NURS 6050 WEEK 7 DISCUSSION 1: EVIDENCE BASE IN DESIGN

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NURS 6050 WEEK 7 Discussion 1: Evidence Base in Design

NURS 6050 WEEK 7 Discussion 1: Evidence Base in Design
By Day 3 of Week 7
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
By Day 6 of Week 7
Respond to at least two of your colleagues* on two different days by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.
For this discussion, I selected the Mental Health Services for Students Act of 2020 as my proposed health care policy. If passed, this bill would grant authority for the Project AWARE (Advancing Wellness and Resiliency in Education) program to provide mental health services in schools. This program is run by the Substance Abuse and Mental Health Services Administration SAMHSA) and would provide care to students dealing with trauma such as grief, suicidal ideations, and violence (Congress.gov, 2020). Project AWARE would advance mental health awareness and staff training to identify and handle these types of students correctly. Behavioral interventions and family involvement in preventing mental illness and alleviating trauma would also be components of this program. Lastly, this program would also establish a way for children to report incidents.
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Because children are at school almost as much as at home, school is an excellent place to intervene, prevent, and detect mental health problems. Students commonly experience mental health problems such as anxiety, depression, substance abuse, grief, bullying, and stress (NASP, 2021). Providing mental health services in schools can aid in removing the stigma around mental illness and encourage more students to seek help when they need it. Assisting these types of students will promote better learning and safety for the children. Early detection of mental illness is also a benefit of providing services within the school because staff will be able to collaborate with the family to discuss what they see at school versus what the parents notice.
I believe that there is an evidence base to support the Mental Health Services for Students Act because multiple studies have been conducted on the subject. For instance, in North Carolina, a tier prevention model called Positive Behavioral Interventions and Supports (PBIS) was placed in an effort to triage students’ needs (Schultz et al., 2020). In Tier 1 of this model, all students are screened for mental or behavioral health issues that may require intervention. Tier 2 involves students whose interventions from Tier 1 did not work or could be improved. Lastly, Tier 3 focuses more specifically on each individual’s needs, potentially involving one-on-one therapy. I found this strategy to be exceptionally organized and systematic in helping the students who need mental health services. Aside from this strategy, many other methods exist for implementing mental health care in the school system. The Mental Health Services for Students Act could be very beneficial in changing the lives of many students, especially those whose issues may otherwise go unaddressed.
References
Congress.gov. (2020, September 30). H.R.1109 – Mental Health Services for Students Act of 2020. Congress.gov. Retrieved December 10, 2021, from https://www.congress.gov/bill/116th-congress/house-bill/1109/text.
National Association of School Psychologists. (2021). Comprehensive school-based mental and Behavioral Health Services and school psychologists. National Association of School Psychologists. Retrieved December 10, 2021, from https://www.nasponline.org/resources-and-publications/resources-and-podcasts/mental-health/school-psychology-and-mental-health/comprehensive-school-based-mental-and-behavioral-health-services-and-school-psychologists.
Schultz, B. K., Al-Hammori, D., Mirabelli, K., & Gaither, L. (2020). Mental Health Services in North Carolina’s Public Schools. North Carolina Medical Journal, 81(2), 111–115. https://doi.org/10.18043/ncm.81.2.111
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10 months ago
Quanza Mooring WALDEN INSTRUCTOR MANAGER 
RE: Discussion – Week 7
COLLAPSE
I lived in NC for most of my life. I remember years ago when the two largest inpatient mental health facilities down-sized, one closing all together. Patients who had not lived outside the facility for years were suddenly thrust into communities they were completely unfamiliar with. For some outpatient treatment worked well, for others, though, outpatient treatment was not enough. As you mention, rural areas are often lacking in access to mental health care, however, many nurses in urban areas that have larger numbers of mental health professionals feel access is still subpar. As you consider this bill, do you feel it goes far enough to help improve access and affordability for all patients who may need it?
Dr. Mooring
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10 months ago
Blessing Nnakwu 
RE: Discussion – Week 7
COLLAPSE
Hello Marissa,
This act is a very useful one because it allows us to help students with their mental health, which is very important in ensuring we get adults who are more stable and more prepared to appropriately handle their mental health. According to the website of the congresswoman that introduced this bill, It has been implemented in Congresswoman Napolitano’s congressional district (in 35 schools) since 2001 and has been very successful (Napolitano, n.d.). My hope is that with the introduction of this bill, we will begin to see a decrease in suicide rates because the children this bill covers would finally be receiving the help they desperately need to process things. Currently in Congresswoman Napolitano’s district (32nd district in California), there are 17 firearm suicides on average which is pretty low compared to some of the surrounding districts, which are in the 30s-40s, which could serve as further proof that this bill is in need of being implemented in schools everywhere (Everytown Research & Policy, 2020).
References
Napolitano, G. (n.d.) Facts on the mental health services for students act. https://napolitano.house.gov/issues/hr-721-mental-health-services-students-act/facts-mental-health-services-students-act
Everytown Research & Policy. (2020, Oct. 2). Firearm suicide by congressional district. https://everytownresearch.org/report/firearm-suicide-by-congressional-district/ 
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10 months ago
Precious Dixon 
RE: Discussion – Week 7
COLLAPSE
Hi Marissa, I enjoyed reading your post, very informative and such a great topic. Mental health is so real and so overlooked, especially amongst our youth. This act will be very useful in early detection of mental issues/concerns such as depression, suicide, anxiety or hopelessness. I try to do “mental health checks” with our kids and my husband, just a way to keep track of what we are all facing everyday and offer support.
References
Congress.gov. (2020, September 30). H.R.1109 – Mental Health Services for Students Act of 2020. Congress.gov. Retrieved December 10, 2021, from https://www.congress.gov/bill/116th-congress/house-bill/1109/text.
National Association of School Psychologists. (2021). Comprehensive school-based mental and Behavioral Health Services and school psychologists. National Association of School Psychologists. Retrieved December 10, 2021, from https://www.nasponline.org/resources-and-publications/resources-and-podcasts/mental-health/school-psychology-and-mental-health/comprehensive-school-based-mental-and-behavioral-health-services-and-school-psychologists.
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10 months ago
Monique Daniels 
Marissa
COLLAPSE
 
10 months ago
Yvonne Addo 
RE: Discussion – Week 7
COLLAPSE
Response
Hi Marissa, thanks for your post, I like your topic very much. Mental health is something that is usually overlooked, much attention is not given to it as it is given to other health problems; However, just like DM, cardiac problems and other health problems, mental health is also a disease of the brain and should receive the same recognition and care as any other disease. There are also so many stigmatizations associated with mental health which prevent people with mental health from seeking for help. According to an article, “People with lived experience of mental illness commonly report feeling devalued, dismissed, and dehumanized by many of the health professionals with whom they come into contact”(Knaak, et al., 2017). The fear of being prejudiced and discriminated against prevents people with mental health to go for treatment when they are sick which leads to psychiatric emergencies (Silva, et al., 2020). I am always happy about anything that protects people with mental health and this bill you talked about will surely be beneficial to the students and will protect their safety.
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References
Knaak, S., Mantler, E., & Szeto, A. (2017). Mental illness-related stigma in healthcare. Healthcare management forum. Healthc manage forum. 2017 Mar; 30(2): 111-116. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347358/
Silva, A. G. D., Baldacara, L., Cavalcante, D. A., Fasanella, N. A., & Palha, A. P. (2020). The impact of mental illness stigma on psychiatric emergencies. Frontiers in psychiatry. Front psychiatry. 2020; 11: 573. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319091/
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10 months ago
CHRIS – PAUL BLAIR 
RE: Discussion – Week 7
COLLAPSE
As someone who has worked in mental health care, it really is an aspect of overall bodily health that is heavily overlooked. I completely agree that providing mental health services at school for students could be very beneficial in regards to early detection and removing stigma. Having school-aged children myself, there are many concerns that young children may not share with parents so having a resource at school that can help provide professional guidance is a great asset. With COVID regulations and some schools going partially or fully virtual do you think students staying home 24/7 has an impact on their mental health and how would you combat this?
References:
Congress.gov. (2020, September 30). H.R.1109 – Mental Health Services for Students Act of 2020. Congress.gov. Retrieved December 10, 2021, from https://www.congress.gov/bill/116th-congress/house-bill/1109/text.
National Association of School Psychologists. (2021). Comprehensive school-based mental and Behavioral Health Services and school psychologists. National Association of School Psychologists. Retrieved December 10, 2021, from https://www.nasponline.org/resources-and-publications/resources-and-podcasts/mental-health/school-psychology-and-mental-health/comprehensive-school-based-mental-and-behavioral-health-services-and-school-psychologists.

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