide. Further finds found that 265 of youth reported feeling sad or futureless almost every day for two weeks or more which stop them from doing regular activities and 41% of youth reported they would seek help for sadness and 14% did not know where to seek help) professional self-re gulation needs to occur.According to Milstead, legislators may make adjustments to bills during several points of review so it is important that ripe Practice Nurses monitor bills during this process so they can apply influences for positive outcomes ( Milsted, 75). Although, the bill addresses the use of positive behavioral interventions and supports, early intervening services, and school-based mental health programs to improve academic achievement and reduce disciplinary actions (cite https//www.govtrack.us/ relation back/bills/113/s689/text) however, further modifications should be considered to further improve this existing policy.Pediatric screenings for mental health disorders should be mandatory for all office and clinic based physicians/practitioners/providers that provide well child exams to children ages 3 to 18 years old. This will ensure that all pediatric populations are being reached and early identification of behavioral problems can be addressed as soon as possible as efforts to prevent, promote, and protect communities.How Existing Laws or Regulations could Impact My AdvocacyThe unhurried Protection and Affordable Care Act is one law that could positively impact my advocacy. The ACA requires coverage of preventive health services as well as all healthcare plans to cover preventive services such as pediatric preventive services and screenings, which are recommended and supported by the Health Resources and Services Administration. Because the HRSA works in connection with the U.S. Department of Health and Human Services efforts are focused on building healthier communities and achieving health equality.Therefore, the HRSA provides grants to organizations as efforts are implemented towards improving and expanding health care services for underserved communities throughout the United States and as a result, nurses are capable of outreaching and marketing to form relevant political relationships to assist in supporting and backing legisla tion. According to Milsted (p.49) nurses utilize persuasion to achieve desired goals because policy makers not know everything about nursing specialties therefore, nurses can utilize implementation measures to showcase continuous monitoring when reporting progress and ongoing efforts to improve organizational programs. Moreover, the main goal is to report to policy makers what has been contributed and how it has positively affected community health outcomes.

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