NURS FPX 4065 Assessment 2

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Name

Capella university

NURS-FPX4065 Patient-Centered Care Coordination

Prof. Name

Date

Preliminary Care Coordination Plan for Adult Mental Health Patients in an Acute Care Setting

This care coordination plan focuses on patients with mental health disorders receiving treatment in acute settings. The goal is to integrate physical, cultural, and psychosocial considerations into care delivery while using evidence-based practices and community resources to enhance patient outcomes.

Physical Considerations and Best Practices

Risks

Adults with serious mental health disorders are at greater risk of developing chronic illnesses such as cardiovascular disease, diabetes, and respiratory conditions. Research indicates that individuals with severe mental illness often experience a reduced life expectancy—approximately 15 to 20 years shorter than the general population (Nielsen et al., 2021). These risks highlight the importance of integrating physical health monitoring into psychiatric care.

Best Practices

To address these risks, healthcare providers should:

Mental Illness

Mental illness involves significant disruptions in mood regulation, cognition, or behavior due to impairments in biological, developmental, or psychological processes. These disorders often cause substantial distress and impair social, professional, and daily functioning (Stein et al., 2021).

• In the U.S., approximately one in five adults experiences a mental health disorder each year.
• In Florida, nearly 2.8 million adults are affected by mental health conditions.
• In 2021, 40.9% of adults in Florida reported depression and anxiety symptoms (NAMI, n.d.).

These statistics emphasize the need for comprehensive care coordination strategies to improve mental health outcomes.

Cultural Considerations and Best Practices

Cultural beliefs, traditions, and stigma often discourage individuals from seeking mental health treatment. Misconceptions about psychiatric illness may further delay diagnosis and intervention.

Best Practices for Cultural Competence

Psychosocial Considerations and Best Practices

Psychosocial considerations include emotional well-being, behavioral stability, and social relationships. These factors influence how patients handle stress, interact socially, and make decisions.

Evidence-Based Interventions

Underlying Assumptions and Uncertainties

• It is assumed that MBCT and lifestyle modifications will be effective across diverse patient populations.
• It is assumed that culturally sensitive care will consistently reduce stigma.
• There is uncertainty regarding how well holistic care can be implemented in acute settings due to staffing, time, and financial constraints.
• Effectiveness of stigma-reduction efforts may vary across cultural groups.

SMART Goals

1. Weekly MBCT Sessions Implement weekly MBCT sessions for adult patients with depression in Florida. Goal: achieve a 40% reduction in depressive symptoms measured by PHQ-9 scores within six months.

2. Culturally Tailored Education Conduct biweekly educational sessions designed to reduce stigma and improve understanding of mental illness. Goal: achieve a 60% improvement in mental health awareness as measured by pre- and post-surveys within six months.

Community Resources

References

Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus. https://doi.org/10.7759/cureus.39549

Care Resource. (2025). Behavioral health. Care Resource. https://careresource.org/services/behavioral-health/

Caron Florida. (2024). Mental health program. Caron Transformational Care. https://www.caron.org/treatment-programs/mental-health-program

Gkintoni, E., Vassilopoulos, S. P., & Nikolaou, G. (2025). Mindfulness-based cognitive therapy in clinical practice: A systematic review of neurocognitive outcomes and applications for mental health and well-being. Journal of Clinical Medicine, 14(5), 1703. https://doi.org/10.3390/jcm14051703

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Koomen, M., van, J., Deenik, J., & Cahn, W. (2022). Lifestyle interventions for people with a severe mental illness living in supported housing: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 966029. https://doi.org/10.3389/fpsyt.2022.966029

Marmarosh, C. L., Sandage, S., Wade, N., Captari, L. E., & Crabtree, S. (2022). New horizons in group psychotherapy research and practice from third wave positive psychology: A practice-friendly review. Research in Psychotherapy: Psychopathology, Process and Outcome, 25(3), 643. https://doi.org/10.4081/ripppo.2022.643

MHACF. (2025). About us. Mental Health Association of Central Florida. https://mhacf.org/learn-more/

NAMI Florida. (2025). Mission. National Alliance on Mental Illness Florida. https://namiflorida.org/about-nami-florida/mission/

National Alliance on Mental Illness. (n.d.). Mental health in Florida. National Alliance on Mental Illness. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Nielsen, R. E., Banner, J., & Jensen, S. E. (2021). Cardiovascular disease in patients with severe mental illness. Nature Reviews Cardiology, 18(2), 136–145. https://doi.org/10.1038/s41569-020-00463-7

Stein, D. J., Palk, A. C., & Kendler, K. S. (2021). What is a mental disorder? An exemplar-focused approach. Psychological Medicine, 51(6), 894–901. https://doi.org/10.1017/S0033291721001185