NURS FPX 4065 Assessment 2

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 Adult Mental Health Patients in an Acute Health Setting

Physical Considerations and Best Practices

Risks

Adults with severe mental health disorders are at a much greater risk of developing additional physical health complications. These comorbidities may include cardiovascular disease, diabetes, and respiratory illnesses. Evidence highlights that individuals with chronic psychiatric conditions have a reduced life expectancy, often 15–20 years shorter than the general population (Nielsen et al., 2021). Such disparities are frequently linked to lifestyle behaviors, barriers to accessing preventive healthcare, and medication side effects.

Best Practices

To address these risks, healthcare providers in acute settings should implement structured physical health monitoring and lifestyle support programs. Key best practices include:

Intervention	Details
Routine Physical Health Checks	Regular assessments such as BMI monitoring, blood pressure checks, glucose levels, lipid profiles, and smoking status evaluations.
Lifestyle Interventions	Patients should have access to smoking cessation programs, structured exercise routines, and nutritional counseling. Encouraging a balanced diet, physical activity, and tobacco cessation significantly improves both physical and psychological well-being (Koomen et al., 2022).

These approaches ensure that care coordination does not only focus on mental health stabilization but also integrates essential physical health management.

Mental Illness

A mental illness is characterized by clinically significant disturbances in thinking, mood regulation, or behavior, often resulting from impaired biological, psychological, or developmental mechanisms (Stein et al., 2021). These disorders frequently interfere with an individual’s daily life, professional roles, and social functioning.

Statistics reveal the widespread impact of mental illness:

Approximately one in five U.S. adults experiences a mental health condition each year.
In Florida, around 2.89 million adults live with some form of psychological disorder (National Alliance on Mental Illness [NAMI], n.d.).
In 2021, nearly 40.9% of adults in Florida reported experiencing depression or anxiety.

These numbers highlight the urgent need for structured care coordination and access to both preventative and treatment services.

Cultural Considerations and Best Practices

Barriers

Cultural beliefs, stigmatization, and misconceptions frequently delay or prevent individuals from seeking professional psychological care. These challenges may vary across communities, making cultural awareness an essential component of care planning.

Best Practices

Culturally Adaptable Care: Care plans must incorporate patients’ values, traditions, and preferences. This allows providers to build trust and improve adherence to treatment (Ahad et al., 2023).
Culturally Competent Education: Tailored education programs help reduce stigma and improve understanding of mental illness. Training can be delivered through workshops, peer education, or community-based initiatives (Ahad et al., 2023).

These practices encourage inclusivity and ensure services remain relevant across diverse populations.

Psychosocial Considerations and Best Practices

Psychosocial aspects of care include emotional health, behavioral stability, and social functioning. These factors influence how patients cope with stress, make decisions, and engage with their environment.

Evidence-Based Practices

Practice	Application
Psychological Interventions	Mindfulness-Based Cognitive Therapy (MBCT) integrates cognitive therapy and mindfulness strategies to reduce relapse in depression and improve coping (Gkintoni et al., 2025).
Emotional Support & Coping	Providing structured coping mechanisms such as breathing exercises, yoga, or meditation can strengthen resilience and emotional regulation.
Group Psychotherapy	Facilitates support through universality, trust, empathy, and shared experiences, leading to greater recovery outcomes (Marmarosh et al., 2022).

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

Underlying Assumptions and Uncertainties

It is assumed that interventions such as MBCT and lifestyle modifications are universally effective.
Culturally tailored care is expected to reduce stigma in all cultural groups.
However, uncertainty remains regarding how consistently stigma-reduction strategies can be applied across different cultural contexts.
Implementation challenges may arise due to workforce shortages, funding gaps, or limited resources in acute settings.

SMART Goals

Goal 1: Conduct weekly MBCT sessions for adult patients in Florida to reduce depressive symptoms. Success will be measured by achieving a 40% improvement in PHQ-9 scores within six months.
Goal 2: Implement biweekly culturally tailored educational workshops to improve mental health awareness. The target is to achieve a 60% increase in knowledge and reduced stigma perception, measured by pre- and post-session surveys within six months.

Community Resources

Effective care coordination depends on connecting patients with local community-based resources.

Organization	Services Offered	Contact Information
Mental Health Association of Central Florida (MHACF)	Provides low-cost education programs, peer counseling, free therapy, and professional referrals.	Phone: 407-898-0110 Address: 605 E Robinson St., Suite 450, Orlando, FL 32801 (MHACF, 2025).
Caron Florida	Offers individual and group therapy, CBT, DBT, medication management, and family education to ensure holistic treatment continuity.	Phone: 1-855-548-0352 Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024).
NAMI Florida	Provides advocacy, education, peer support, and community awareness programs for mental health.	Phone: 850-671-4445 Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025).
Care Resource	Delivers accessible individual and group counseling, sliding-scale fee services, and grant-funded programs for uninsured patients.	Phone: 305-576-1234 Address: 3510 Biscayne Blvd, Miami, FL 33137 (Care Resource, 2025).

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

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

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

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

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. National Alliance on Mental Illness. https://www.nami.org/wp-content/uploads/2023/07/FloridaStateFactSheet.pdf

NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan

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