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NURS FPX 6218 Assessment 4 Advocating for Lasting Change

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Capella University

NURS-FPX 6218 Leading the Future of Health Care

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Advocating for Lasting Change

Greeting everyone. My name is ——.  I am honored to present to you today a critical initiative aimed at addressing two pressing health needs in our community of Jordan: mental health issues and opioid misuse among adolescents and young adults. As we analyze the challenges facing our community, it becomes evident that proactive measures are essential to safeguard the well-being of our youth and promote a healthier future for all residents.

This discussion will explain the importance of policy and financial support in overcoming the prevailing challenges in the Jordan community. Moreover, the substantial evidence will highlight how these changes will produce positive intended outcomes. I will also share broad budget estimates to assist the proposal financially in procuring adequate capital and human resources. Lastly, I will outline a plan to drive a transformational change supported by an evidence-based strategy of change theory. Let’s discuss each segment one by one.

Key Stakeholders

Before I delve into the main discussion, I would like to highlight the key stakeholders who are the main target groups of this presentation and whose contribution will mark a huge difference in bringing the proposed change within Jordan community. These stakeholders are:

  • Executive Leaders at Vila Health: Your support and commitment to advancing positive change in our healthcare system are invaluable. Your acceptance of the proposed changes signifies a shared dedication to the well-being of our community members.
  • Policymakers: Your leadership and decision-making authority are critical in driving systemic change and allocating resources to address pressing health needs. By garnering your support and advocacy, we can enact policy reforms that will facilitate the implementation of the proposed initiatives.
  • Community Organizations and Agencies: Your engagement and collaboration are essential in ensuring that the proposed changes are effectively implemented and integrated into existing community structures. Together, we can leverage our collective resources and expertise to maximize the impact of these initiatives on the health outcomes of our residents.

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

  • Healthcare Providers: As frontline caregivers, your insights and experiences are invaluable in shaping the design and delivery of healthcare services. Your buy-in and active participation are crucial in ensuring the success of the proposed interventions and improving the quality of care for those in need.
  • Health Educators: Your role in promoting mental health awareness and providing support to students is pivotal in addressing the mental health challenges faced by our youth. By collaborating closely with health educators, we can ensure that mental health services are readily accessible within educational settings, where they can have the greatest impact.
  • Parents and Community Members: Your voices and perspectives are central to our collective efforts to improve the health and well-being of our community. By engaging with parents and community members, we can foster a sense of ownership and investment in the proposed changes, ensuring that they are responsive to the needs and priorities of those we serve.

With a collaborative endeavor, we can cultivate a healthier community in which youth grow with a steady state of mental and physical well-being.

Social Determinants Affecting Health in the Community

Socioeconomic Status

The socioeconomic status of individuals and families in the Jordan community plays a crucial role in determining access to resources and health opportunities. Disparities in income levels and educational attainment have impacted residents’ ability to afford healthcare, access nutritious food, and engage in preventive health behaviors. The presence of food shelves and programs like the Jordan Food Shelf suggests that some residents face challenges in accessing adequate nutrition, highlighting the influence of socioeconomic factors on health outcomes.

Education

Health education is limited within the community of Jordan due to which young generation is indulging in opioid misuse and encountering poor mental health. This is due to a lack of resources to educate community health educators and members to enhance health literacy and improve the psychological and physical health of growing individuals. This determinant of health is taking a toll on parents’ emotional and mental health as they see their children being influenced by bad habits and suicidal thoughts. 

Our proposed healthcare system adequately addresses these determinants of health changes. It provides resources and opportunities to enhance health literacy and provide social support to overcome mental health and opioid misuse issues. 

Synopsis of the Windshield Survey and Environmental Analysis Findings

The windshield survey and environmental analysis of the community of Jordan revealed several positive aspects alongside opportunities for improvement.

Positive Aspects of Jordan Community

The survey highlighted several strengths within the community. Jordan boasts a relatively young and rapidly growing population, with a median age of 29.2 years, indicating a vibrant and dynamic community. Additionally, the presence of educational institutions, including a progressive school district and parochial opportunities, suggests a commitment to the well-being and development of residents. Approximately 70% of graduates pursue post-secondary education, reflecting a culture of learning and skill development among the youth. Moreover, the community exhibits a strong sense of social support networks, with churches, community centers, and recreational facilities providing opportunities for social interaction and support, positively impacting mental health and overall well-being.

Opportunities for Improvement

There are opportunities to strengthen mental health and opioid effective use education initiatives within Jordan by incorporating comprehensive programs into school curricula and community outreach efforts. This will empower individuals to recognize, understand, and address mental health challenges proactively. Creating supportive environments through workshops, seminars, and awareness campaigns can reduce stigma and increase help-seeking behaviors. This will foster a culture of support and empathy within the Jordanian community. Our change proposal will address these areas of opportunity and strengthen the community’s well-being.

Change Proposal Summary

The change proposal aims to tackle the prevalent issues of mental health disorders and opioid misuse among adolescents and young adults in the Jordan community. The proposal advocates for the establishment of mental health centers within educational settings and the implementation of early intervention programs for opioid addiction among young individuals. These initiatives seek to enhance access to mental health services, provide timely support to at-risk individuals, and mitigate the negative consequences of mental health and opioid misuse issues among the youth population.

Critical Components of the Change Proposal

  • Establishment of Mental Health Centers: Collaborating with schools to establish mental health centers within educational areas to provide on-site support and counseling to students by psychologists, psychiatrists, and counselors.
  • Early Intervention Programs: Implementing evidence-based substance abuse, including opioid misuse treatment programs, such as cognitive-behavioral therapy or medication-assisted treatment, to address excessive opioid use among young individuals.
  • Stakeholder Engagement: Engaging organizational stakeholders, including school management, healthcare providers, community organizations, and government agencies, to support and implement the proposed changes effectively.
  • Resource Allocation and Training: Allocating resources for funding, staffing, and infrastructure required for establishing mental health centers and providing training programs for educators and healthcare providers involved in delivering services.

Benefits of the Change to the Community and Stakeholders

Following are the benefits of change that can be brought within the community with effective collaboration with relevant stakeholders in Jordan community:

  • Improved access to mental health services and timely intervention for young adults.
  • Enhanced collaboration between healthcare providers, educators, and community stakeholders.
  • Reduction of stigma surrounding mental illness and substance abuse.
  • Prevention of harmful actions such as suicides and increased incidence of addiction.
  • Improvement in overall health and quality of life for young adults in the Jordan community.

Rationale for Policy and Financial Support

The proposed changes to the healthcare system of the Jordan community require robust policy support to ensure positive, systemic change and the practical overcoming of present challenges. At the core, policy support provides the necessary regulatory framework crucial for implementing changes effectively. This encompasses establishing guidelines, standards, and protocols for the introduction of new programs and services within the healthcare system. For instance, policies can delineate the scope of mental health centers within educational settings and outline the procedures for early intervention programs targeting substance abuse (World Health Organization, 2021).

Moreover, policies dictate resource allocation, including funding distribution and budgetary priorities, which are vital for the success of proposed initiatives. Adequate funding is essential for establishing mental health centers, implementing early intervention programs, and providing necessary training for educators and healthcare providers (Hertelendy et al., 2020). With sufficient financial support, these initiatives can stay on the ground and maintain effectiveness over time. Specific policy changes and funding are needed to:

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

  • Establish and sustain mental health centers within educational settings.
  • Implement evidence-based substance abuse treatment programs.
  • Provide training and professional development opportunities for educators and healthcare providers.
  • Promote awareness and destigmatize mental health and substance abuse issues.
  • Ensure access to care, confidentiality, and legal protections for individuals seeking services. 

Federal policies can provide funding, resources, and guidelines for addressing mental health and substance abuse issues at the national level. This may include grants, legislation, and initiatives aimed at improving access to care and promoting evidence-based practices. State governments play a crucial role in healthcare policy, including licensing and regulation of healthcare providers, Medicaid expansion, and funding for mental health services. Similarly, State policies can support the implementation of local initiatives and programs aimed at addressing community-specific health needs. Additionally, local governments can implement policies and ordinances to support community-based interventions, such as zoning regulations for establishing mental health centers within educational settings, funding for community outreach programs, and partnerships with local service providers.

Assumptions Held by Policymakers

Assumptions held by policymakers, members of the community, or healthcare providers underlying current policy may include:

  • Mental health and substance abuse issues are complex, multifaceted problems requiring comprehensive, multi-sectoral solutions.
  • Early intervention and prevention efforts are more cost-effective and beneficial than reactive approaches (Moroz et al., 2020).
  • Collaboration and coordination among stakeholders are essential for addressing community health needs effectively.
  • Policies should prioritize equity, accessibility, and quality of care for all individuals, regardless of socioeconomic status or background.
  • The stigma surrounding mental illness and substance abuse must be addressed through education, advocacy, and awareness campaigns (Javed et al., 2021).
  • Adequate funding and resources are necessary to support sustainable, evidence-based interventions and programs within the healthcare system (Hertelendy et al., 2020).

Evidence for Proposed Changes

The proposed changes to the healthcare system addressing mental health and opioid misuse among youth in the Jordan community are supported by compelling evidence that they will produce the intended outcomes. Numerous studies and research findings support the effectiveness of integrating mental health services within educational settings. For example, a study by Chambers et al. (2020) demonstrated that engagement in early intervention services significantly improved outcomes for individuals recovering from substance use disorders. Additionally, McGorry et al. (2022) highlighted the positive impact of designing and scaling up integrated youth mental health care models, emphasizing the importance of accessible and integrated services for addressing mental health challenges among youth.

Furthermore, evidence-based substance abuse treatment programs have been shown to effectively reduce opioid misuse and improve outcomes for individuals struggling with addiction. Research by Cheetham et al. (2022) underscores the importance of destigmatizing substance abuse and promoting evidence-based treatment approaches, such as medication-assisted therapy and cognitive-behavioral interventions, in mitigating the opioid epidemic. Similarly, Mueller et al. (2021) emphasized the need for policy changes to address restrictive prescribing practices and increase access to treatment for individuals at risk of opioid misuse.

Moreover, professional development and training programs for educators and healthcare providers have been shown to enhance their capacity to identify and address mental health and substance abuse issues among youth. Studies by Kueper et al. (2022) and Mongelli et al. (2020) highlight the positive impact of training initiatives in improving knowledge, attitudes, and skills related to mental health and substance abuse prevention and intervention. By drawing upon a diverse range of research findings, the proposal strengthens its proposition for implementing evidence-based interventions within the healthcare system to address these critical public health challenges.

Broad Budget Estimates

The proposed budget estimates provide a comprehensive overview of the financial requirements essential for the success of the proposed changes in the healthcare system. These estimates encompass specific capital and human resource outlays necessary for the startup phase, first year, and ongoing operations of the initiative. In terms of human resources, significant allocations are made for salary and wages, covering personnel costs for crucial positions such as the project manager, support staff, and other personnel involved in program delivery.

For instance, $60,000 is allocated for the project manager’s salary in the startup phase, increasing to $70,000 in the first year, with revenue generated from counseling services contributing to covering these costs. Similarly, $40,000 is allocated for support staff salary in the startup phase, increasing to $80,000 in the first year, with revenue from counseling services supporting these expenses.

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Additionally, budget estimates for fringe benefits, consultation or contract services, equipment including technological resources such as computers, telecommunication devices, materials, travel, and miscellaneous expenses are provided to ensure comprehensive coverage of all financial requirements. For example, $15,000 is allocated for equipment expenses in the startup phase, increasing to $25,000 in the first year, with grants and donations earmarked to cover these costs.

Similarly, $5,000 is allocated for materials such as educational resources in the startup phase, increasing to $10,000 in the first year, with revenue from fundraising supporting these expenses. Overall, these budget estimates capture essential funding requirements and provide data and information that substantiate the budgetary figures, ensuring transparency and accountability in resource allocation. By adequately funding specific capital and human resource outlays the proposed changes can be effectively implemented and sustained within the healthcare system, ultimately leading to the achievement of intended outcomes.

Plan for Transformational, Evidence-based Change

The vision for change is to create a community in which mental health is prioritized and resources are readily accessible to support individuals struggling with mental health issues and opioid misuse, particularly among adolescents and young adults in the Jordan community. To achieve this vision, the goals encompass the establishment of mental health centers within educational settings, the implementation of evidence-based substance abuse treatment programs, and the promotion of awareness and destigmatization of mental health and substance abuse issues.

Proactive strategies will be employed to address barriers to change, including stakeholder engagement, communication, and collaboration. Education and training programs will be implemented to equip staff with the necessary knowledge and skills to support individuals struggling with mental health issues and substance abuse. Additionally, feedback mechanisms will be established to solicit input from stakeholders, identify concerns, and address challenges in real time. Transparent communication and a shared vision will be crucial in overcoming resistance to change and fostering a sense of ownership and commitment among organizational members.

Strategy for Leading a Change

Kotter’s 8-Step Change model will be effectively applied to lead a transformational change within Jordan’s community healthcare system and schools (Harrison et al., 2021). This is possible by following these steps:

  1. Create a sense of urgency: Communicate the importance of addressing mental health and substance abuse issues and the benefits of change.
  2. Form a powerful coalition: Assemble a diverse team of stakeholders to drive change and provide leadership support.
  3. Create a vision for change: Develop a clear vision and goals for addressing mental health and opioid misuse issues within the organization.
  4. Communicate the vision: Effectively communicate the vision and goals to all organizational members through various channels.
  5. Remove obstacles: Identify and address barriers to change, including resistance and resource constraints.
  6. Create short-term wins: Celebrate small victories and milestones to maintain momentum and build confidence in the change process.
  7. Build on the change: Continuously assess progress, adjust strategies as needed, and incorporate feedback from stakeholders.
  8. Anchor the changes in the culture: Institutionalize changes by integrating them into organizational policies, practices, and norms (Harrison et al., 2021).

Effects on Organization

The proposed changes will transform the organization by fostering a culture of mental health awareness, support, and inclusivity. Establishing mental health centers and implementing early intervention programs will enhance the organization’s capacity to effectively address its members’ mental health needs. Additionally, promoting awareness and destigmatizing mental health and substance abuse issues will contribute to a more supportive and understanding organizational culture.

Vision for Future Wellness, Health, and Role of Visionary Leadership

In assessing the potential future for wellness, health, and improved overall care, visionary leaders play a crucial role in driving change and achieving desired goals. By envisioning a future where mental health is prioritized and opioid misuse is addressed proactively, visionary leaders can inspire organizational transformation and promote holistic well-being. The future vision revolves around creating a culture of care and support within the organization, where individuals feel empowered to seek help for mental health and substance abuse issues without fear of stigma or judgment (McGorry et al., 2022). Additionally, it is envisioned that the Jordan community will face a reduction in suicide rates among young students and children. Moreover, young adults will experience better health outcomes and successfully quit their opioid addiction. This vision aligns with the broader societal shift towards prioritizing mental health and recognizing its importance in overall well-being.

Assumptions Underpinning the Future Vision

  • Belief in the capacity for change: Assuming that individuals and organizations can adapt and evolve towards a healthier, more supportive culture.
  • Recognition of the importance of leadership: Acknowledging that visionary leaders play a pivotal role in driving change, inspiring others, and fostering a culture of innovation and well-being.
  • Emphasis on collaboration and inclusivity: Assuming that meaningful change requires collaboration across diverse stakeholders and inclusive decision-making processes.

A transformational leadership style is well-suited to achieving these goals. Transformational leaders inspire and motivate others by articulating a compelling vision, fostering innovation, and empowering individuals to contribute to change efforts. They lead by example, embodying the values and principles they seek to instill within the organization.

By embracing a transformational leadership style, visionary leaders can effectively drive change, engage stakeholders, and navigate challenges inherent in the pursuit of a future where wellness, health, and improved overall care are central priorities (Rinfret et al., 2020). Through their visionary leadership, they can inspire others to join them on the journey towards creating a healthier and more supportive organizational culture.

Cultivating Stakeholder Interest and Support

Our goal is to encourage widespread participation from stakeholders. We understand that everyone involved must be committed to and participate in our shared vision for a healthier community. This includes educators, parents, community leaders, local businesses, healthcare experts, policymakers, and community members themselves. A clear vision for change communicates the overarching goals and objectives of the proposed initiatives. This vision should resonate with stakeholders by aligning with their values and priorities, such as enhancing community health and reducing the burden of mental illness and addiction.

Anticipating stakeholder concerns involves identifying potential barriers to change, such as resource constraints, logistical challenges, or resistance to new approaches. By acknowledging these concerns upfront and providing evidence-based solutions, stakeholders are more likely to feel reassured and supportive of the proposed changes. For example, addressing funding requirements and outlining strategies for overcoming implementation challenges can help alleviate apprehensions and build confidence in the proposed initiatives.

Furthermore, acknowledging potential risks demonstrates transparency and accountability, fostering trust and credibility among stakeholders (Franklin, 2020). By openly discussing the uncertainties and complexities associated with implementing change, stakeholders can engage in meaningful dialogue and contribute to refining and strengthening the proposed initiatives.

Conclusion

A transformative vision for change emerged by addressing pertinent issues such as mental health disparities and opioid misuse among youth. Through evidence-based strategies, stakeholder engagement, and meticulous planning, the proposed changes aim to foster a healthier and more resilient community. With a clear focus on collaboration, resource allocation, and policy support, the path forward toward achieving sustainable and impactful outcomes in healthcare has been illuminated. This collective effort underscores the importance of visionary leadership and proactive measures in navigating the complexities of healthcare transformation. Thank you.

References

Chambers, E. P., Feinberg, E., Senn-McNally, M., Clark, M. C., Jurkowski, B., Suchman, N. E., Byatt, N., & Friedmann, P. D. (2020). Engagement in early intervention services among mothers in recovery from opioid use disorders. Pediatrics145(2), e20191957. https://doi.org/10.1542/peds.2019-1957 

Cheetham, A., Picco, L., Barnett, A., Lubman, D. I., & Nielsen, S. (2022). The impact of stigma on people with opioid use disorder, opioid treatment, and policy. Substance Abuse and Rehabilitation13, 1–12. https://doi.org/10.2147/SAR.S304566 

Franklin, A. L. (2020). Introduction to stakeholder engagement. Stakeholder Engagement, 1–17. https://doi.org/10.1007/978-3-030-47519-2_1 

Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. Journal of Healthcare Leadership13(13), 85–108. NCBI. https://doi.org/10.2147/JHL.S289176 

Hertelendy, A. J., Ciottone, G. R., Mitchell, C. L., Gutberg, J., & Burkle, F. M. (2020). Crisis standards of care in a pandemic: Navigating the ethical, clinical, psychological and policy-making maelstrom. International Journal for Quality in Health Carehttps://doi.org/10.1093/intqhc/mzaa094 

Javed, A., Lee, C., Zakaria, H., Buenaventura, R. D., Cetkovich-Bakmas, M., Duailibi, K., Ng, B., Ramy, H., Saha, G., Arifeen, S., Elorza, P. M., Ratnasingham, P., & Azeem, M. W. (2021). Reducing the stigma of mental health disorders with a focus on low- and middle-income countries. Asian Journal of Psychiatry58(58), 102601. https://doi.org/10.1016/j.ajp.2021.102601 

McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Jimenez, M. A., & Killackey, E. (2022). Designing and scaling up integrated youth mental health care. World Psychiatry21(1), 61–76. https://doi.org/10.1002/wps.20938 

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

Moroz, N., Moroz, I., & Slovinec D’Angelo, M. (2020). Mental health services in Canada: Barriers and cost-effective solutions to increase access. Healthcare Management Forum33(6), 282–287. https://doi.org/10.1177/0840470420933911

Mongelli, F., Georgakopoulos, P., & Pato, M. T. (2020). Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. Focus18(1), 16–24. https://doi.org/10.1176/appi.focus.20190028 

Mueller, S. R., Glanz, J. M., Nguyen, A. P., Stowell, M., Koester, S., Rinehart, D. J., & Binswanger, I. A. (2021). Restrictive opioid prescribing policies and evolving risk environments: A qualitative study of the perspectives of patients who experienced an accidental opioid overdose. International Journal of Drug Policy, 103077. https://doi.org/10.1016/j.drugpo.2020.103077  

Rinfret, N., Laplante, J., Lagacé, M. C., Deschamps, C., & Privé, C. (2020). Impacts of leadership styles in health and social services: A case from quebec exploring relationships between emotional intelligence and transformational leadership. International Journal of Healthcare Management13(1), 1–11. https://doi.org/10.1080/20479700.2018.1548153 

World Health Organization. (2021). Guidance on community mental health services: Promoting person-centred and rights-based approaches. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/341648/9789240025707-eng.pdf?sequence=1%20pp

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