The Psychiatric And Behavioral Disorders Essay Discussion

The Psychiatric And Behavioral Disorders Essay Discussion

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Psychiatric and behavioral disorders significantly burden public health because of the increasing number of morbidities and mortalities (Gross et al., 2019). Mentally ill patients have a disturbance in their cognition, emotional regulation, and behavior. These disorders are classified into neurodevelopmental disorders, mood disorders, disruptive behavior and dissocial disorders eating disorders, schizophrenia, depression, and bipolar. Mental health diseases are rising due to increasing poverty, violence, disability, indulgence in substance abuse and drugs, genetic factors, and psychosocial issues such as emotional outbursts (Gross et al., 2019). Despite the rise in the ill population, only 29% of these patients have access to health care services. These patient requires social and psychological support from their care providers, the community, and family members. The World Health Organization WHO has identified gaps in the mental healthcare system. It wishes to empower the care providers by strengthening psychiatry’s leadership, providing integrated healthcare services, promoting and preventing mental health disorders, and improving information systems. the assignment is a description of the challenges in treating patients with mental health disorders.  This paper will discuss if with psychiatric patients, does patient follow-up compared to no follow-up improve the symptoms and promote recovery in a period of one year after initiating treatment? The Psychiatric And Behavioral Disorders Essay Discussion

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Problem Description

Good mental health is essential in coping with stressful events, having good relationships, working productively, and making a meaningful contribution to life. Most of these patients do not seek medical treatment because of poor judgment or insight into their medical condition. The majority who are self-aware are usually in denial and stigmatized for mental disorders (Ojha & Syed, 2020). According to psychiatric nurse practitioners, psychiatric patient follow-up is a burden because most of them do not return on the scheduled date. A psychiatric follow-up is a visit to the clinic after the initial consultation to focus on treatment and monitoring of the patient’s symptoms (Otto et al., 2021)The Psychiatric And Behavioral Disorders Essay Discussion. The purpose of the first visit follow-up is to monitor the tolerance of the drugs and the side effects, usually two weeks after the initial treatment. During the scheduled visits, the care provider identifies and treats new symptoms, re-classify the diseases according to the DSM-V criteria, and updates patients’ medical records.

The Clinical Setting

Low-Turn-Out On Follow-Up Visits

The various classes of psychotropic drugs are effective in treating mental illnesses. However, most of these drugs have undesirable effects on the patient, making it difficult for the patient to continue with the treatment and attend the scheduled clinics. Other factors that make follow-up clinics difficult are poor cognitive function, such as the majority of them cannot remember the date and time of follow, lack of support from family members, the severity of the disease, geographical location, patient relationship with a healthcare provider, and communication barrier (Ojha & Syed, 2020)The Psychiatric And Behavioral Disorders Essay Discussion. Additionally, psychiatric nurse practitioners’ inadequate staffing causes increased workload, burnout, and eventually, poor services and inadequate referral systems.

Outcome Of The Issue

The need for follow-up is to identify the gaps in the treatment and evidence-based practice and stimulate research on the efficiency of various classes of medicine and the emerging co-morbidities in these patients. Most patients on follow-up do not identify the common side effects of psychotropics, such as weight gain, obesity, hyperlipidemia, and insulin resistance (Kowalchuk et al., 2019)The Psychiatric And Behavioral Disorders Essay Discussion. These symptoms are the leading causes of cardiovascular diseases in psychiatric patients. In add-on that, psychotropics such as risperidone and other monoamine oxidase inhibitor have a significant contribution to heart disease. Mental health diseases in elderly patients are the leading cause of falls due to hallucinations, postural hypotension, and dizziness caused by psychotropics.

Solutions To The Problems

The readily available technological advancement should ensure a mandatory strict follow-up on all mentally ill patients by setting reminders to their phones to attend the scheduled clinics. All patients should provide details of contact tracing such as telephone number, postal mail, geographical location address, and next of kin details patient-tracing (Ojha & Syed, 2020)The Psychiatric And Behavioral Disorders Essay Discussion. Follow-up on these patients helps in drug dose adjustment, protects the patient from medication errors such as adverse drug side effects, and monitors complications of psychotropics such as renal insufficiency, falls, diabetes mellitus, cardiovascular diseases, and suicidal attempts and ideation.

Training enough psychiatric nurse practitioners decreases the work load for the existing practitioner, and there will be good healthcare services in the appropriate patient-nurse ratio. Incorporating telehealth for psychiatric patients and nurse practitioners is an appropriate follow-up because the patient reaches out to the healthcare providers with a slight change of symptoms. Telehealth is the provision of healthcare services remotely. The care provider and the patient communicates over the phone, they share images or recorded messages, and the patient is required to record their vitals regularly, their blood pressure, weight, blood sugars, and heart rate on their telehealth app for the nurse practitioner to evaluate during their scheduled virtue meeting (Di Carlo et al., 2021)The Psychiatric And Behavioral Disorders Essay Discussion. It benefits the patient and the nurse because it saves time and the cost of transport to the hospital. The patient gets a reminder to attend the clinic via email or text. It benefits the elderly by reducing the risk of falls and other hospital-acquired infections.

The telehealth app has formulated questions for monitoring the patient, such as the current medication and the side effects experienced, and questions for reviewing systemic symptoms, such as cardiovascular, respiratory, genital, urinary, and reproductive system, and cardiovascular. It has a scheduled physical visit for imaging tests, blood work, and physical examination. Besides saving time and cost, it also reduces the stigma associated with psychiatric diseases from other patients (Di Carlo et al., 2021). Family members are shy about associating with a patient with a behavioral disorder. Patients with severe psychiatric diseases should be admitted to monitor the symptoms and drug tolerance closely. Their primary caregiver should assist with their follow-up through telehealth.

Evidence-Based Research

Evidence-based research on the benefits of digital health and telepsychiatry shows that technology-based psychiatric and psychological interventions are better than physical and public health systems. They are easily accessible to the vulnerable population because they offer integrated services (Di Carlo et al., 2021)The Psychiatric And Behavioral Disorders Essay Discussion. The patient follow-up turnout was higher compared to the physical sessions. Additionally, it is easier to monitor drug tolerance because the patients record daily symptoms. Technological barriers for the patient and care provider require a technician to train on using these tools. Health policies in all countries should address the social and economic disparities in  accessing digital gadgets, payment of hospital bills, medication, and psychotherapy sessions.

The Significance Of The Evidence Based Research In The Clinical Settings

Digitalized health services such as telehealth are beneficial to the patient and the care provide because they are cost effective and saves on time. The tele-health system  help the care provider in diagnostic classification according to the patients symptoms, vitals, current medications, and comorbidities (Snoswell et al., 2021). It also gives the care provider the appropriate drug and drug dosage for the patient with the possible side effects and warning of administration. It monitors the patients tolerance to treatment through the daily recording of the vitals.

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Conclusion

Psychiatric and behavioral disorders significantly burden public health because of the increasing number of morbidities and mortalities. A psychiatric follow-up is a visit to the clinic after the initial consultation to focus on treatment and monitoring of the patient’s symptoms. Telehealth and digitalized healthcare services have a positive impact on psychiatric patients because they reduce incidences of stigmatization and saves on cost.

References

Di Carlo, F., Sociali, A., Picutti, E., Pettorruso, M., Vellante, F., Verrastro, V., & di Giannantonio, M. (2021). Telepsychiatry and other cutting‐edge technologies in COVID‐19 pandemic: Bridging the distance in mental health assistance. International Journal Of Clinical Practice, 75(1). https://doi.org/10.1111/ijcp.13716

Gross, J. J., Uusberg, H., & Uusberg, A. (2019). Mental illness and well‐being: an affect regulation perspective. World Psychiatry, 18(2), 130-139. https://doi.org/10.1002/wps.20618

Kowalchuk, C., Castellani, L. N., Chintoh, A., Remington, G., Giacca, A., & Hahn, M. K. (2019). Antipsychotics and glucose metabolism: how brain and body collide. American Journal of Physiology-Endocrinology and Metabolism, 316(1), E1-E15. https://doi.org/10.1152/ajpendo.00164.2018

Ojha, R., & Syed, S. (2020). Challenges faced by mental health providers and patients during the coronavirus 2019 pandemic due to technological barriers. Internet Interventions, 21, 100330. https://doi.org/10.1016/j.invent.2020.100330

Otto, C., Reiss, F., Voss, C., Wüstner, A., Meyrose, A. K., Hölling, H., & Ravens-Sieberer, U. (2021). Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study. European Child & Adolescent Psychiatry, 30(10), 1559-1577. https://doi.org/10.1007/s00787-020-01630-4

Snoswell, C. L., Chelberg, G., De Guzman, K. R., Haydon, H. H., Thomas, E. E., Caffery, L. J., & Smith, A. C. (2021). The clinical effectiveness of telehealth: a systematic review of meta-analyses from 2010 to 2019. Journal of Telemedicine and Telecare, 1357633X211022907. https://doi.org/10.1177/1357633X211022907

Both caregivers and patients with mental illnesses frequently experience fear and exhaustion as a result of the illness. Nonetheless, the utilization of modern technology in the care of mentally ill patients can help to ease anxiety, establish a routine, and improve both the patient’s and the caregivers’ quality of life (Lee-Cheong et al., 2022). Technology-assisted interventions are utilized in psychiatric care to promote communication, reduce stress on caregivers, and improve health outcomes. Technology-assisted interventions can be used to remotely monitor, improve, and facilitate home care, which subsequently improves the health of both patients and caregivers. One of the components of psychiatric care where technology can be applied is the follow-up care for patients receiving care at home. According to the study, technology-assisted interventions are strongly linked to mentally ill patients receiving safe and efficient care in hospitals, at home, and in the community (Saragih et al., 2022)The Psychiatric And Behavioral Disorders Essay Discussion. Subsequently, the utilization of telehealth in psychiatric care follow-ups are significantly linked to various benefits such as improved safety and quality of care, reduced costs of care, and less time consumption.

Projects Benefits In Terms Of Cost, Time, and Quality

The utilization of telehealth in follow-ups of mentally ill patients receiving care at home is strongly associated with improved quality of care. During the follow-up call, the nurse is able to monitor the patient’s health status and identify any abnormality, provide patient education and counseling, and advise accordingly. Similarly, the patient is able to seek clarification and report any unusual occurrence hence receiving timely mitigations. Further, in addition to the usual care, telehealth increase access to care by connecting patients, families, and the general public to behavioral health resources (Donahue et al., 2021)The Psychiatric And Behavioral Disorders Essay Discussion. From this, the patients are able to share their concerns, learn from peers who have the same concerns, and receive emotional support which is very vital in the management of mental illnesses. Overall, these procedures benefit the caregiver and the patient by improving the safety and quality of care and subsequently improving the quality of life of the patient and the carers.

Another benefit of telehealth utilization in follow-ups of psychiatric patients is the reduced time and costs. In-person consultation charges are more expensive than virtual consultations. According to Abbott et al (2018), every in-person consultation cost in the VA hospital was $228 while every episode for virtual consultation cost was $120. In addition, the use of telehealth in follow-ups saves the patient the transportation cost to the hospital. Therefore, the patient benefits by saving a lot while utilizing telehealth in follow-ups. Also, the utilization of telehealth in follow-ups of mentally ill patients receiving care at home saves much time for both the caregiver and the patient. While patients who stay far from mental health facilities may take a longer time to travel to the facility for consultation and care, patients who use telehealth receive care instantly regardless of their distance from the health facility (Abbott et al., 2018)The Psychiatric And Behavioral Disorders Essay Discussion. Generally, it is concluded that the application of telehealth in mentally ill patients’ follow-ups is significantly associated with numerous benefits including the provision and receiving of safe and quality care, reduced costs of care, and reduced time spent on the care processes.

Goals and Objectives

Analysis of the low turn-up during in-person follow-up visits indicates that mentally ill patients frequently develop health complications after transitioning to home care. This is significantly attributed to the insufficient knowledge of mental health care by the informal carers at home such as families and friends. Also, the altered cognition nature of the patients does not allow them to make informed decisions concerning their health. This situation is also worsened by the adverse side effects of antipsychotic drugs such as slowed thoughts, feeling tired, drowsy, and sedated, and loss of motivation as reported by many psychiatric patients (Read & Williams, 2019). This project, therefore, intends to improve the situation by utilizing telehealth in doing frequent virtual follow-ups of mentally ill patients receiving care at home. The main goal of this project is to improve the physical and mental health and socioeconomic status of mentally ill patients receiving care at home. The objectives of the study include:

• To increase the number of mentally ill patients who turn up for follow-up visits
• To improve the quality of care received by mentally ill patients at home
• To significantly minimize the time and cost involved in the care

Variables to Be Considered and Data Collection

The variables to be considered in this project include patient turn-up for scheduled follow-up virtual visits, utilization of telehealth by patients for consultation, time spent during follow-up care, costs incurred, and the patient’s satisfaction and acceptance. The budget for the project is a major consideration when implementing this project as a clinic-wide practice change. Funds can be obtained from willing donors and government grants that fund health and science projects. Qualitative methods will be used to collect qualitative data such as the patient’s perspectives on the use of telehealth for follow-ups, and their acceptance and satisfaction with the services provided. Quantitative methods will be used to collect quantitative data such as how many patients turned up for the virtual follow-up, the frequency of use of telehealth by patients in seeking help from the health providers, and the average time and costs incurred during the telehealth process.

Benefits of My Research to the Community

The use of telehealth for follow-ups will reduce the societal burden of caring for mentally ill patients in the community. This is achieved through reduced time and cost that would have been spent on in-person visits. Telehealth care by health providers also reduces the burden of care experienced by the informal carers of mentally ill patients in the community. This project will also increase the utilization of community resources such as community mental health programs where mentally ill patients can share their concerns and receive physical and emotional support. Active participation in these community programs improves the patient’s health status and speeds up the recovery process (Mountain et al., 2020)The Psychiatric And Behavioral Disorders Essay Discussion. Overall, this project will help improve the general physical and mental health of the community members living with mental health conditions, save community resources and finances, and reduce morbidities and mortalities related to mental health illnesses.

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Purpose, Focus, and Desired Outcomes of the Project

The purpose of this project is to utilize telehealth for follow-ups of mentally ill patients at home with the aim of improving the quality of care and reducing the time and costs incurred in providing care. The project focuses on virtual follow-up visits and the use of telehealth services by mentally ill patients in seeking mental health care and consultation from mental health providers. Desired outcomes include increased turn-up percentage by mentally ill patients for virtual follow-ups, improved safety and quality of care, improved quality of life of the mentally ill patients and their carers, reduced cost of care, and reduced time spent on care.

Timeline for Accomplishing the Project Goals

This project is scheduled for a period of one year. This includes periods for implementing the intervention and evaluating the outcomes to assess whether the desired goals have been achieved.

References

Abbott, D. E., Macke, R. A., Kurtz, J., Safdar, N., Greenberg, C. C., Weber, S. M., Voils, C. I., Fisher, D. A., & Maloney, J. D. (2018). Financial and temporal advantages of virtual consultation in veterans requiring specialty care. Military Medicine, 183(1-2), e71-e76. https://doi.org/10.1093/milmed/usx006

Donahue, A. L., Rodriguez, J., & Shore, J. H. (2021). Telemental health and the management of psychosis. Current Psychiatry Reports, 23(5). https://doi.org/10.1007/s11920-021-01242-y

Lee-Cheong, S., Amanullah, S., & Jardine, M. (2022). New assistive technologies in dementia and mild cognitive impairment care: A PubMed review. Asian Journal of Psychiatry, 73, 103135. https://doi.org/10.1016/j.ajp.2022.103135

Mountain, A., Patrice Lindsay, M., Teasell, R., Salbach, N. M., De Jong, A., Foley, N., Bhogal, S., Bains, N., Bowes, R., Cheung, D., Corriveau, H., Joseph, L., Lesko, D., Millar, A., Parappilly, B., Pikula, A., Scarfone, D., Rochette, A., Taylor, T., … Cameron, J. I. (2020). Canadian stroke best practice recommendations: Rehabilitation, recovery, and community participation following stroke. Part two: Transitions and community participation following stroke. International Journal of Stroke, 15(7), 789-806. https://doi.org/10.1177/1747493019897847

Read, J., & Williams, J. (2019). Positive and negative effects of antipsychotic medication: An international online survey of 832 recipients. Current Drug Safety, 14(3), 173-181. https://doi.org/10.2174/1574886314666190301152734

Saragih, I. D., Wei, C., Batubara, S. O., Saragih, I. S., & Lee, B. (2022). Effects of technology‐assisted interventions for people with dementia: A systematic review and meta‐analysis. Journal of Nursing Scholarship, 55(1), 291-303. https://doi.org/10.1111/jnu.12808 The Psychiatric And Behavioral Disorders Essay Discussion

Project Aims, Values, and Desired Outcomes

*****Please review my attached PICOT paper to review the PICOT question which should be a continuation of the topic*******

This section of your change project paper should include
1. A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.

2. Goals and objectives that are measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.

3.What variables need to be considered and and whether or not you have control over them.  Â
-For example, if you were to implement a clinic-wide practice change, would budget be an issue and how would you address that variable?
-If you were to implement your study, consider how would you gather data. Would you choose the qualitative or quantitative method?

An explanation of what your research will provide to the community, or to social change.

A description of the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments.
-While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.

-Establish a timeline for accomplishing your project goal(s).
This section should be 3–4 pages in length, not including the cover or reference page, and should address the intended outcomes of your project.Â

You must reference a minimum of 3 scholarly articles.
Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.