Watch the video   on You Tube: “Mental Health Behind Bars:

https://www.youtube.com/watch?v=-fQ50a-m92Y&feature=youtu.be

   After viewing please complete the assignment below :

1) How have prisons become the new state hospital facilities?

2) How many people with mental illness are being held in jails and prisons throughout the United States? 

3) What were the 4 most common psychiatric disorders in the prison population?

4) Why do individuals with psychiatric disorders end up in jail?

5) Do individuals with psychiatric disorders serve longer or shorter sentences than the general population? Explain.

6) How does medication noncompliance impact prisoners with psychiatric disorders? 

7) What factors may contribute to the psychotropic medication noncompliance?

 I NEED A REPONSE TO THIS ASSIGNEMNT

2 REFERENCES

Therapy for Patients with Personality Disorder

            Personality disorder can be described as a set of behaviors where individuals can identify themselves with and relate to the environment. Most mental health disorders are difficult to diagnose since there is no lab point out for sure what it is. Bipolar personality disorder like most mental health disorder have similar symptoms that are subjective, and so the clinician depends on what the person tells them how they feel. According to the American Psychiatric Association. (, 2013).  A personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment. For this paper, I will be discussing borderline personality disorder, its treatment, both psychotropic and psychotherapy.

            Borderline personality disorder (BPD) is a pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity as defined in Diagnostic and statistical Manual-5 (DSM-5) American Psychiatric Association. (, 2013).   BPD symptoms are characterized by the inability of the patient to maintain stable relationships, excessive worrying, feeling lonely, or thinking no one loves them, having problems of being able to regulate their emotions leading to frequent irritability, and feeling depressed and injurious behaviors. Borderline personality disorder (BPD) is a severe mental disorder with symptoms such as affective instability, impulsivity, and self-harm according to Beck, E., et al. (2016). Proper treatment depends on properly identifying the correct personality disorder since many behaviors exist with similar symptoms and comorbid disorders. This comorbidity makes it difficult for a PMHNP who is just beginning difficulty and challenging to treat. In this case, monotherapy is usually not very effective, and hence use of psych pharmacology and psychotherapies should be encouraged, targeting each symptom described or observed by the clinician. BPD may co-occur with substance use disorder (SUD). Research has indicated that chronic, excessive use of substances and problems due to excessive use are potential indicators of the BPD diagnosis that is the BPD impulsivity criterion, according to Trull, T. J., et al. (2018).

            Evidence-based practice research has shown that Mentalization-based behavior group (MBT) therapy and dialectical behavioral therapy (DBT) effectively treat BPD. As for the MBT, the primary goal is to strike a balance between the authority and structure of each session with an open mind to explore the curious stance of the patient. The patients’ profound difficulties with interpersonal functioning and affect regulation require therapeutic techniques potent enough to counteract the difficulties that can arise during sessions. According to Beck, E., et al. (2016). MBT is based on attachment theory and psychodynamic principles and has a high degree of structure and a clear treatment goal of improving patients’ mentalizing skills and may last up to a year. DBT, on its part, focuses on the patient’s inability to control their emotions. It is based on the fact people with BPD are especially sensitive in their reactions and the difficulties to control their tempers either due to their environment they grew up in or due to trauma during childhood or adolescence. The goal here is to train the mind to manage their emotions when exposed to uncomfortable situations. DBT is a good research psychosocial treatment that has been found effective for treating BPD. DBT helps them avoid being so judgmental and critical about themselves as good for nothing person leading to suicidal thoughts.

            Treating BPD with psychopharmacology drugs focuses on the priority symptoms that the person is most concerned about or display as destroying his/her life. Psychotic symptoms such as irritability, suicide ideation, or attempt or self-injurious behaviors might begin with psychotic medications such as Depakote, topiramate, Lamictal, which are anticonvulsants drugs, use off label to treat this disorder. Also, lithium and atypical antipsychotics such as Olanzapine and Abilify that have proven effective in decreasing this disorder. Patients might benefit from antidepressants if they exhibit depression symptoms too. Care must be taken in selecting this medication as their side effects might lead to medication non-compliant. Depakote and lithium levels need to be monitored to avoid toxicity. One will have to assess for insomnia as people with this condition might express irritability and emotional instability.

            Diagnosing BPD, like most mental health illnesses, must be done with care, empathy but at At the same time setting professional boundaries. These patients often take offense when told about their diagnosis as they are often in denial, attentional seeking behaviors, for instance, stating that they were going to hurt themselves. The diagnosis, therefore, must be presented in a manner that validates them with offers to assist them in overcoming their difficulties in controlling like their depression, irritability, suicide ideations, not feeling loved or abandoned by their loved ones.

References.

American Psychiatric Association. (, 2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Beck, E., Bo, S., Gondan, M., Poulsen, S., Pedersen, L., Pedersen, J., & Simonsen, E. (2016). Mentalization-based treatment in groups for adolescents with borderline personality disorder (BPD) or subthreshold BPD versus treatment as usual (M-GAB): study protocol for a randomized controlled trial. Trials, 17(1), 1-13.

Rizvi, S. L., Hughes, C. D., & Thomas, M. C. (2016). The DBT Coach mobile application as an adjunct to treatment for suicidal and self-injuring individuals with borderline personality disorder: A preliminary evaluation and challenges to client utilization. Psychological services, 13(4), 380.

Trull, T. J., Freeman, L. K., Vebares, T. J., Choate, A. M., Helle, A. C., & Wycoff, A. M. (2018). Borderline personality disorder and substance use disorders: an updated review. Borderline personality disorder and emotion dysregulation, 5(1), 15.

Assignment: Discussion Board Week 2- Discussion of which model you prefer, due by 11:59pm (50 pts).

Discussions play an integral role in monitoring your course participation throughout the term. You should check back to the weekly discussions multiple times throughout the week to engage in the discussion with your professor and peers. Participation is only counted during the week in which this discussion is assigned. Be sure to appropriately cite any sources you use to support your responses with standard APA citations. Answer the prompt question(s) thoroughly using a minimum of 150-200 words and respond to as many of your peers as possible – note that responses of 75-100 words to 2 of your peers are required for full credit. Be sure to answer any additional questions asked by your professor in the discussion threads. Your initial post is due by Day 3 (Friday) of the current week, and follow up posts to your peers are due on Day 7 (Tuesday). 

Discussion Prompt: 

1. Please discuss/include the following in a minimum of 150-200 words for your initial post:

• Of the styles of leadership you learned about in the resources thus far in our course, choose one that you find most successful or appealing and share the following information with your peers:
  • Which style or approach did you choose and why do you think it is the most appealing to you?
  • To support your choice, share an example of a time when you or someone else used this style of leadership and it was helpful to others.

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

• Review the scope and standards of practice or competencies related to your chosen specialty in the resources for this module.
• Review the MSN specializations offered at Walden by viewing the module resource, Walden University. (n.d.). Master of Science in Nursing (MSN).
• Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this Assignment.
• Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

• With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.
• Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.
• Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.

Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.

ASSIGNMENT ONE

Professionalism and Social Media

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.

2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.

3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style

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.

ASSIGNMENT TWO

Benchmark – Effective Approaches in Leadership and Management

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.

2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.

4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.

5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.

6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide.

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

ASSIGNMENT THREE

A) In this assignment you will be writing a 200 words paper reviewing your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting. Compare two leadership theories. Provide an overview of each and discuss the strengths and weakness in relation to nursing practice and add at least one reference.

Cover Letter

B) Write a one-page double spaced introductory cover letter (150 words)in which you explain your professional objectives, professional interests, and strengths as an applicant. You are required to submit this assignment to LopesWrite