Nurs FPX 6026 Assessment 1 Analysis of Position Papers for Vulnerable Populations

Nurs FPX 6026 Assessment 1 

Analysis of Position Papers for Vulnerable Populations

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Capella University

NURS-FPX6026

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Analysis of Position Papers for Vulnerable Populations

The analyses done on the position papers concerning Post-Traumatic Stress Disorder (PTSD) in vulnerable populations have highlighted the difficulties and problems trauma survivors, especially in the minority world, have to face the most. As per Levert-Levitt et al (2022), around 7 to 8 percent of the entire US population is predicted to have a PTSD diagnosis in their lifetime. However, Nurs FPX 6026 Assessment 1 figures are even worse among the population in marginalised communities. The position papers here illustrate the need for prompt and thorough culturally sensitive, community-oriented action to address the unique challenges these populations face.

Health Outcomes and Inequity Impact

“This condition is PTSD, and often is overlooked in large segments of the population, particularly in individuals impacted by structural discrimination, endemic poverty, and inequitable systems of care. The World Health Organization projects that 3.9% of the world’s population suffers from Post Traumatic Stress Disorder, highlighting the disorder’s pervasive impact and staggering prevalence. People in these populations remain underserved in their access to mental health care with the additional burdens of stigma, health care discrimination, and inadequate mental health treatment from primary care providers, in particular, culturally responsive care (Martínez-Vazquez et al, 2021). The trauma and violence of systems and historical injustices is in many of these communities and is compounded by the rarity of culturally appropriate coping resources, and the incidence of PTSD in these communities can be astronomical. Meeting the practical, clinical needs of these populations with PTSD is vital, but the foundational inequities and the social determinants of health and mental health must be addressed.”

Current State

To some extent, PTSD has been clinically minimized, neglected, and untreated in many marginalized groups, and this has been described as a public mental health crisis. Mostly due to gaps in mental health service delivery systems, culturally tailored PTSD care, and treatment availability and accessibility, deficits in stigma-busting mental health initiatives and advocacy in the public domain focus and health care coverage focus, along with the pervasive silence (or “bare-footed ignorance” in some contexts) of the health care system within many low-income and minority groups also play a role in underlining the treatment seeking help deficit (Raut et al. 2022). There is also a definitive lack of suspicion and awareness within the health care systems and mental health providers on the nuances of trauma and PTSD, within sociocultural contexts of difference and the expression of trauma, gaps within training, culture, or care can manifest for providers and within these systems. Many remain for long and are left without evidence-based care, to painfully endure the myriad of PTSD symptoms, dysregulated physiological responses of hyperarousal, disturbed and intrusive memory systems, dissociative and emotional numbness, and absence of care.

Outcomes

Disparities in health and health equity, take for instance PTSD, raises symptoms and the length of time they occur. Gaps in the ability to capture data allow intense burdens of chronic mental and physical health problems to go limid. There is an urgent need for multisector, culturally-informed, community-interventions for equity to address the emerging disparities. BASED, culturally-responsive care also decreases the risk of developing co-occurring disorders, and of syndromic, depression, substance use disorders, and chronic physical conditions (El Zouki et al. 2022). Trauma-informed care is more easily adaptable for the providers. Intervention-focused care makes the patient’s processes more safe. Hope is an increased incidence and utilization of care. We also undo the harm of community-layered stigma towards help and education-seeking.

Improvement of Care and Outcomes

A variety of actions could be undertaken that focus on improving the care and outcomes of the populations suffering from PTSD and are in dire need of care. Foremost should be improving access to mental health services in the community setting, which most people prefer. All levels of service delivery need to be trauma-informed, which means providers are trained to identify PTSD symptoms and tend to their patients with empathy and understanding (Martinez-Vazquez et al, 2021). Also, there have to be efforts to expand the mental health providers’ understanding and appreciation of the social intricacies of care to the marginalized to an adequate and socially correct level. Finally, there needs to be accommodations and teaching of the community that help the members understand the condition of PTSD and the need to seek help.

Assumptions Underlying the Plan

A few fundamental principles form the basis for the planned improvement of care for PTSD in neglected communities. Foremost is the belief that more people, especially the underserved, will use mental health care, particularly skilled, trauma-informed care, and that these individuals will engage more and will also garner better care (Al Jowf et al., 2023 ). A second principle is that the underserved are ready and willing to seek care, especially when the services are accessible and culturally, socially, and historically sensitive. As part of the strategy, the principle is that community involvement is fundamental in the construction of trust to assist in the dismantling of mental health care access barriers.

Interdisciplinary Team Facilitating Improvements

To help people with PTSD cases, especially in low-access areas, interdisciplinary teams are crucial. The primary functions will encompass mental health specialists, with trauma-informed care practitioners and social workers, psychiatrists, and psychologists participating with attending to advanced therapy. PTSD is a complex disorder, and collaboration from several trained individuals maximally intersects with each specialist’s own personal contribution. For instance, psychologists and psychiatrists are mental health experts who focus on PTSD psychotherapy. It’s the responsibility of the primary care provider to deliver integrated MDC care, which includes identifying physical health problems that may be complicated by underlying mental health issues. Social workers and community health workers and nurses, and have priceless knowledge regarding the social determinants of health and community-based advocacy, and patient care as they maneuver through complicated systems of care. To serve the mental, physical, and social needs of an individual, these different professionals work together in an integrated and culturally competent manner. This is particularly true for marginalized populations who have to deal with stigma, insufficient access to care, and socioeconomic barriers.

Interprofessional Approach

Addressing PTSD requires a multidisciplinary approach within interprofessional collaboration, which considers different aspects of an individual’s life with the goal of restoring functioning through different specialists working together on the same goal. For instance, a psychiatrist can help with the diagnosis of PTSD, manage the medications, and fully integrate psychologists who can do cognitive-behavioral therapy and other skilled approaches (Taylor Miller et al., 2021). Psychologists/PTSD specialists can do the primary evaluation, with counselors assisting in educational workshops and other follow-ups. There is a more unified and coordinated framework to patient care, facilitating the development of a primary care physician who serves a gatekeeping role. This approach facilitates addressing the module’s complexities, in particular the Austen inequitable structural factors, with the module’s inequitable structural factors. Clients remain with the same primary PTSD care module clinician at all times. This minimizes the chances of the client’s PTSD care being disjointed. This approach minimizes inequities, making it more effective and easier for the client.

Importance of an Interprofessional Team Approach

It is clinically proven that interprofessional collaboration enhances care quality through the engagement of multiple health professionals who can assess the client’s situation from various angles and provide holistic care tailored to their needs. Take PTSD as an example. Care for PTSD is more complex than any emotional or physical concerns; there are social and even spiritual concerns to address. A clinician’s care, such as one by the Simon team, is enhanced by the contribution of multiple, diverse professionals, thus ensuring no aspect of a client’s care is omitted. Effective communication and collaboration improve understanding and enhance cohesion toward the client’s goals and values, thus sharing a care plan. These approaches particularly benefit marginalized populations, as the strategies increase overall care access and enhance treatment adherence, satisfaction, and health outcomes.

Acknowledging Challenges

Even though an interprofessional strategy has definite advantages, there are secondary challenges that must also be addressed. The primary challenge, and in some cases the biggest barrier to success, is communication: the more people that are involved, the greater the potential for information to be disbursed without complete overlap (Thakur et al., 2021). Other challenges regarding the gaps in the power dynamics between the members of the team could create tensions, and in extreme cases, confusion in the decision-making processes. Also, fragmentation or the outbreak of administrative disorders in the joints of scheduling, resource allocation, and conflicting emphasis among different professions could also hinder the continuity of care. In spite of all these challenges, demonstrating mutual interest, setting targets, and fostering a continuous flow of information can aid in the removal of potential interprofessional barriers in the care of PTSD for underrepresented populations.

Evaluation of Evidence and Positions Supporting the Team Approach

Many studies highlight the advantages of the application of a team approach in addressing the PTSD care gaps in underserved populations. The outcomes of PTSD patients from historically marginalized communities improve remarkably from studies that demonstrate the concept of trauma-informed care with cultural competency (El Zouki et al., 2022). In the team model of working with PTSD, the APA endorses comprehensive, interdisciplinary, biopsychosocial frameworks to care that contain mental health providers, primary care providers, and community-level resources, such as peer support or community health worker initiatives that are designed to lower barriers to care and increase retention in PTSD treatment.

An example of the position papers that have been constructed by the National Alliance on Mental Illness NAMI asserts that the need for mental illness services and mental health care in general should be incorporated into the broader health care system. These positions align with the team’s interest in expanding availability through primary care and more localized approaches (Taylor Miller et al., 2021). The other major cited source, the position paper of the American Psychological Association, advocates for the need to eliminate barriers associated with mental illness and improve advocacy, education, and mental health services (American Psychological Association, 2022). The position paper provides detailed, specific suggestions such as increasing the scope of work of community health workers and trauma-trained,d culturally competent healthcare professionals. These suggestions help to formulate a more concrete approach and an action plan facilitated by interdisciplinary teams in the community aimed at addressing stigma and healthcare system barriers, such as trust and concern. For the assessment 2 of this class visit: NURS FPX 6026 Assessment 2

The document’s name, ‘limited funding, lack of provider training in trauma-informed care and culturally competent care, and systemic resistance to change within healthcare institutions’ as barriers to implementation (Taylor Miller et al., 2021). These challenges need to be considered during the planning and policymaking phase to ensure that the advocated solutions are attainable and long-lasting. These stances can be used as justification to form a shift that ensures equitable and targeted approaches to PTSD treatment within marginalized communities.

Knowledge Gaps and Areas of Uncertainty

The effectiveness of community approaches for PTSD in underserved populations, especially those of different races and ethnic backgrounds, is still largely unknown. Looking at things like culture and history, how do they impede treatment adherence and efficacy (Martinez-Vazquez et al., 2021)? More should be done to address structural issues like distrust in the health system and poverty. These knowledge gaps negatively affect the team’s strategy and their chances of improving health outcomes for these neglected populations.

Conclusion

The text provided focuses on position papers underscoring the importance of a team of genuinely compassionate experts collaborating to holistically and culturally heal trauma. The team of providers can greatly improve patients’ outcomes from PTSD by incorporating evidence-based practices and the proposed community-driven PTSD care. The interdisciplinary unit must also stamp stigma and improve the availability of PTSD mental health services.