...Organizational Barriers to Mental Health Care Alex Nimako Aspen University Dr. Nina Beaman May 2, 2015 The health care environment relevant for this assignment is the state mental hospital at Norristown, Pennsylvania. The closest minority group to this facility will be immigrant Mexicans. In order to examine the potential barriers that might exist for a Mexican seeking mental health at the facility, an assessment of barriers to health care as noted by Purnell (2013) will be provided. This paper will therefore discuss the identified barrier issues relating to language, availability, accessibility, affordability, appropriateness, accountability, and adaptability. Other issues regarding acceptability, awareness, attitudes, approachability, alternative practices and practitioners, and additional services will also be discussed. This paper will further discuss ways to decrease barriers to mental health care for this minority group to assist the facility strive for cultural competency. Acosta (2003) noted in his project on a model mental health program for Hispanics that language barriers and lack of health insurance are the two major barriers to receiving mental health care for Latinos. There are no nurses, social workers, physicians, and psychologists at this facility who speak Spanish. However there are several Spanish speaking patients at both the civil side and forensic unit. The facility has to rely on interpreters whose services can only be obtained through a state established...
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...Barriers to Health Care in Children in Out of Home Placement Michele Burnette, RN Nur/440 July, 22, 2013 Leslie Rowan Barriers to Healthcare in Children in Out of Home Placement Vulnerability can be described as a concept of susceptibility or risk of health problems. (Chesnay & Anderson, Vulnerable Populations, 2012) One population that meets this description is children in out of home care. These children come from diverse backgrounds with different cultural and religious beliefs related to medical care. They also have been exposed to a cadre of situations such as violence, substance abuse, and untreated mental illnesses of caregivers, etc. It is not uncommon for a child in out of home placement to be behind on routine vaccinations, physical examinations, dental care and to experience developmental and educational delays. “Children and adolescents in foster care have more intensive service needs as compared to the general pediatric population or even other children who are poor” (“Fostering Health: Health Care for Children and Youth in Foster Care,” 2011, p. 201). When a child first enters foster care there is an opportunity to help the child while reaching out to the family. This perfect opportunity to catch the child up regarding the medical and dental neglect that has transpired in their lives can be met with several barriers. One of the most common barriers to care is the inability to obtain proper medical histories for this population (“Fostering...
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...Assessment of Mental Barriers Rae L. Young Ashford University HCA430: Special Populations Instructor: Catherine Amitrano October 14, 2013 In life there are many barriers, however there are too many barriers that prevent people from getting the mental help they need. For example, the military has one of the best medical plans for soldiers and their family member, however pride and fear of being degraded keeps soldiers from seeking treatment. Barriers are not a part of the permanent fixture, they can be broken. There are many barriers that holds a mentally ill person back from getting the proper treatment that they need. However, I will discuss three barriers that affect the progression of the mentally ill. Social capital, community barriers, and financial barriers can be the leading causes that affect this vulnerable group. Remember that social capital is the measure of interpersonal relationships that people have with others; to phrase it differently, social capital is the support network of family and friends who take care of us when we are ill and hug us at the end of a bad day" (Burkholder & Nash, 2013). "The “social” in social capital emphasizes that these resources are not personal assets; no single person owns. When it comes to regulatory, legal, ethical, and accreditation requirements, there are none that relate to this barriers. Doctors, Kawachi, I., & Berkman, (2001) studies agree that social ties play a beneficial role in the maintenance...
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...skills are important in any job setting, but especially in healthcare where communication is key to ensuring good patient care. “Communication - the human connection – is the key to personal and career success. (Meyer, 2014) As healthcare providers, it is important to understand the keys to be effective communicators, to engage consumers to communicate, and to realize the differences that cultural backgrounds play in our communication. Communication Basics There are several keys to be an effective communicator. The first is to know what you want to say. Begin by a personal understanding of the message that needs to be conveyed. Understanding what needs to be said and taking a moment to adequately prepare what needs to be said will ensure the message will come across clear and concise to the recipient of the message. The next step in the communication process is transferring the message via a statement, written or verbal. The message needs to relay the need, idea, purpose, and information that the recipient needs to understand. The importance of making the recipient understand the message is the key difference in whether what you are asking for can be completed or not completed by the recipient. Without proper understanding of the received message, one can be left wondering what exactly was needed or what they were to do with the information. This process can be impacted by many things including generational barriers, distractions, and educational level. Knowing the intended...
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...institute, 2015). This huge size of immigrants and diversity is putting huge pressure on the healthcare infrastructure of the nation. Since most of the immigrants originate from poor countries with poorly equipped health care system, their health conditions is relatively poor. They have a variety of health problems, including infectious diseases, musculoskeletal and pain issues, mental health problems, social health issues, and longstanding undiagnosed chronic illnesses(Migration policy institute, 2015). Many of them are unvaccinated. Not only they land to the US unvaccinated and with poorer health, but also they have lower access to US healthcare system putting them at cumulative disadvantage of higher mortality and morbidty....
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...Navigation and the Impact on Breast Care Christina Reid-Brown California Baptist University Foundations of Management BUS 503A February 9, 2015 Dr. Marc Weinger Abstract This research paper evaluated the relationship between navigation and navigator roles as they relate to the patient journey with breast cancer. The goal of the research was to determine if these care coordination models eliminated institutional barriers experienced by patients trying to coordinate breast care in a complex healthcare system. It also evaluated the effectiveness of the navigator role as it supports the elimination of barriers to care for minorities and women living in low-income and underserved communities. This study reviewed the results from surveys given to women being treated for breast cancer at different hospitals, and cancer clinics to determine if navigation improves patient access to appropriate evidence-based healthcare. The findings showed higher patient satisfaction and compliance, continuity of care, decreased anxiety levels, and increased social support systems from families and friends when navigation services were provided. Key Words: Patient Navigator; Breast Care Coordinator; Breast Care Patient Navigator; Breast Cancer in Women; Current Studies involving Breast Cancer Introduction Breast cancer is the second leading cause of death and the most common disease found in women living...
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...management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept a review of literature from the disciplines of nursing, medicine and social science were selected to define the concept. Nursing Discipline Chia, Schlenk, and Dunbar-Jacob (2006) examined the non-adherence to medication regimens in the older adult patient that was linked to personal and cultural belief systems. The management through healthcare provider interventions that would address the...
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...someone to produce or create something. “Collaborative Care in healthcare occurs when multiple health providers from different professions provide comprehensive services by working with people, their families, care providers, and communities to deliver the highest quality of care across settings. Practice includes both clinical and non-clinical health-related work, such as diagnosis, treatment, surveillance, health communications, management, and support services” (Winnipeg Regional Health Authority, n.d.). Collaboration between interdisciplinary personnel is essential to excellence in patient care delivery. Currently there is a growing trend that “the basic education for all clinical professionals should include the knowledge, skills, and attitudes required to effectively participate in interdisciplinary teams, and that health care organizations should continue this education in the practice setting” (Ponte, Gross, Milliman-Richard,& Lacey, 2009). Although teamwork and interdisciplinary collaboration are ideal for healthcare, unfortunately these needs cannot or will not always be met by healthcare professionals. Collaboration and teamwork goals may not be met and for various reasons. There may be organizational barriers, barriers at the team level or within individual team members. A few of the most notable organizational barriers include lack of knowledge and/or appreciation of the roles of fellow healthcare professionals, lack of outcomes research on collaboration, legal...
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...Personal Predjuges and Biases One personal bias I have would be in relationship to some of the beliefs of the Mormons. Although I infrequently come in contact with individuals of this belief, I have had some exposure to them in my work history and have done some reading about their beliefs. In less than 70 years, the number of Mormons has grown from less than a million to more than 6 million in the United States and 14 million worldwide. Their visibility and influence at all levels and walks of life have increased accordingly (Bohlen et al., 2010). The Church of Jesus Christ of Latter-day Saints (LDS), reflects the cultural impact of basic beliefs and traditions of church members practices and activities. The culture is geographically concentrated in the Western North American area, but is present to a lesser extent in many areas of the world where LDS live. Church members are encouraged to marry and have children, and as a result, LDS families tend to be larger than average. All sexual activity, both heterosexual and homosexual, outside of marriage is considered a serious sin. Same-sex marriages are not performed or supported by the LDS Church. When youth are in their late teens to early twenties they must put everything in their life on pause and go out for 18 to 24 months to spread the gospel. At least a tenth of a Mormon’s income must be given to tithing in order to contribute to the church’s growth. Sunday, the Sabbath...
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...Borkowski (2002). It has the potential to improve safety and efficiency in the ever changing healthcare system. The administrators of Brokovitz General Hospital are introducing Information technology as an organization wide change process. IT enhance productivity, improve security of patient information and reduce cost, this allows the HS to be more competitive with their counterparts. Information Technology will replace doing things manually, save time, reduces errors, and decrease cost as well as improves safety and quality of care of clients. This paper will explore the need for development, organizational and individual barriers, factors that might influence the proposed development, summarize organizational readiness for change, the theoretical models that relates to the change, and internal and external resources that are available to support the development. The change will be piloted in the emergency room and if successful it will be implemented throughout the institution. Need for Proposed Organizational Change According to Borkowski (2002), there is a great need for information technology in healthcare. The external forces have had a significant impact on the changes within the healthcare industry. For example, clients are knowledgeable consumers of health services which is mostly due access to the internet. IT has been the focus of recent reform efforts in the healthcare industry in the United States (US). Nevertheless, there has been enormous difficulty in developing...
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...have been improvements that goal continues to be in place for Healthy People 2020. Some vulnerable populations are still at risk and face many barriers preventing them access to proper healthcare. Attempting to overcome these barriers will often fall on the shoulders of healthcare providers; it becomes their job to help decrease the overall health disparity suffered by vulnerable populations. In this paper the subject to discuss is the vulnerable Mexican American population and will evaluate barriers faced by them as well as barriers faced by healthcare workers, and the methods that could be used in order to help decrease current health disparities. Mexican-Americans: A Population at Risk Mexican-Americans, especially aging Mexican-Americans are an extremely vulnerable population. Currently, Hispanics are the fastest growing ethnic population in the United States and as of the 2003 U.S. Census, their population, “grew at a rate almost fourfold that of the general population—13% vs. 3.3%--over a 39 month period” (Keating, et al. 2009). That being said, non-English-speaking immigrants are often socially and economically disadvantaged, which impacts health disparities (Keating, et al. 2009). Barriers to Care There are many barriers that are working against the current attempts to decrease health disparities. One of these barriers is the fact that many Mexican-American people cannot afford good health insurance. In fact, many elderly Mexican-Americans who would greatly benefit...
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...S, 2011) and as ‘a process in which the nurse consciously influences a client or helps the client to a better understanding through verbal or nonverbal communication’ (Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.). Reflecting on the ‘Doctor Emergency Department’ video (Doctor Emergency Department), I chose to concentrate on therapeutic communication. Therapeutic Communication uses many different strategies to gain trust, demonstrate empathy and to provide the best and most comfortable care for the patient. There are also barriers involved with therapeutic communication, which will hinder healthcare. Therapeutic communication differs from our every ‘day to day’ communication between friends or family (social relationship) as it is a learned skill, that is patient focused and is beneficial to the patient. Therapeutic communication has a defined life line and the relationship will cease when the healthcare for that patient ends. Also ‘The Nursing and Midwifery Board of Australia approves codes and guidelines’ (Nursing and Midwifery Board of Australia, 2015) to regulates the relationship. Reflecting on the video (Doctor Emergency Video), I can see many of the different verbal and non-verbal techniques, ‘Verbal Communication uses the spoken or written word; nonverbal communication is other forms of communication such...
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...health care to many patient in which otherwise would not have the required resources to access many health care services. In many scenarios, telemedicine has bridged the gap between the need of specialized medical technology at one specific location and an individual’s medical diagnosis at another. Hospitals and other health care providers, which service rural areas of the country, now have an avenue of approach when dealing with accessibility of patients, especially the aging population in these areas. Telemedicine has provided the way of accessing technology and reaching out to a new strategy of practical medicine. In this research we will discuss many of the value added approaches of telemedicine and how it has affected the change in healthcare. There are three main areas of focus that will be considered. As stated, we will discuss and assess the technology currently being used to provide telemedicine services. This technology is broad and can cover vast amounts of information, but the focus will be to explain the main contributors of telemedicine technology and the adoption of this technology by providers. The first part of emphasis of application will include technology that is utilized by hospitals, clinics and physician offices and how this technology differs depending on the setting of the provider, for example, rural hospital and developing countries. The second part of technology emphasis and its application will be to review those institutes in which use telemedicine...
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...Vulnerable Population in the Workplace Jack Daniel NUR 440 Health Assessment and Promotion for Vulnerable Populations 20 December, 2010 Dawn Talbert MSN, RN, BC-FNP The purpose of this paper is to develop the awareness of the healthcare disparities for the Hispanic population. The aspects of why the Hispanic population is a vulnerable population will be shown. There are numerous barriers to healthcare for Hispanic patients and the healthcare provider; this paper will discuss only two of these barriers. Two interventions will be shown to aid the healthcare provider in bring down the barriers to efficacious healthcare for Hispanic patients. Three or more concepts from this course will be incorporated into this paper. Awareness of the healthcare disparities is critical to understanding when attempting to take down the barriers to equal healthcare for the vulnerable Hispanic population. The deficiencies are well researched and documented. In 2003, the Institute of Medicine of the National Academies issued Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which reported that minorities are less likely than whites to receive health services, including clinically necessary procedures, even when controlling for insurance status, patient income, and other access-related factors. Cultural bias can affect clinical decision-making. The authors found evidence that stereotyping, biases, and uncertainty on the part of health care providers...
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...Research has shown that patients diagnosed with diabetes usually have multiple co-morbidities (source), therefore the need for an interdisciplinary management is optimal. With the complexities and dynamic healthcare needs of the population that DMEC serves, it is imperative to have a variety of healthcare resources available to assist the DMEC in revitalizing back the City of Amsterdam to a state of optimal health. The APN, in collaboration with other members of the healthcare team will address the needs of the clients, whether it is obtaining a glucometer, offering nutritional support, or other treatments that might be relevant to their illness. This will increase the patients’ ability to reach their state of optimal health. Through collaboration,...
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