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Assessment 1: Analysis of Position Papers for Vulnerable

Populations

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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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Analyzing Position Papers on Vulnerable Populations
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Adolescent depression poses a significant public health challenge, impacting academic
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performance social interactions and increasing the risk of suicide. A comprehensive,
evidence-based approach involving an interprofessional team is crucial for addressing
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this issue effectively and utilizing available resources efficiently. This assessment
presents a perspective on health outcomes for adolescent depression, discusses the
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role of interprofessional teams, evaluates supporting and contrary evidence, and

identifies knowledge gaps.
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Perspective on Health Outcomes for Adolescent Depression

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Depression among adolescents remains a pressing mental health issue, with evidence
indicating a growing prevalence in recent times (Keyes et al., 2019). Its consequences
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are severe, affecting academic performance and social relationships and increasing the
risk of suicide. Based on current research, our stance underscores the treatability of
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adolescent depression, emphasizing the significance of early identification and

intervention for improved health outcomes (Stein et al., 2022). Preventative measures
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and early intervention strategies are vital components of effective mental healthcare.
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Assumptions of the Plan

Our proposed plan for early detection and treatment of adolescent depression relies on
several key assumptions. Firstly, it assumes the availability and accessibility of mental
health resources, reflecting efforts to enhance service provision, particularly for young
individuals (Fuhr et al., 2020). Secondly, it assumes the capacity of stakeholders to
identify early signs of depression, aligning with recent findings emphasizing early
identification's importance (De Los Reyes et al., 2022). Lastly, it assumes the creation of
a supportive environment conducive to help-seeking behavior, addressing societal
stigma and self-stigma associated with mental health issues (Harvey & White, 2023).

Role of the Interprofessional Team in Managing Adolescent Depression

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Interprofessional collaboration is essential in managing adolescent depression for
several reasons. Firstly, it facilitates early detection of depression symptoms through

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professionals like teachers, counselors, and physicians who regularly interact with
adolescents (Stein et al., 2022). Secondly, it ensures timely, coordinated care led by
psychiatrists and psychologists, supported by nurses and social workers (De Los Reyes

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et al., 2022). Thirdly, it offers diverse therapeutic options tailored to individual needs,
including counseling, psychotherapy, and pharmacological treatments (Fuhr et al.,

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2020). Lastly, the team plays a crucial role in educating adolescents, families, and
communities about depression, reducing stigma and promoting help-seeking behavior
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(Harvey & White, 2023).
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Challenges in Interprofessional Collaboration

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Despite its benefits, interprofessional collaboration faces challenges such as mental

health stigma, resource constraints, and inadequate training among professionals
(Harvey & White, 2023; Slater et al., 2023). Effective coordination across different
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professional groups can also be challenging, particularly in settings with poor

communication infrastructure (De Los Reyes et al., 2022).
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Evaluation of Supporting Evidence and Identification of Knowledge Gaps

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A significant body of evidence supports the team-based approach to adolescent

depression management. Studies demonstrate the efficacy of psychotherapy and
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pharmacological interventions, particularly SSRIs, in treating adolescent depression (Do

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et al., 2021; Cooper et al., 2019). Collaborative care models involving primary care
providers and mental health specialists significantly improve depressive symptoms in
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adolescents (Do et al., 2021). However, knowledge gaps remain regarding the role of
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social determinants of health, optimal strategies for early identification, and long-term
effectiveness and safety of pharmacological treatments (Fuhr et al., 2020; McGorry et
al., 2022).

Evaluation of Contrary Evidence and Response to Conflicting Data

Contrary views raise concerns about the potential side effects of pharmacological
treatments, overdiagnosis, and the focus on early identification of depression in
adolescents (Cooper et al., 2019; Beirão et al., 2020). Responding to these concerns
involves emphasizing personalized treatment plans, rigorous follow-up and monitoring,
and evidence-based strategies to foster adolescent engagement (Bierman et al., 2023;
Harris et al., 2023).

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Conclusion

In conclusion, managing adolescent depression requires the coordinated efforts of an

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interprofessional team. Our position emphasizes evidence-based strategies while
acknowledging contrary views and addressing knowledge gaps. It's essential to

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continually evolve our understanding and management strategies to improve outcomes
for adolescents with depression.

References m
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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).
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https://doi.org/10.1186/s43045-020-00050-z
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Bierman, A. S., Burke, B. T., Comfort, L. N., Gerstein, M., Mueller, N. M., & Umscheid,
C. A. (2023). From precision medicine to precision care: Choosing and using precision
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medicine in the context of multimorbidity. Cambridge Prisms: Precision Medicine, 1.

https://doi.org/10.1017/pcm.2023.8
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Cooper, M. C., Kilvert, H. S., Hodgkins, P., Roskell, N. S., & Eldar-Lissai, A. (2019).
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Using matching-adjusted indirect comparisons and network meta-analyses to compare

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

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mental health assessments impact service delivery. Clinical Psychology Review, 92,
102114. https://doi.org/10.1016/j.cpr.2021.102114

Do, R., Lee, S., Kim, J.-S., Cho, M., Shin, H., Jang, M., & Shin, M.-S. (2021).
Effectiveness and dissemination of computer-based cognitive behavioral therapy for
depressed adolescents: Effective and accessible to whom? Journal of Affective
Disorders, 282, 885–893. https://doi.org/10.1016/j.jad.2020.12.177

Fuhr, D. C., Acarturk, C., Sijbrandij, M., Brown, F. L., Jordans, M. J. D., Woodward, A.,
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
theory of change. BMC Health Services Research, 20(1).

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https://doi.org/10.1186/s12913-020-05677-6

Harris, K., Amanda Aguila Gonzalez, Vuong, N., Singh, N., Brown, R., & Susanna

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Ciccolari Micaldi. (2023). Expert team in your back pocket: Recommendations from a
pediatric mental health access program. Clinical Pediatrics,
000992282311541-000992282311541. https://doi.org/10.1177/00099228231154122

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Harvey, L. J., & White, F. A. (2023). Emotion self‐stigma as a unique predictor of

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help‐seeking intentions: A comparative analysis of early adolescents and young adults.
Psychology and Psychotherapy: Theory, Research and Practice.
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https://doi.org/10.1111/papt.12467

Keyes, K. M., Gary, D., O’Malley, P. M., Hamilton, A., & Schulenberg, J. (2019). Recent
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increases in depressive symptoms among US adolescents: Trends from 1991 to 2018.

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Social Psychiatry and Psychiatric Epidemiology, 54(8).

https://doi.org/10.1007/s00127-019-01697-8
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McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez‐Jimenez, M., & Killackey, E.
(2022). Designing and scaling up integrated youth mental health care. World Psychiatry,
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21(1), 61–76. https://doi.org/10.1002/wps.20938

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Slater, T. M., Rodney, T., & Finnell, D. S. (2023). Promoting the integration of peer
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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Stein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N.,
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& Maj, M. (2022). Psychiatric diagnosis and treatment in the 21st century: Paradigm
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shifts versus incremental integration. World Psychiatry, 21(3), 393–414.
https://doi.org/10.1002/wps.20998

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