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

Physical Considerations and Best Practices

Risks

Adults living with severe psychiatric disorders often face concurrent physical health challenges. These commonly include cardiovascular disease, type 2 diabetes, and chronic respiratory conditions. Research indicates that individuals with long-term psychiatric conditions may experience a reduced life expectancy of 15–20 years compared to the general population (Nielsen et al., 2021).

This reduction is frequently linked to limited access to preventive healthcare, socioeconomic challenges, unhealthy lifestyle behaviors such as smoking or physical inactivity, and metabolic side effects from medications like antipsychotics and mood stabilizers. If unaddressed, these factors contribute to persistent health disparities and heightened morbidity risk.

Best Practices

A holistic and coordinated approach is essential. Acute care providers should integrate routine physical health assessments with psychosocial support programs to address both medical and psychological needs.

Interventions include:

Intervention	Details	Evidence/Impact
Routine Physical Health Checks	Monitoring BMI, blood pressure, fasting glucose, lipid profile, and smoking status	Regular assessments reduce long-term complications and allow timely intervention (Koomen et al., 2022)
Lifestyle Interventions	Nutrition counseling, physical activity programs, smoking cessation support	Structured lifestyle programs improve overall health outcomes in psychiatric populations (Koomen et al., 2022)

Mental Illness

Definition

Mental illness encompasses diagnosable disruptions in mood, thought processes, or behavior, often arising from biological, psychological, or developmental dysfunctions (Stein et al., 2021). These conditions interfere with daily functioning, employment, social relationships, and emotional regulation.

Prevalence and Impact

Approximately one in five adults in the United States experiences a mental health disorder each year (SAMHSA, 2023). In Florida alone, an estimated 2.89 million adults live with mental illness (NAMI, n.d.). By 2021, nearly 40.9% of residents reported experiencing symptoms of anxiety or depression.

These statistics underscore the urgent need for accessible, coordinated mental health services that combine preventive strategies with timely treatment.

Cultural Considerations and Best Practices

Barriers

Cultural stigma, misconceptions regarding psychiatric disorders, and reliance on non-medical healing methods often deter individuals from seeking care. Patients from diverse cultural backgrounds may distrust standard psychiatric treatments if their values and traditions are not respected.

Best Practices

Practice/Application	Description	Evidence/Impact
Culturally Adaptable Care	Incorporating patients’ cultural beliefs, values, and traditions into treatment	Promotes trust and improves adherence (Ahad et al., 2023)
Culturally Competent Education	Workshops, peer-led sessions, and culturally tailored materials	Reduces stigma and encourages help-seeking behaviors (Ahad et al., 2023)

Embedding cultural responsiveness in care coordination fosters inclusivity, enhances patient engagement, and improves treatment outcomes.

Psychosocial Considerations and Best Practices

Psychosocial health significantly influences emotional regulation, stress management, and social functioning. For patients with severe psychiatric disorders, psychosocial interventions are crucial to prevent relapse and maintain long-term stability.

Practice – Application

Intervention	Description	Evidence/Impact
Psychological Interventions	Mindfulness-Based Cognitive Therapy (MBCT) combining mindfulness with cognitive strategies	Reduces depression relapse rates (Gkintoni et al., 2025)
Emotional Support and Coping	Relaxation techniques including yoga, meditation, and deep breathing	Enhances resilience and emotional regulation
Group Psychotherapy	Encourages social connectedness, empathy, and shared recovery experiences	Reduces isolation and supports reintegration (Marmarosh et al., 2022)

Underlying Assumptions and Uncertainties

MBCT and lifestyle interventions are expected to improve recovery outcomes.
Culturally sensitive strategies are assumed to increase participation and reduce stigma.
Variability exists regarding stigma-reduction effectiveness across diverse populations.
Implementation may be hindered by workforce shortages, financial constraints, and limited infrastructure.

SMART Goals

Implement weekly MBCT sessions in acute care settings in Florida, aiming to reduce PHQ-9 depression scores by 40% within six months.
Conduct biweekly culturally tailored workshops to enhance mental health awareness, targeting a 60% improvement in mental health literacy, as measured by pre- and post-program surveys, within six months.

Community Resources

Organization	Services Offered	Contact Information
Mental Health Association of Central Florida (MHACF)	Free counseling, peer support, workshops, professional referrals	407-898-0110; 605 E Robinson St., Suite 450, Orlando, FL 32801 (MHACF, 2025)
Caron Florida	CBT, DBT, medication management, family therapy	1-855-548-0352; 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024)
NAMI Florida	Peer support, advocacy, education, awareness programs	850-671-4445; P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025)
Care Resource	Sliding-scale counseling, behavioral health services, free programs for uninsured patients	305-576-1234; 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

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