Discussion: Psychiatric Care and Mental Health in the Community

• Name DQ Rubric 2019 • • Description Rubric Detail Levels of Achievement Criteria Proficient Competent Novice Introduction and quality of discussion’s Argument Weight 60.00% 100.00 % It is consistent with application in research related to its context. Clarity of ideas. Comprehensive, indepth and wide ranging. 70.00 % The topic has a partially weak association to clarity of ideas and related topic. Relevant but not comprehensive. 15.00 % Unable to address any part of the question and/or topic. Little relevance/some accuracy. Objectivity of Tone, overall quality & Review of Literature in APA 6th format within past 7 years Weight 10.00% 100.00 % Tone is consistent, addressed professionally and objectively. Evidence in literature supports arguments. 70.00 % The tone is not consistently objective. Some observations, some supportive evidence used. 15.00 % No objectivity in tone. No evidence of literature review provided. Lacks evidence of critical analysis, poor to no use of supportive evidence. Grammar / Writing Skills Weight 7.50% 100.00 % Excellent mechanics, sentence structure and organization with no grammatical mistakes. 70.00 % Some grammatical lapses , uses emotional responses in lieu of relevant points. 0.00 % Poor grammar, weak communication, lack of clarity. Peer Reply #1 Weight 7.50% 100.00 % Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions. 70.00 % Some ability to meaningfully comment on other students work and ask meaningful questions. 0.00 % No peer response Peer Reply #2 Weight 7.50% 100.00 % 70.00 % 0.00 % No Peer response Levels of Achievement Criteria Overall APA Use Weight 7.50% Proficient Competent Demonstrates an exceptional ability to analyze and synthesize student work, asks meaningful extending questions. Some ability to meaningfully comment on other students work and ask meaningful questions. 100.00 % Demonstrates an exceptional ability to apply 6th edition APA standards. 70.00 % Some ability to to apply 6th edition APA standards. i.e. use of in-text citation, reference structure, quoting,etc. Novice 0.00 % No adherence to 6th edition APA standards. Chapter 24 Vulnerability in Community Populations: An Overview Basic Concepts • Risk • Vulnerability • Special needs – At risk • Vulnerable populations – Vulnerable families Web of Causation • Schematic model – Shows interrelationship among multiple factors that contribute to choices made by individuals, families, and communities that affect their health status – Factors commonly associated with vulnerability: • • • • • Disadvantaged socioeconomic status Lifestyle behaviors Low self-esteem Feelings of powerlessness Disenfranchisement Poverty and Historical Perspectives • Society’s attitude • Two common themes – Strong work ethic – Religious/moral beliefs • Discussion: Psychiatric Care and Mental Health in the Community

Industrial Revolution • Public assistance programs • Shift from federal government to state to private sector Cultural and Policy Perspectives • Cultural perspectives – Meaning of poverty • • • • Impoverished Persistent poverty Neighborhood poverty Underclass poverty • Policy perspectives – Poverty index – Near poor Health-Related Perspectives • • • • High rate of infant mortality High morbidity and mortality Complex health problems Physical limitations secondary to chronic illness • Trauma-induced injuries • Death by violence Community Perspectives • High proportion of underrepresented ethnic groups • Single mothers • High rate of unemployment • Low level of education • Low wages • Violence • Discrimination • Communicable diseases • Premature death Vulnerable Populations with Special Needs • Disenfranchised • Uninsured and underinsured – Medically indigent/working poor • • • • Children and adolescents Elders Underrepresented ethnic groups Women Nursing Considerations • Access to care • Acceptable services for vulnerable patients in diverse settings – Know the community – Schedule clinic visits at convenient times – Have bilingual nurses available – Staff members who reflect cultural, racial, ethnic background of persons who use the facility – Sensitivity – Nonjudgmental attitude Considerations • Ethical and legal • Patients’ strengths and resources – Hardiness – Support networks • Nursing roles – Advocate and activist – Case manager – Educator and counselor – Collaborator and partner – Researcher …