Community Health Outcomes and Evaluation Essay Example | Topics and Well Written Essays - 1750 words

Community Health Outcomes and rating - Essay ExampleThe intervention plan is impression screening for the elderly promoted as a oecumenical form _or_ system of government stick that seeks to combine and integrate mental health and primary medical services in one delivery intervention framework. The essential elements of the framework get out be outlined and addressed. A plot of integrating depression screening in primary nursing gerontology sustentation will be proposed by reviewing studies dealing with depression in the elderly population and outlining how mental health can be integrated in primary care by suggesting specific training processes for nurses that will enable them to diverseiate and address depression and its conditions in the elderly. Forming part of the state-supported policy intervention plan, evaluation of the proposal will be addressed along with its application to the intervention scheme. Evaluation will be a repeated-measures plan for both the nursi ng population under training and the client population. Limitations will be discussed as healthful as how the public policy project may be sustained over time. Public policy forms entail changes not in one institution but structural changes across the larger model of social delivery processes affecting the wider population. The elderly population will be increasing at great rates over the next two decades. The current public political climate reflects an increasing involuntariness of local governments to improve responsibility for the safety net provisions required by the elderly. Public policy must be influenced to standardize an intervention framework that would integrate depression screening into primary general care for the elderly. This study will adapt an intervention model after a review of separate integration models. It will then produce an evaluation strategy based on Reedy et al who demonstrate how program evaluation indicators could be adopted into implementation str ategies as essential evaluation models of public health services. Literature Review Luchins argues that depression screening as far as it is operative as a quality indicator falls more under the purview of the administrator that that of the clinician. This would make depression screening a policy declaration or requirement mapped to some department goal. As a quality indicator and not as a practice guideline, depression screening would then learn a different kind of evidence evaluation, evidence based on a chain of assumptions fundamental the decision for its use and application (p. 108). Quality indicators are administrative rules, or guidelines. They may affect different groups of patients than clinical screening for specific illnesses may affect. It has been demonstrated that physicians in general seem to ignore diagnostic information from other staff. Luchins main point is that depression screening many not be sound in the absence of other interventions. The one intervention in which it has shown to be effective is that of collaborative care (Gilbody). Luchins view of collaborative care comprises three elements. They are a case manager, the primary care physician, and scuttlebutt from a specialist (p. 111). A more adaptable view of the model explains collaborative care as structured where by nonmedical specialists play a greater role in augmenting primary care (Gilbody). The management of depression in primary care has proven evasive (Seekles, 2009). Seekles et al proposes a stepped care model