Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use at least 3 references

                                   The Stigma of Mental Illness

As a society, how do we view mental illness? Often with disdain, discomfort, or fear. Often we ridicule people with mental health disorders.  Our culture fosters negative views of mental illness by using terms such as “crazy”, “nuts”, “psycho”, and the media perpetuates these concepts by depicting people with mental illness as scary, silly, stupid, or defective.

The policy issue that most affects my professional, as well as, personal life is Disability.  I am a psychiatric nurse who also happens to have a mental health issues. Mental illness discrimination and access to healthcare are protections meant to be provided under the law. According to the Americans with Disabilities Act (ADA), it is illegal to revoke licensure or otherwise prevent a healthcare provider from working due to mental disorders. The conditions included are illnesses such as depression, bipolar disorder, and schizophrenia. Another form of discrimination the ADA protects is “employment tests or other selection criteria that screen out or tend to screen out an individual with a disability or a class of individuals with disabilities” (Samuel, L, 2017). However, professional licensing boards still actively engage in discriminatory actions every single day. “Boards’ hands are often tied in terms of what state legislatures will let them do” (Dyrbye, 2017). According, to Dyrbye, at the state level, the quandary is between protecting the public from impaired healthcare workers and the provider’s right to make a living. New studies have shown that nearly 40% of physicians and an even higher percentage of nurses reported that they would be reluctant to seek formal medical care for treatment of a mental health condition because of concerns about repercussions to their licensure.

In the Kingdon’s Model the problem is having special protections under the American Disabilities Act (ADA) to prevent increased discrimination for licensed professional healthcare workers suffering from mental illness who are far more susceptible to bias related to the nature of their professions as providers of patient care.

A policy stream can easily be defined as a think tank.  The primary objective is to collaborate to refine the problem to best address the proposed policy.  In the case of disabilities related to mental illness in healthcare professionals this may be difficult because it is a narrowly defined subset of both the mentally ill and the disabled populations.  However, because the subset can pull from two communities for support it may be easier gain support.  Ultimately, the goal is to put policy into law that forces all healthcare licensure boards and healthcare employers from gathering mental health information and that employers will face serious penalties for discrimination and/or wrongful termination.  The burden of proof is then on the employer rather than the employee to prove rational for separation.

Engaging members from all facets of the healthcare community, as well as, the American Psychiatric Association (ADA) to serve as experts is paramount in generating political support.  Having political connections foster influence from organizations such as NAMI, MHA, Congressman LaHood from IL, Representative Tim Murphy from PA, Linda Rosenberg, CEO of the National Council for Behavioral Health, Executive Director of Mental Illness Policy Org DJ Jaffe, ANA, AMA, and EEOC.  Finally, identifying successful lobbyists to push policy forward is fundamentally crucial if any bill is to become law. Eliciting the support of a successful lobbyist can help to identify windows of opportunity and to approach legislators at the right time and under the best circumstance to have a bill well received.

Reference

Dyrbye, L., West C., Synsky, C., goders, L., Satele, D., Shanafelt, T. (2017). Medical Licensure    Questions and Physician Reluctance to Seek Care for Mental Health Conditions. Mayo Clinic Proceedings. 92, 10, p1463-1604, e133-e153. DOI: https://doi.org/10.1016/j.mayocp.2017.06.020

Farmer, J., (2011, May 16). Disclosing a Mental Health Problem to an Employer. The Guardian. Retrieved by https://www.theguardian.com/careers/careers-blog/mental-health-at-work

John Kingdon, Agendas, Alternatives, and Public Politics, 2nd ed. (New York: Harper Collins, 1995). p. 19.

Samuel, L; (2017, October 16). Stat. Doctors Fear Mental Health Disclosure Could Jeopardize Their Licenses. Retrieved from https://www.statnews.com/2017/10/16/doctors-mental-health-licenses/

 Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-900-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

I need hhelp with a careplan for nursing student, how can you help me?

 Describe a survey, instrument, or tool that you plan to use in your   project. Describe the tool in terms of name, number of items, how it   is answered (Likert scale, yes/no, open answers, etc.), and the total   score. Describe the level of measurement for this instrument. Support   with references. 1 page, APA.

Project Topic:  Use of Advanced Practice Providers in triage in improving waiting times in Emergency departments. 

Hi, i need this chart i provide in the link to be filled based on these information:

Also i give you sample of a assessment as a guide to get an idea what does it mean ‘ Needs Assessment’

Health Promotion Program, Part B: Needs AssessmentThe next step in developing your 10-20 minute health promotion program is to identify the learning needs assessment. Use the information in this chapter, to develop and conduct a needs assessment of 3-5 persons meeting the criteria of the target audience to submit your results.  You can conduct this with each person individually or get them together as a small focus group.  The needs assessment should be a short interview or survey to determine what the clients’ major concerns are related to the Healthy People 2020 goal and objective you have selected to focus on for this project as well as their overall knowledge in the area