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On October 31, 1963 President John F. Kennedy signed into law the Community Mental Health Act (also known as the Mental Retardation and Community Mental Health Centers Construction Act of 1963). It was the last piece of legislation JFK signed before his assassination. For millions of Americans, JFK's final legislation ended the nightmare of being warehoused in institutions and opened the door to a new era of hope and recovery—to a life in the community. The auspicious occasion of the 50th anniversary will appropriately parallel a sustained effort by the Heart and Soul of Change Project to reach those in public behavioral health (PBH). This is the first question of a series of Q and As about public behavioral health and implementation of PCOMS. Mary Haynes wrote this piece about PCOMS, medical necessity, and the "golden thread."
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Presentation by Dr. Bruce Wampold about how the outcome and quality of psychotherapy can be improved by adding common factors to the treatment. Wampold documents the lack of difference in outcome between competing treatment methods AND the relatively large contribution made by common factors to outcome.
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In this second of the series of questions and answers about the Partners for Change Outcome Management System and the challenges of public behavioral health, Mary Haynes, Ph.D. tackles cancelations and no shows and discusses how PCOMS can have a positive impact on missed appointment rates. For more information, visit the Public Behavioral Health page at www.heartandsoulofchange.com
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In these slides, Dr. Wolfgang Lutz summarizes his research on why, when, and how people change in response to treatment services.
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A figure illustrating what meta-analytic research suggests about the factors running across all therapies that account for change in psychotherapy. From On Becoming a Better Therapist, 2nd Edition by Barry Duncan published by APA (2014).
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The April 2015 issue of the Carlat Psychiatry Report, an unbiased report/review of "all things psychiatric." The issue contains a lengthy interview with Dr. Scott Miller on the subject of top performing clinicians.
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Bipolar Therapy Client of Korean Descent/Ancestry Decision Point One B Begin Risperdal 1 mg orally BIDegin Risperdal 1 mg orally BID RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Client is accompanied today by her mother who must help the client into your office, the client looks very sedated and lethargic Client's mother explains that “she has been like this since about a week after the last office visit” Decision Point Two RESULTS OF DECISION POINT TWO Discontinue Risperdal and start Lithium sustained release 300 mg orally BID Client returns to clinic in four weeks Client no longer lethargic after the end of the first week Client has a slight decrease in her Young Mania Rating Scale (from 22 to 19) Client reports that her sleep is again decreasing, but that overall, she is happy Decision Point Three Make no changes at this time & reevaluate in 4 weeks Guidance to Student Recall that the client is of Korean descent and is positive for CYP2D6*10 allele. As a result, she may be demonstrating slower clearance of Risperdal from her system, resulting in higher than normal levels of Risperdal in the blood, resulting in sedation. The client responded well to the discontinuation of Risperdal and after about a week of drug cessation, she was no longer lethargic/sedate. However, in the following 3 weeks, she had experienced increased symptoms, although a slight improvement in YMSR score was noted. You could make no changes at this time and allow the lithium to remain at its current dose for an additional 4 weeks and reassess. Conversely, you can increase the lithium to 450 mg orally BID and then reassess in 4. The additional milligrams may hasten mood stabilization. Risperdal 0.5 mg orally BID may be appropriate if the clients’ symptoms are worsening, however, you would need to have the client return to the office sooner than 4 weeks for an interim visit to assess effects of drug and presence of somnolence/lethargy. Rubric Detail Select Grid View or List View to change the rubric's layout. Content Name: NURS_6630_Week5_Assignment_Rubric Grid ViewList View Excellent Point range: 90–100 Good Point range: 80–89 Fair Point range: 70–79 Poor Point range: 0–69 Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Points: Points Range: 9 (9%) - 10 (10%) The response accurately, clearly, and fully summarizes in detail the case for the Assignment. The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient. Feedback: Points: Points Range: 8 (8%) - 8 (8%) ...
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Aims: To have increased awareness of the factors that affect an individuals readiness to change. To explore the theoretical models that underpin change behaviour To develop awareness of skills and strategies to support individuals and their families.
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Write a 4-6 page evidence-based patient-centered care report on the patient scenario presented in the Evidence-Based Health Evaluation and Application media piece. Base your report on the information provided by the traumatic brain injury expert from the population health improvement initiative (PHII) described in the media activity and your own evidence-based research on this population health issue. In this assessment, you will apply evidence-based practice in patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach for a personalized patient care plan, and determine which aspects of the approach could be applied to similar situations and patients. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply evidence-based practice to plan patient-centered care. Evaluate the outcomes of a population health improvement initiative. Develop a personalized patient care plan that incorporates lessons learned from a population health improvement initiative. Competency 2: Apply evidence-based practice to design interventions to improve population health. Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence. Competency 3: Evaluate outcomes of evidence-based interventions. Propose an evaluation strategy for the outcomes of personalized patient care plan and determine what aspects of the approach could be applied to similar situations and patients. Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. Identify the level of evidence and describe the value and relevance it brings to personalized care for your patient. Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. Write clearly and logically, with correct grammar and mechanics. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Scenario The charge nurse in your clinic has contacted you to assume primary care for a patient and develop a plan for follow-up care. The plan should be personalized for him based on evidence-based research provided by a community expert as well as your own research on the condition. You will also be challenged to determine which aspects of the traumatic brain injury (TBI) approach could be applied to similar situations and patients. Your Role You are a nurse who has been requested to provide primary patient care, including a follow-up care plan. You will revisit the interview with the community TBI expert and prepare a personalized health pl.
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COMMENT----- “”I am returning this assessment to with a non-performance score because it is missing the required pre approved capstone project with the submission. Please resubmit the scholarly paper with the capstone project. I apologize for any misunderstanding of the course requirements””” DIRECTIONS: Develop an intervention (your capstone project), as a solution to the patient, family, or population problem you've defined. Submit the proposed intervention to the faculty for review and approval. This solution needs to be implemented (shared) with your patient, family, or group. You are not to share your intervention with your patient, family, or group or move on to Assessment 5 before your faculty reviews/approves the solution you submit in Assessment 4. In a separate written deliverable, write a 5-7 page analysis of your intervention. Please submit both your solution/intervention and the 5-7 page analysis to complete Assessment 4. Preparation In this assessment, you’ll develop an intervention as a solution to the health problem you’ve defined. To prepare for the assessment, think about an appropriate intervention, based on your work in the preceding assessments, that will produce tangible, measurable results for the patient, family, or group. In addition, you might consider using a root cause analysis to explore the underlying reasons for a problem and as the basis for developing and implementing an action plan to address the problem. Some appropriate interventions include the following: ● Creating an educational brochure. ● Producing an educational voice-over PowerPoint presentation or video focusing on your topic. ● Creating a teaching plan for your patient, family, or group. ● Recommending work process or workflow changes addressing your topic. Instructions Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval. Part 1 Develop an intervention, as a solution to the problem, based on your assessment and supported by data and scholarly, evidence-based sources. Incorporate relevant aspects of the following considerations that shaped your understanding of the problem: ● Leadership. ● Collaboration. ● Communication. ● Change management. ● Policy. ● Quality of care. ● Patient safety. ● Costs to the system and individual. ● Technology. ● Care coordination. ● Community resources. Part 2 Submit your proposed intervention to your faculty for review and approval. In a separate written deliverable, write a 5–7 page analysis of your intervention. ● Summarize the patient, family, or population problem. ● Explain why you selected this problem as the focus of your project. ● Explain why the problem is relevant to your professional practice and to the patient, family, or group. In addition, address the requirements outlined below. These requirements correspond to the scoring guide crite ...
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Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you. Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff's perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes. Show More Toggle Drawer Context The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Nurses and other health professionals with specializations and/or interest in the condition, disease, or the selected issue are your target audience. Toggle Drawer Questions to Consider As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. Show More Toggle Drawer Resources Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Capella Resources Capella provides a thorough selection of online resources to help you understand APA style and use it effectively. APA Module . Show More Assessment Instructions Preparation You have been asked to prepare and deliver an analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your target audience consists of .
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Nursing process
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EXECUTIVE SUMMARY Client’s requirement: Panion Project seeks to address the optimal performance of care workers in Canada and the USA by ensuring better access to quality care. ……………………………… Introduction Healthcare happens to be the concern of every facet of humanity and for this reason, the Panion project is of great interest and relevance to every community where it exists. At some point in our lives, we have found ourselves, or a family member, or a colleague, or friends needing medical attention, and we all desire that this health/medical situation be treated with the utmost care, skill, professionalism, and acceptable standard. It would therefore be interesting to render our professional knowledge towards providing valuable information, analyzing potential challenges and opportunities, improving the system and methods to optimize the desired outcome of the Panion project. A lot of factors that undermine the performance of care workers as identified by the client are but are not limited to; · The mismatch between job specification and care worker’s attributes. · The huge commission charged by health care agencies. · Poor compensation and benefits packages, · Long distances are often required to deliver service to health-seeker, · Absence of incentives for skill enhancement and career development. Scope: Having identified the problems that increased employee turnover in health care services, the Panion project seeks to address these problems and also increase employee retention by using employees retention strategies and tools like training, employee engagement, and development, benefits, and other employee capacity building skills. Speak up… • If you don’t understand something or if something doesn’t seem right. • If you speak or read another language and would like an interpreter or translated materials. • If you need medical forms explained. • If you think you’re being confused with another patient. • If you don’t recognize a medicine or think you’re about to get the wrong medicine. • If you are not getting your medicine or treatment when you should. • About your allergies and reactions you’ve had to medicines. Pay attention… • Check identification (ID) badges worn by doctors, nurses and other staff. • Check the ID badge of anyone who asks to take your newborn baby. • Don’t be afraid to remind doctors and nurses to wash their hands. Educate yourself… • So you can make well-informed decisions about your care. • Ask doctors and nurses about their training and experience treating your condition. • Ask for written information about your condition. • Find out how long treatment should last, and how you should feel during treatment. • Ask for instruction on how to use your medical equipment. Advocates (family members and friends) can help… • Give advice and support — but they should respect your decisions about the care you want. • Ask questions, and write down important information and instructi ...
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to a
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to a
BetseyCalderon89
Providence- Peers in the Workforce
Providence- Peers in the Workforce
Kimberly Miller
Mental Health care Opportunites
Community providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profit
Direct Healthcare Access II
Similar to Behavioral Health Outcomes
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ACCA PM and OM.pptx
ACCA PM and OM.pptx
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Chcpol501 a session five 250311
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Clinical Decision Making
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Presentation on Teamwork for Avoiding Potentially Avoidable Readmissions
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Bipolar TherapyClient of Korean DescentAncestryDecision
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Practical hints and tips for assessing readiness to change - Dr Bronwen Bonfield
Nursing process, Nursing Diagnosis
Nursing process, Nursing Diagnosis
APS and Measurement (ICAP Annual Meeting 2007)
APS and Measurement (ICAP Annual Meeting 2007)
Nursing assessment
Nursing assessment
nursingassessment-210401082354.pdf
nursingassessment-210401082354.pdf
Write a 4-6 page evidence-based patient-centered care report on .docx
Write a 4-6 page evidence-based patient-centered care report on .docx
Nursing Process
Nursing Process
COMMENT-----”I am returning this assessment to with a non-p
COMMENT-----”I am returning this assessment to with a non-p
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Counselling Psychotherapy with Children and Young People
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Organizational Effectiveness in Healthcare
Deliver a 5–7-page analysis of an existing quality improveme.docx
Deliver a 5–7-page analysis of an existing quality improveme.docx
Nursing process
Nursing process
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to a
EXECUTIVE SUMMARYClient’s requirement Panion Project seeks to a
Providence- Peers in the Workforce
Providence- Peers in the Workforce
Community providers presentation__june_16,_2010 non profit
Community providers presentation__june_16,_2010 non profit
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Behavioral Health Outcomes
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Outcomes Pilot Proposal
Integrating Behavioral Health Outcomes Into Routine Practice Kaiser Permanente Behavioral Health Department
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Clinical Support Tools
Decision Tree
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