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 Adults with Mental Health Conditions in Acute Settings

This preliminary plan outlines a structured approach to managing adult patients admitted to acute healthcare environments who are experiencing mental health challenges. Such patients frequently present with overlapping physical, cultural, and psychosocial concerns that make recovery more complex. An integrated, multidisciplinary care framework is essential to ensure holistic treatment, continuity of care, and improvement in long-term quality of life.

Physical Considerations and Best Practices

Risks

Adults with severe psychiatric illnesses face a disproportionately high burden of physical health conditions. Commonly associated illnesses include cardiovascular diseases, diabetes, respiratory complications, and metabolic disorders. Research indicates that individuals with chronic mental illness often live 15–20 years less than the general population (Nielsen et al., 2021). Contributing factors include:

• Sedentary lifestyle behaviors

• Poor dietary practices

• Barriers in accessing medical services

• Adverse side effects of psychotropic medications

Best Practices

To address these risks, healthcare providers should prioritize preventive strategies and medical oversight:

• Routine Screenings: Regularly monitor blood pressure, BMI, glucose, and lipid levels to detect early disease development.

• Lifestyle Programs: Introduce physical activity plans, smoking cessation interventions, and personalized nutrition guidance to reduce long-term health risks (Koomen et al., 2022).

• Medication Management: Conduct frequent evaluations to monitor drug side effects and make timely pharmacological adjustments.

Table 1. Physical Considerations and Best Practice Approaches

Physical Consideration	Best Practice Approach
High risk of cardiovascular, metabolic, and respiratory disorders	Implement regular clinical screenings (BMI, blood pressure, glucose, cholesterol)
Reduced life expectancy in psychiatric patients	Integrate lifestyle-focused interventions (diet modification, exercise, smoking cessation)
Adverse reactions to psychotropics	Ensure close medication supervision and timely adjustments

Understanding Mental Illness

Mental illness can be described as disturbances in mood, cognition, or behavior that disrupt daily functioning and impair decision-making. Factors include biological predisposition, psychological stressors, and developmental influences (Stein et al., 2021).

Statistics emphasize the magnitude of the problem: approximately 1 in 5 U.S. adults experience mental illness annually. In Florida alone, 2.8 million adults have reported mental health difficulties, and around 41% experienced anxiety or depression symptoms in 2021 (NAMI, n.d.). These figures underscore the urgency of adopting coordinated and evidence-based interventions.

Cultural Considerations and Best Practices

Barriers and Challenges

Cultural perceptions often affect whether patients seek help. Stigma, myths, and traditional beliefs may deter individuals from acknowledging symptoms or engaging with mental health professionals. Fear of social rejection or discrimination often delays treatment.

Best Practices

Healthcare providers should adopt culturally competent strategies to address these barriers:

• Culturally Adapted Care: Tailor treatment to align with cultural values, traditions, and beliefs to build trust (Ahad et al., 2023).

• Culturally Sensitive Education: Offer workshops, family education, and faith-based initiatives to reduce stigma.

• Inclusive Communication: Provide multilingual resources and interpretation services to improve understanding.

Table 2. Cultural Considerations and Recommended Best Practices

Cultural Challenge	Recommended Best Practice
Stigma and misconceptions	Deliver culturally appropriate education and awareness initiatives
Reluctance to seek professional care	Incorporate traditional values and practices into treatment planning
Lack of understanding of mental illness	Provide multilingual health resources and campaigns

Psychosocial Considerations and Best Practices

Psychosocial dynamics play a significant role in patient outcomes. Patients with psychiatric conditions often face emotional dysregulation, social withdrawal, strained relationships, and poor coping mechanisms. These challenges reduce their quality of life and may hinder recovery.

Evidence-Based Practices

• Mindfulness-Based Cognitive Therapy (MBCT): Blends mindfulness and cognitive-behavioral strategies to reduce relapse of depression and improve resilience (Gkintoni et al., 2025).

• Stress Management Techniques: Yoga, meditation, and controlled breathing exercises foster relaxation and emotional balance.

• Group Therapy: Encourages peer support, boosts self-confidence, and reduces social isolation (Marmarosh et al., 2022).

Table 3. Psychosocial Considerations and Evidence-Based Practices

Psychosocial Challenge	Evidence-Based Practice
Emotional instability	Mindfulness-Based Cognitive Therapy (MBCT)
Anxiety and stress	Yoga, meditation, stress-reduction programs
Social isolation	Peer/group therapy sessions

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Underlying Assumptions and Uncertainties

• It is assumed that MBCT and lifestyle changes are beneficial across patient groups.

• It is assumed that culturally tailored education can reduce stigma universally.

• Uncertainty remains about the effectiveness of stigma-reduction programs across different cultural groups.

• Limited resources in acute care environments may hinder full adoption of evidence-based practices.

SMART Goals

• Goal 1: Implement weekly MBCT sessions for adults with psychiatric conditions in Florida.

  • Target: Achieve a 40% reduction in depressive symptoms within six months, measured via PHQ-9 assessments.

• Goal 2: Launch biweekly culturally sensitive workshops on mental health awareness.

  • Target: Demonstrate a 60% improvement in knowledge and stigma reduction, based on pre- and post-intervention surveys over six months.

Community Resources

For long-term success, patients require access to community-based services that ensure continuity of care, affordability, and sustained support.

Table 4. Community-Based Mental Health Resources

Resource	Services Provided	Contact Information
Mental Health Association of Central Florida (MHACF)	Peer support, free therapy, workshops	Phone: 407-898-0110; 605 E Robinson St., Suite 450, Orlando, FL
Caron Florida	CBT, DBT, group/individual therapy, medication management	Phone: 1-855-548-0352; 7789 NW Beacon Square Blvd, Boca Raton, FL
NAMI Florida	Advocacy, awareness, peer-support programs	Phone: 850-671-4445; P.O. Box 302, Ocala, FL 34478
Care Resource	Affordable therapy, psychiatric and community programs	Phone: 305-576-1234; 3510 Biscayne Blvd., Miami, FL 33137

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

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

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

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

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

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. 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