NURS FPX 4065 Assessment 2

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Student Name

Capella University

NURS-FPX4065 Patient-Centered Care Coordination

Prof. Name:

Date

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

Physical Considerations and Best Practices

Risks

Adults living with severe psychiatric disorders face a significant burden of physical health complications. They are at increased risk of developing chronic illnesses such as cardiovascular disease, type 2 diabetes, and respiratory conditions. On average, individuals with long-term psychiatric illnesses may live 15–20 years less than the general population (Nielsen et al., 2021).

These disparities stem from several factors, including limited access to preventive healthcare, socioeconomic challenges, poor nutrition, high smoking rates, and adverse side effects of psychiatric medications. Without timely intervention, these risks compromise treatment adherence and long-term well-being.

Best Practices

Healthcare professionals in acute settings should integrate physical health monitoring and lifestyle interventions into coordinated care plans.

Intervention – Routine Physical Health Checks Details – Monitoring body mass index (BMI), blood pressure, lipid levels, blood glucose, and smoking status.

Intervention – Lifestyle Interventions Details – Incorporating smoking cessation support, physical activity programs, and nutritional counseling. Evidence shows that structured lifestyle modifications improve both mental and physical health outcomes (Koomen et al., 2022).

Embedding such practices ensures that patients’ physical and psychological needs are addressed together, reducing premature mortality.

Mental Illness

Definition

Mental illness refers to clinically diagnosable disturbances in cognition, mood, or behavior that arise from biological, psychological, or developmental dysfunctions (Stein et al., 2021). These conditions disrupt daily life, impairing work performance, relationships, and emotional stability.

Prevalence and Impact

Nationally, one in five U.S. adults experiences a mental health condition annually (SAMHSA, 2023). In Florida alone, approximately 2.89 million adults live with mental illness (NAMI, n.d.), and by 2021, 40.9% reported experiencing symptoms of depression or anxiety. These statistics underscore the urgency for preventive care, prompt intervention, and structured treatment models to improve outcomes.

Cultural Considerations and Best Practices

Barriers

Cultural stigma, misconceptions about psychiatric illness, and reliance on traditional or spiritual healing practices often hinder individuals from seeking formal mental health care. Without cultural sensitivity, healthcare delivery may be perceived as misaligned with patient values, leading to reduced treatment adherence.

Best Practices

Practice – Culturally Adaptable Care Application – Incorporating patients’ cultural traditions, beliefs, and values into treatment planning helps build trust and enhances compliance (Ahad et al., 2023).

Practice – Culturally Competent Education Application – Delivering awareness programs through workshops, peer-led initiatives, and culturally relevant materials reduces stigma and encourages help-seeking (Ahad et al., 2023).

By embedding cultural responsiveness into care coordination, healthcare systems improve inclusivity, engagement, and treatment outcomes.

Psychosocial Considerations and Best Practices

Psychosocial health plays a central role in recovery, influencing coping skills, emotional stability, and social connectedness. Integrating psychosocial interventions into care planning enhances resilience and reduces relapse rates among individuals with severe mental illness.

Practice – Psychological Interventions Application – Mindfulness-Based Cognitive Therapy (MBCT) blends cognitive restructuring and mindfulness strategies, reducing relapse rates in depression (Gkintoni et al., 2025).

Practice – Emotional Support and Coping Application – Relaxation practices such as yoga, meditation, and breathing exercises enhance emotional regulation and stress management.

Practice – Group Psychotherapy Application – Peer support groups encourage empathy, trust, and social reintegration, which strengthens recovery outcomes (Marmarosh et al., 2022).

Underlying Assumptions and Uncertainties

• MBCT and lifestyle interventions are assumed to benefit the majority of psychiatric patients.
• Culturally sensitive care is presumed to reduce stigma and promote participation.
• Uncertainty persists regarding the universal effectiveness of stigma-reduction initiatives across diverse cultural contexts.
• Implementation challenges include workforce shortages, financial constraints, and limited availability of resources within acute health systems.

SMART Goals

Goal 1: Implement weekly MBCT sessions in Florida acute care settings, aiming for a 40% improvement in PHQ-9 depression scores within six months.

Goal 2: Conduct biweekly culturally tailored workshops to reduce stigma and improve mental health literacy, with a target of a 60% improvement on pre- and post-program survey results within six months.

Community Resources

Organization – Mental Health Association of Central Florida (MHACF) Services Offered – Free counseling, education programs, peer-led support, and referrals. Contact Information – Phone: 407-898-0110 | Address: 605 E Robinson St., Suite 450, Orlando, FL 32801 (MHACF, 2025).

Organization – Caron Florida Services Offered – Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), medication management, and individual or family therapy. Contact Information – Phone: 1-855-548-0352 | Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024).

Organization – NAMI Florida Services Offered – Advocacy, peer support, community education, and awareness programs. Contact Information – Phone: 850-671-4445 | Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025).

Organization – Care Resource Services Offered – Sliding-scale fee counseling, HIV/behavioral health programs, and free services for uninsured individuals. Contact Information – Phone: 305-576-1234 | Address: 3510 Biscayne Blvd, Miami, FL 33137 (Care Resource, 2025).

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

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

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

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

Mental Health Association of Central Florida. (2025). About us. 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. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf

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

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). Key substance use and mental health indicators in the United States: Results from the 2022 National Survey on Drug Use and Health. U.S. Department of Health and Human Services. https://www.samhsa.gov/data/

World Health Organization. (2023). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response