NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
Student 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 particularly vulnerable to developing additional physical health complications. Common comorbidities include cardiovascular disease, diabetes, and respiratory illnesses. Research shows that individuals with chronic psychiatric conditions often experience a significantly reduced life expectancy, averaging 15–20 years less than the general population (Nielsen et al., 2021). These disparities are largely influenced by lifestyle choices, challenges in accessing preventive healthcare, and the side effects of psychotropic medications.
Best Practices
Healthcare providers in acute settings should integrate structured physical health monitoring alongside lifestyle support to mitigate these risks. The table below summarizes key interventions:
| Intervention | Details |
|---|---|
| Routine Physical Health Checks | Conduct regular assessments, including BMI, blood pressure, glucose, lipid profile, and smoking status. |
| Lifestyle Interventions | Offer programs such as smoking cessation, guided exercise routines, and nutritional counseling. Encouraging balanced nutrition, physical activity, and tobacco cessation enhances both physical and mental health outcomes (Koomen et al., 2022). |
These interventions ensure that care coordination addresses both mental and physical health needs, promoting holistic patient well-being.
Mental Illness
Mental illness involves clinically significant disruptions in cognition, mood, or behavior, often resulting from biological, psychological, or developmental dysfunctions (Stein et al., 2021). Such conditions frequently impair an individual’s daily functioning, professional engagement, and social interactions.
Prevalence and Impact:
- Roughly 1 in 5 U.S. adults experiences a mental health condition annually.
- In Florida, approximately 2.89 million adults live with some form of psychological disorder (National Alliance on Mental Illness [NAMI], n.d.).
- In 2021, 40.9% of Florida adults reported experiencing depression or anxiety.
These statistics underscore the necessity for structured care coordination, preventive measures, and access to timely treatment services.
Cultural Considerations and Best Practices
Barriers
Cultural norms, societal stigma, and misconceptions often prevent individuals from seeking professional psychological care. These barriers can differ across communities, making cultural sensitivity a vital component of effective care planning.
Best Practices
| Practice | Application |
|---|---|
| Culturally Adaptable Care | Integrate patients’ cultural values, traditions, and preferences to build trust and increase adherence to treatment (Ahad et al., 2023). |
| Culturally Competent Education | Deliver tailored education programs to reduce stigma and enhance understanding of mental illness, using workshops, peer education, or community initiatives (Ahad et al., 2023). |
By applying these practices, providers ensure inclusivity and deliver culturally relevant services.
Psychosocial Considerations and Best Practices
Psychosocial factors, including emotional well-being, behavioral stability, and social functioning, play a crucial role in how patients manage stress, make decisions, and interact with their environment.
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
| Practice | Application |
|---|---|
| Psychological Interventions | Mindfulness-Based Cognitive Therapy (MBCT) combines cognitive therapy with mindfulness strategies to reduce depression relapse and improve coping skills (Gkintoni et al., 2025). |
| Emotional Support & Coping | Structured coping techniques, such as breathing exercises, yoga, or meditation, strengthen emotional regulation and resilience. |
| Group Psychotherapy | Provides social support through shared experiences, empathy, and trust, enhancing recovery outcomes (Marmarosh et al., 2022). |
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
Underlying Assumptions and Uncertainties
- MBCT and lifestyle interventions are assumed to be broadly effective across populations.
- Culturally tailored interventions are expected to reduce stigma in diverse groups.
- Uncertainty remains regarding consistent implementation of stigma-reduction strategies across cultural contexts.
- Implementation challenges may include workforce shortages, limited resources, and funding constraints in acute care settings.
SMART Goals
- Goal 1: Conduct weekly MBCT sessions for adult patients in Florida to alleviate depressive symptoms. Success will be measured by a 40% improvement in PHQ-9 scores within six months.
- Goal 2: Implement biweekly culturally tailored education workshops to enhance mental health awareness. Aim for a 60% increase in knowledge and reduced stigma perception, assessed through pre- and post-session surveys within six months.
Community Resources
Effective care coordination requires linking patients to local community-based services.
| Organization | Services Offered | Contact Information |
|---|---|---|
| Mental Health Association of Central Florida (MHACF) | Offers low-cost educational 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 | Provides individual/group therapy, CBT, DBT, medication management, and family education. | Phone: 1-855-548-0352 Address: 7789 NW Beacon Square Blvd, Boca Raton, FL (Caron Florida, 2024) |
| NAMI Florida | Advocacy, education, peer support, and community awareness programs. | Phone: 850-671-4445 Address: P.O. Box 302, Ocala, FL 34478 (NAMI Florida, 2025) |
| Care Resource | Accessible 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
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
NURS FPX 4065 Assessment 2 Preliminary Care Coordination Plan
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
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