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Mental Health Service For Patients Screening Positive Assignment

Mental Health Service For Patients Screening Positive Assignment

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Revision

Thank you so much for the assignment. Please see below revision.

Please note that we are not allowed to assess patient charts or check EHR. Someone at the site has to give us data that we need. The office manager or the clinical nurse will provide data. Therefore, please revise the following sentences

To assess the result of outcomes regarding correctly completed PHQ-9 screenings during wellness visits, I will review the patient medical record notes and visit summaries within the clinic’s EHR system.

I will follow the records of referrals in the EHR system, using the de-identified data provided by the honest broker to establish the number of adolescent patients referred for further evaluation of their mental health. Mental Health Service For Patients Screening Positive Assignment

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Also use “The Project manager: instead of” I”

Please add that pre test and post test will be collected on anonymity basis. Please elaborate on this.  for example, participants will be given each a code and only the participants and project manager will know these numbers.

 

  • Please respond to the following prompts:
    1. Name your final chosen outcomes (anywhere from 1-3 outcomes suggested). Since your projects may have evolved, these may be different from your earlier identified outcomes. For example: weight, knowledge and glucose level.
    2. For each outcome, describe what do you anticipate happening as a result of your project? For example, I expect weight to decrease as a result of the diet modifications.
    3. Name the specific method you will use to collect data for each identified outcome.  Provide references for tools/surveys being used that were found in the literature. Be sure to cite the primary source (e.g. tool developer). If using de-identified patient data/reports, describe how and where you will get them (will you have an “honest broker” at your site preparing the reports for you?). (Refer to the Research and Statistic module in the DSSC site for a refresher on instrumentation). You will have an opportunity to discuss your tools further next week.

Outcomes

  • Correctly completed PHQ-9 for wellness visit
  • Referrals to mental health service for patients screening positive
  • Provider Knowledge Mental Health Service For Patients Screening Positive Assignment

Project Evaluation Planning

Project Outcomes

The final chosen outcomes for the project are: (1) the number of correctly completed PHQ-9 screenings during adolescent wellness visits, which reflects on the accuracy and consistency of depression screening practices among clinic staff (Coats & Zurmehly, 2023); (2) the number of referrals to mental health services for patients who screen positive for depression, which reflect the effectiveness of the intervention in ensuring that at-risk adolescents receive appropriate follow-up care; and (3) the level of provider knowledge on adolescent depression and the use of the PHQ-9 screening tool, measured through pre-test and post-test assessments, to evaluate the educational intervention’s impact on staff proficiency and confidence in managing adolescent depression. These outcomes collectively aim to improve depression detection and treatment pathways within the clinic, enhancing the mental health care provided to adolescent patients.

Anticipated Changes

In light of the aforementioned planned project, I expect the following changes: First, the number of PHQ-9 screenings that are properly completed during adolescent wellness visits should rise since healthcare providers in the clinic will be getting more familiar and comfortable with the tools, they use for depression screening. According to Beck et al. (2021), adequate provider knowledge regarding depression screening tools is crucial for the effective identification and management of depression in adolescents. The improvement will help to establish a more accurate and effective identification of depression signs in adolescent patients. Second, I anticipate more referrals to mental health services for adolescents who screen positive for depression, indicating that staff are not only identifying high-risk patients but also arranging for them to receive further care. Lastly, it is expected that there will be a significant increase in the overall knowledge among the providers on adolescent depression and the PHQ-9 screening tool based on post-test scores as compared to pre-test scores. The development of this kind of knowledge base would enable clinic staff to become more knowledgeable of the signs, symptoms, and interventions needed for adolescent depression – aiming at yielding better mental health outcomes among the patients (Sherif et al., 2024). Mental Health Service For Patients Screening Positive Assignment

Data Collection Methods

For each of the outlined outcomes, the following methods will be used to collect data: To assess the result of outcomes regarding correctly completed PHQ-9 screenings during wellness visits, the office manager will review the patient medical record notes and visit summaries within the clinic’s EHR system. The manager will remove the personal identifiers from the records to maintain the privacy of patients but give the correct report on screening completion. For the outcome of referrals to mental health services, the manager will follow the records of referrals in the EHR system, using the de-identified data provided to establish the number of adolescent patients referred for further evaluation of their mental health.

Finally, to assess the provider’s knowledge, I will employ pre and post-test questionnaires formulated from the educational information that was given during the training sessions. These surveys will be adapted from validated instruments used in previous studies on depression screening education, such as the Knowledge, Attitudes, and Practices (KAP) survey. Andrade et al. (2020) note that the KAP approach is useful in guaranteeing a proper collection of data besides following the required ethical considerations towards the participants to ensure adequate and ethical data collection and participant protection. To ensure anonymity, each participant will be assigned a unique code known only to the participant and the project manager. This code will be used to match pre-test and post-test responses without revealing the participant’s identity. The questionnaires will be administered electronically via a secure online survey platform, where participants will enter their unique code at the beginning of each survey. The method ensures that individual responses remain confidential while allowing for the accurate pairing of pre-test and post-test data. The use of codes will help maintain the integrity of the data analysis by ensuring that changes in knowledge levels are accurately tracked and attributed to the correct participants, while still upholding the principle of anonymity. Mental Health Service For Patients Screening Positive Assignment

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References

Andrade, C., Menon, V., Ameen, S., & Kumar Praharaj, S. (2020). Designing and conducting knowledge, attitude, and practice surveys in psychiatry: Practical guidance. Indian Journal of Psychological Medicine, 42(5), 478–481. https://doi.org/10.1177/0253717620946111

Beck, A., LeBlanc, J. C., Morissette, K., Hamel, C., Skidmore, B., Colquhoun, H., Lang, E., Moore, A., Riva, J. J., Thombs, B. D., Patten, S., Bragg, H., Colman, I., Goldfield, G. S., Nicholls, S. G., Pajer, K., Potter, B. K., Meeder, R., Vasa, P., & Hutton, B. (2021). Screening for depression in children and adolescents: A protocol for a systematic review update. Systematic Reviews, 10(1). https://doi.org/10.1186/s13643-020-01568-3

Coats, T., & Zurmehly, J. (2023). Implementation of an evidence-based clinical guideline for depression screening of the adolescent. Issues in Mental Health Nursing, 44(7), 610–619. https://doi.org/10.1080/01612840.2023.2205523

Sherif, Y., Zaid, A., Salmiah Md Said, Aishah Siddiqah Alimuddin, Hamidin Awang, & Marjan Mohammadzadeh. (2024). Effect of online intervention based on life skills for mental health, self-efficacy, and coping skills among Arab adolescents in the Klang Valley, Malaysia: A cluster randomized controlled trial protocol. PLOS ONE, 19(2), e0298627–e0298627. https://doi.org/10.1371/journal.pone.0298627 Mental Health Service For Patients Screening Positive Assignment

 

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