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.