NURS FPX 4065 Assessment 5 Final Care Coordination Strategy

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NURS FPX 4065 Assessment 5 Final Care Coordination Strategy Student name Capella University NURS-FPX 4065 Professor’s Name Submission Date Final Care Coordination Strategy Co-morbid substance use and mental health disorder (DUAL diagnosis). Co-occurring mental and substance use disorders (SUDs) or dual diagnoses are a problem on the rise and a dynamic one in residential behavioral health facilities, including Immersion Residential. The conditions are usually confusing and make the symptoms severe and harder to treat a patient. Cognitive disability, emotional instability and isolation are typical issues of clients with dual diagnoses, and they lead to their low health outcomes and relapse (Tranberg et al., 2024). These are complicated problems that require an individual-oriented approach to their management which must incorporate the aspects of mental health, addiction recovery, and social support interventions. The interventions, community partnerships, ethics consideration, implication of policies involved, timelines, and evaluation processes required to attain coordinated care in the context of populations with dual diagnoses are elaborated upon below. Patient-Centered Health Interventions and Timelines  Health Issue I: Mental Health Instability and Relapse Risk Intervention, Community resources, and Timeline Dual-diagnosis clients become victims of emotional dysregulation, mood swings, and psychiatric comorbidities, such as depression, PTSD, or anxiety, and each of them may promote relapse. The combination of the psychiatric care with the structured cognitive behavioral therapy (CBT), dialectical behavior treatment (DBT), and Medication-assisted treatment (MAT) with the use of buprenorphine or naltrexone is one of its in-depth interventions (Nakao et al., 2021). On-site mental health care providers and behavior therapists provide the care and local mental health centers and organizations, including the National Alliance on Mental Illness (NAMI) assist (Fiorillo et al., 2025). Mood and medication compliance should be evaluated within the first 72 hours of hospitalization and regularly followed at a weekly rate to determine any improvement and make a change in treatment. Health Issue II: Environmental Triggers and Safety Risks Intervention, Community resources, and Timeline Emotional distress or cravings may be stimulated by environmental stressors a person may experience because of lack of privacy, overcrowding, or exposure to substance related cues. The safety interventions include changes in the physical environment, the creation of trauma-informed and calming spaces and the implementation of strict substance free policies (Berring et al., 2024). Safety audits, room checks and environmental risk assessment should be carried out when a resident is admitted and each month. Collaboration with facility safety and behavioral safety external experts creates a greater therapeutic context and fewer provocative stimuli. Health Issue III: Social Isolation and Lack of Support Systems Intervention, Community Resources, and Timeline Isolation is one of the recurring issues for dual diagnosis clients, and is typically linked to stigma or family disconnection. Interventions involve such measures as peer-led recovery groups, and organized activities of socialization and motivational interviewing practices to develop internal motivation and community reintegration (Lyons et al., 2021). Useful support can be obtained by means of local recovery networks (e.g. SMART Recovery, Double Trouble in Recovery) and in faith-based or culturally competent organizations. Assessment of social connectedness should be undertaken on a fortnightly basis based on the observation of staff and self-assessments by clients, and care plans should be modified to offer a high degree of participation and meaning by clients. Ethical Considerations Providing ethical treatment to patients with dual diagnoses inside a residential behavioral healthcare facility, like Immersion Residential, requires a delicate balance between a client’s safety and his or her autonomy. Intensive care and restraint, MAT or the regular routine-based system might stabilize the clients and in some cases prevent the relapse of the clients but it might mean the denial of freedom of movement or increase institutional control (Ghanem et al., 2022). Ethical care must also be trauma informed care, and participatory in nature, considering the cognitive and emotional state of each client and allowing them to make important choices concerning his or her treatment. Motivation towards taking part in therapeutic treatment or recovery should not be made compulsory and it should be according to the willingness of the person as well as his/her level of comfort and culture. Putting aside the autonomy without compromising the best interest of the client is critical to the principles of beneficence and non-maleficence (Varkey, 2020). Other ethical issues include instances when families are opposed to suggested psychiatric or addiction medication based on the cultural stigma or fear or lack of understanding of the circumstances. Providers of care have to deal with the tension between providing helpful interventions and not denying the beliefs and values of clients and their families in these instances (Ajluni, 2023). Respectful and culturally sensitive open communication can facilitate trust and consensus building. The principle of justice also needs to be addressed since the disparity in the availability of behavioral health services, i.e., therapy, peer support, or recovery housing, can occur because of different insurance coverage, institutional resources, or social injustices. Ethical care coordination should take evolutionary action involving promoting fair resource allocation, which means that every customer, or vulnerable population, should be provided with sufficient care as per their needs. It is important to support equity, respect and personalised treatment towards achieving better outcomes for those living with a dual diagnosis. Health Policy Implications Among others, health policies play an essential role in providing a comprehensive, coordinated care in the residential behavioral health facilities for people with dual diagnoses. Federal and state laws have an impact on the ability to receive integrated mental health and substance services, medication-assisted treatment (MAT) services, peer recovery programs and transitions programs (Crowley et al., 2020). To give one such example, the Affordable Care Act (ACA) has resulted in tremendous coverage gains of behavioral health services by making mental health and substance use treatment part of the essential health benefits. Section 2703 of the ACA are in favor of health homes for people who have chronic conditions, interdisciplinary coordination of care, and wraparound (Medicaid.gov, 2022). Also, the focus on preventive care offered through the ACA spurs the use of early screening and intervention in cases

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