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Assessment 2: Biopsychosocial Population Health Policy

Proposal

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Student Name

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Capella University

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NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name
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MAR 24, 2024
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Comprehensive Policy Proposal for Enhancing Adolescent
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Depression Outcomes
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Amidst the persistent challenges surrounding affordability and accessibility within the
healthcare domain, there arises a critical need to formulate effective policies ensuring
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ethical, equitable, and efficient healthcare delivery. Particularly concerning vulnerable

and marginalized populations, policy development becomes pivotal in driving
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advancements in health outcomes. This policy proposal delineates a comprehensive

strategy to address one such pressing issue: adolescent depression, which has
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emerged as a significant public health concern in recent times. The proposed policy
aims to present a holistic approach to improving the quality of care and outcomes for
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adolescents grappling with depression.

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Policy and Guidelines Proposal for Enhanced Adolescent Depression Outcomes

The escalating prevalence of adolescent depression poses a formidable health

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challenge, impacting academic performance, interpersonal relationships, and elevating

the risk of suicide among teenagers (Beirão et al., 2020). Thus, the proposed policy
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centers on proactive detection and comprehensive intervention for depression,

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employing a multidisciplinary approach for optimal care provision. The following are the
guidelines encapsulated within our policy:

Prompt Identification: We propose routine mental health assessments in educational

and primary healthcare settings to promptly identify symptoms of depression among
teenagers (Fuhr et al., 2020).

Interdisciplinary Collaboration: Collaboration among diverse professionals such as

educators, counselors, primary healthcare providers, mental health specialists, nursing
staff, and social workers is advocated to ensure a holistic approach to diagnosis,
treatment formulation, and service delivery (De Los Reyes et al., 2022).

Education and Awareness Campaigns: Encouraging programs aimed at enhancing

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awareness about adolescent depression among vulnerable individuals, their families,
and the wider community is recommended to mitigate the stigma associated with mental

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health and foster early help-seeking behaviors (Slater et al., 2023).

Vigilant Monitoring and Follow-ups: We suggest stringent adherence to follow-up

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protocols, particularly crucial for teenagers undergoing pharmacological interventions, to
monitor potential side effects and track progress effectively (Slater et al., 2023).

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Personalized Treatment Approaches: Emphasis is placed on developing treatment
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strategies tailored to the unique circumstances, preferences, and needs of each
teenager (De Los Reyes et al., 2022).
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The implementation of this policy may encounter challenges such as societal stigma
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related to mental health, resource constraints, insufficient professional training, and

coordination issues within interdisciplinary teams. To address these challenges, the
policy recommends launching anti-stigma campaigns, advocating for increased financial
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allocations towards mental health services, facilitating adequate professional training,

and enhancing communication systems for effective interdisciplinary collaboration
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(World Health Organization, 2019).

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Advocacy for the Proposed Policy

The imperative for the proposed policy becomes apparent when evaluating the current
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outcomes and quality of care for adolescent depression. The profound impact of
depression on adolescents' academic achievements, social interactions, and suicide
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vulnerability is extensively documented (World Health Organization, 2019). It is evident

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that while existing interventions have shown efficacy, their delayed application often
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leads to suboptimal outcomes. For instance, delayed diagnosis frequently results in
poor academic performance, strained relationships, and, in severe cases, self-harm or
suicide attempts before intervention occurs.

Furthermore, the reactive stance of the current system has resulted in inefficiencies in
care delivery, often characterized by fragmented care, underutilization of psychotherapy,
excessive reliance on pharmacological treatment, and inadequate monitoring of
treatment progress (Fuhr et al., 2020). Given these issues, the increasing incidence of
depression among adolescents necessitates policy reform. A coordinated
interprofessional approach to early detection and comprehensive treatment is
imperative.

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However, certain arguments revolve around the potential risks associated with
medication treatments, such as adverse side effects and the development of drug
dependency. Others express concerns about the potential for overdiagnosis and

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subsequent unnecessary treatment. While these viewpoints are valid and integral to the
broader discussion, they underscore the importance of a meticulous, personalized

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treatment approach with stringent monitoring protocols, rather than contradicting the
need for early intervention and comprehensive care (Cooper et al., 2019). These
perspectives only further underscore the need for the proposed policy, not diminish its
significance.
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Interprofessional Approach to Policy Implementation
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The adoption of an interprofessional approach in policy implementation can significantly

enhance the quality and efficiency of care for adolescents grappling with depression.
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This approach harnesses the unique skills and perspectives of diverse healthcare
professionals. For instance, school counselors and educators, who interact with
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students daily, are well-placed to observe changes in behavior, performance, or mood

that might indicate the onset of depression.
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Primary care physicians, serving as the initial point of contact in healthcare, can play a
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pivotal role in early detection during routine health check-ups. Psychiatrists and
psychologists can leverage their mental health expertise to diagnose depression
severity and develop personalized treatment plans, which may include
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cognitive-behavioral therapy, interpersonal therapy, or pharmacological interventions.

Nurses, with their holistic and patient-centered care approach, can provide continuous
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support and monitor treatment progress. Social workers can identify and address
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socio-economic determinants impacting mental health or access to care (World Health
Organization, 2019).

Moreover, an interprofessional team can not only deliver individualized care but also
drive systemic changes. They can spearhead awareness and education initiatives
targeting adolescents, their families, and the broader community. This could entail
conducting workshops in schools, organizing community events, and utilizing digital
platforms to disseminate information about adolescent depression, its symptoms, and
available support options. Such initiatives are crucial for stigma reduction and fostering
early help-seeking behavior. Collectively, these interprofessional actions may lead to
more immediate intervention, improved health outcomes, and overall superior care for
adolescents grappling with depression (Naslund & Deng, 2021).

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Nonetheless, certain knowledge gaps and areas of uncertainty persist, warranting
further investigation. The influence of social determinants on adolescent mental health,

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the long-term efficacy and safety of pharmacological treatments, and the optimal
strategies for early depression detection among adolescents necessitate additional

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research (Fuhr et al., 2020). Furthermore, understanding how to cultivate effective
interprofessional teams in diverse healthcare settings remains challenging. Further
research is warranted to identify best practices for interprofessional collaboration,
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including communication strategies, role clarification, and conflict resolution. These
areas of uncertainty present promising avenues for future research and policy
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development, with the potential to further enhance care for adolescents struggling with
depression (Klevan et al., 2021).
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Conclusion
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Adolescent depression constitutes a critical public health issue warranting urgent

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attention. Implementing a policy aimed at early detection, interprofessional care,

personalized treatment plans, and comprehensive follow-ups can significantly contribute
to improving health outcomes. While challenges such as stigma, resource constraints,
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and professional training need addressing, effective strategies and sustained efforts can
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surmount these obstacles. This policy proposal serves as an illustration of how

master’s-prepared nurses can advocate for enhanced health outcomes among
vulnerable populations. By acknowledging potential difficulties and identifying areas of
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uncertainty, it underscores the importance of continuous learning and improvement in

healthcare policy-making and implementation.
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References

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Beirão, D., Monte, H., Amaral, M., Longras, A., Matos, C., & Villas-Boas, F. (2020).
Depression in adolescence: A review. Middle East Current Psychiatry, 27(1).
https://doi.org/10.1186/s43045-020-00050-z

Cooper, M. C., Kilvert, H. S., Hodgkins, P., Roskell, N. S., & Eldar-Lissai, A. (2019).
Using matching-adjusted indirect comparisons and network meta-analyses to compare
efficacy of Bre

xanolone injection with selective serotonin reuptake inhibitors for treating postpartum
depression. CNS Drugs, 33(10), 1039–1052.
https://doi.org/10.1007/s40263-019-00672-w

De Los Reyes, A., Talbott, E., Power, T. J., Michel, J. J., Cook, C. R., Racz, S. J., &

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Fitzpatrick, O. (2022). The Needs-to-goals gap: How informant discrepancies in youth
mental health assessments impact service delivery. Clinical Psychology Review, 92,

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102114. https://doi.org/10.1016/j.cpr.2021.102114

Fuhr, D. C., Acarturk, C., Sijbrandij, M., Brown, F. L., Jordans, M. J. D., Woodward, A.,

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McGrath, M., Sondorp, E., Ventevogel, P., Ikkursun, Z., El Chammay, R., Cuijpers, P., &
Roberts, B. (2020). Planning the scale up of brief psychological interventions using

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theory of change. BMC Health Services Research, 20(1).
https://doi.org/10.1186/s12913-020-05677-6
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Klevan, T., Sommer, M., Borg, M., Karlsson, B., Sundet, R., & Kim, H. S. (2021). Part III:
Recovery-oriented practices in community mental health and substance abuse services:
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A meta-synthesis. International Journal of Environmental Research and Public Health,

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18(24), 13180. https://doi.org/10.3390/ijerph182413180

Naslund, J. A., & Deng, D. (2021). Addressing mental health stigma in low-income and
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middle-income countries: A new frontier for digital mental health. Ethics, Medicine and
Public Health, 19, 100719. https://doi.org/10.1016/j.jemep.2021.100719
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Slater, T. M., Rodney, T., & Finnell, D. S. (2023). Promoting the integration of peer
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support specialists into the healthcare team. Nursing, 53(2), 50–55.

https://doi.org/10.1097/01.nurse.0000903972.32588.ad
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World Health Organization. (2019). Advocacy for mental health, disability and human
rights. WHO QualityRights guidance module.
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https://apps.who.int/iris/bitstream/handle/10665/329587/9789241516792-eng.pdf
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