just need some corrections

Running head: NURSES CARE FOR MENTAL HEALTH 2

NURSES CARE FOR MENTAL HEALTH 2

Nurses care for mental health

Nancy Allie

Chamberlain College of Nursing

Transition to Nursing

NR103-63691

Dr. Hilary Fulk & Dr. Melissa Luten

December 18, 2021

Nurses care for mental health.

Nursing is career established in professional morals, principles, and standards. Nursing being one of the difficult careers to achieve and maintain. Nurses must secure certain qualities such as effective communication, optimistic, compassionate, knowledgeable, and empathetic etc. Compassion being one of the key factors one could acquire as a nurse, helps shaped patients’ life.

Is mental health on a rapid rise in the United States of America? The growing demand for mental health services, together with current and increasing shortages of mental health professionals and increasing adoption of integrated models of care delivery, suggest nurses will become increasingly needed to provide mental health services (David et al., 2021). The use of substance abuse, opioids, severe depression, rampant gun violent has led to the rise of mental and Behavioral health.

In my current job as a Case Manager in a mental facility, the majority of our patients are adults with serious depression, anxiety, mood disorder and more. People with a mental disorder diagnosis are at more than double the risk of all-cause mortality than the general population. Most at risk are those with psychosis, mood disorder and anxiety diagnoses (Cite). These individuals are mostly involved in suicidal attempts or harming themselves or others around them, giving behavioral health organizations to create care plans for them managed my nurses, social workers, case workers and more.

Census shows the demand for nurses in the mental health sector therefore Registered Nurses RN’s and Nurse Practitioners NPs earn more than other nurses in other areas. Registered Nurses who work in mental health services create patients’ diagnosis, they develop treatment plans for patients, organize and assess treatments together with other activities. The increasing demand for mental health services coupled up with the shortage of outpatient mental health professionals suggests nurses will be highly needed to provide healthcare services for mental health patients.

Census from (David et al., 2021) revealed that Registered Nurses ready to work in the mental health services are relatively females and older and they are white compared to other sectors. RNs working in outpatient mental health are considerably older than other

RNs, with just under 10% under age 35 compared to 22% of all other RNs, and nearly half are 50 and over. Outpatient mental health nurses RNs and NPs practiced team-based care. Majority

STUDY PROTOCOL Open Access

Behavioural activation by mental health
nurses for late-life depression in primary
care: a randomized controlled trial
Noortje Janssen1,2,3, Marcus J.H. Huibers4, Peter Lucassen2, Richard Oude Voshaar5, Harm van Marwijk6,7,
Judith Bosmans7, Mirjam Pijnappels8, Jan Spijker1,3,9 and Gert-Jan Hendriks1,3,9*

Abstract

Background: Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments
and the availability of psychological treatments in primary care are limited. A behavioural approach to depression
treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation
(BA) protocols are less complicated and more easy to train than other psychological therapies, making them very
suitable for delivery by less specialised therapists. The recent introduction of the mental health nurse in primary
care centres in the Netherlands has created major opportunities for improving the accessibility of psychological
treatments for late-life depression in primary care. BA may thus address the needs of older patients while improving
treatment outcome and lowering costs.The primary objective of this study is to compare the effectiveness and
cost-effectiveness of BA in comparison with treatment as usual (TAU) for late-life depression in Dutch primary care.
A secondary goal is to explore several potential mechanisms of change, as well as predictors and moderators of
treatment outcome of BA for late-life depression.

Methods/design: Cluster-randomised controlled multicentre trial with two parallel groups: a) behavioural
activation, and b) treatment as usual, conducted in primary care centres with a follow-up of 52 weeks. The main
inclusion criterion is a PHQ-9 score > 9. Patients are excluded from the trial in case of severe mental illness that
requires specialized treatment, high suicide risk, drug and/or alcohol abuse, prior psychotherapy, change in dosage
or type of prescribed antidepressants in the previous 12 weeks, or moderate to severe cognitive impairment. The
intervention consists of 8 weekly 30-min BA sessions delivered by a trained mental health nurse.

Discussion: We expect BA to be an effective and cost-effective treatment for late-life depression compared to TAU.
BA delivered by mental health nurses could increase the availability and accessibility of non-pharmacological
treatments for late-life depression in primary care.

Trial registration: This study is retrospectively registered in the Dutch Clinical Trial Register NTR6013 on
August 25th 2016.

Keywords: Behavioural activation, Late-life depression, Primary care, Older adults, Depressive symptoms

* Correspondence: [email protected]
1Behavioural Science Institut

May/June 2021 | Volume 39 Number 3 111

Nursing Economic$

Developing a well-prepared and geographically
distributed mental health
workforce is a crucial goal of
healthcare workforce planning
initiatives and contributes to
health systems’ ability to
improve population health
(Beck et al., 2020). Before the
SARS COV-2 global pandemic,
sharp increases in suicide,
substance abuse, opioid crises,
gun violence, and severe
depression among young
people were increasing
demands on mental and
behavioral health professionals,
including nurses (Substance
Abuse and Mental Health
Services Administration, 2020).
However, the growing demand
for behavioral health services,
let alone treating the 44 million
American adults who have a
diagnosable mental health
condition, is being met by a
potential shortage of
professionals, which the Health
Resources and Services
Administration (2016) projects
will worsen to as many as
250,000 workers by 2025.
Access to mental health care is

crucial given the societal
upheaval brought about by the
SARS COV-2 global pandemic.

To address the growing
demand for mental health
services, many communities and
healthcare systems are exploring
novel ways to integrate mental
health treatment into primary
care delivery, for example, using
the Collaborative Care Model
(Vanderlip et al., 2016). Nurses
often contact people living with
mental or behavioral health
conditions while being treated
for physical and medical
conditions in both community
and hospital settings. A recent
focus on mental health care,
particularly in outpatient
settings, has been an emphasis
in team-based models,
telehealth, and integration of
mental health and primary care
with contributions from
physicians, nurses, social
workers, peer support, and
community health workers – all
of which can be beneficial
relative to more traditional and
often siloed models of mental
health treatment (Reiss-Brennan
et al., 2016).

Characteristics of Registered Nurses
and Nurse Practitioners Providing
Outpatient Mental Health Care
David I. Auerbach
Max C. Yates

Douglas O. Staiger
Peter I. Buerhaus

The growing demand for mental
health services, together with
current and increasing shortages
of mental health professionals
and increasing adoption of
integrated models of care
delivery, suggest nurses will
become increasingly needed to
provide mental health services.
Analysis of a national survey
finds registered nurses and
nurse practitioners working in
outpatient mental health settings
are older than those in other
settings. Most would benefit
from additional training. Provision
of team-based care was
associated with higher job
satisfaction.

May/June 2021 | Volume 39 Number 3112

The growing demand for
mental health services, together
with current and incre