Subject(s)
Nurses , Psychiatric Nursing , Social Justice , Social Responsibility , Humans , Mental Health , Societies, MedicalABSTRACT
Policy work is demanding and sometimes complicated. There is very little current U.S. activity for children's mental health policy. A review of proposed legislation is not encouraging. This is not unusual. Children are not a voting constituency therefore, nurses must be advocates to ensure services and resources for those from infancy to teenage in need of mental healthcare through policy building and action coalitions.
Subject(s)
Health Policy/legislation & jurisprudence , Mental Health/legislation & jurisprudence , Patient Advocacy , Child , Humans , Politics , United StatesABSTRACT
UNLABELLED: Theme: Nursing education, management and leadership. Given the increasingly complex mental health needs of children and young people and the critical shortage of proficient mental health specialists, a study of US nursing education programs was done. Does the current paediatric nursing workforce preparation best meet the distinct needs of young people with behavioral and mental health challenges is the key question? Experts in the field of child psychiatric nursing practice, education and research came together to find model nursing programs for educational and clinical preparation. This presentation will report an analysis of the content of curricula-preparing psychiatric mental health nurse practitioners, models for adaptation to paediatric nurses' training and recommendations for leadership strategies. OBJECTIVES: Describe existing US nursing education models for child and youth mental health care. Propose strategies for education leadership.
Subject(s)
Budgets/statistics & numerical data , Child Welfare , Poverty , Schools/economics , Adolescent , Child , Child, Preschool , Female , Humans , Male , United StatesSubject(s)
Child Welfare/legislation & jurisprudence , Congresses as Topic , Politics , Child , District of Columbia , Female , Humans , MaleABSTRACT
PROBLEM: Mental health problems are particularly widespread for foster children. There are approximately 700,000 youth in foster care and nonfamily settings in the United States. The mean entry age is 3 years. The average stay is 2 years. Experts estimate that between 30% and 85% of youngsters in out-of-home care have significant emotional disturbances. Foster care children represent 5% of Medicaid enrollees but use approximately 40% of Medicaid funds. A substantial number of these children have psychological problems so serious that they require residential placement. Adolescents living with foster parents or in group homes have about four times the rate of serious psychiatric disorders than those living with their own families (2009a). Despite this level of need, less than one-third of children in the child protective system are receiving mental health services (2009a). SOURCES: Child psychiatric nurse advocates from the Association of Child and Adolescent Psychiatric Nurses Division of the International Society of Psychiatric-Mental Health Nurses compiled this position statement for adoption by the Board of Directors as the Association's formal statement on the plight of children and adolescents in foster care. CONCLUSIONS: Areas that need to be addressed include (a) lack of consistent and comprehensive service planning; (b) communications across agencies and with the youth, their foster parents, and key stakeholders; (c) use of evidence-based interventions to prevent and reduce the incidence of disability; (d) education of child welfare case workers about mental and emotional therapeutic management; and (e) education of foster parents and youth about mental health issues and appropriate treatments.
Subject(s)
Child Welfare , Foster Home Care , Psychiatric Nursing , Adolescent , Child , Child Advocacy , Foster Home Care/economics , Foster Home Care/legislation & jurisprudence , Foster Home Care/organization & administration , Humans , Nursing Research/organization & administration , Organizational Policy , Psychiatric Nursing/organization & administration , Societies, Nursing/organization & administration , United StatesSubject(s)
Depressive Disorder, Major , Evidence-Based Practice/methods , Mass Screening/methods , Practice Guidelines as Topic , Adolescent , Adolescent Psychiatry/methods , Child , Child Psychiatry/methods , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/therapy , Humans , Nurse Practitioners , Nursing Assessment/methods , Primary Health Care/methods , Psychiatric Nursing/methods , Psychiatric Status Rating ScalesABSTRACT
TOPIC: Juvenile sex offender treatment programs have been at the forefront of discussion among some policy-makers and certainly those who provide treatment for these youth. While the research in this area supports the use of community-based treatment strategies, clinicians with strong training background are rare. PURPOSE: There is a need for a certificate training program to develop clinicians who are specifically trained to treat juvenile sex offenders. Through a unique academic/community initiative providing a multimodal approach to treatment, a collaborative 2-day national conference related to treatment of juvenile sex offenders was established. The program core was a 9-month clinical treatment certificate training program. This article describes the community program, and outlines in detail its purpose, goals, trainee requirements, conceptual areas for competency development, and the content areas. CONCLUSIONS: The Mental Health Policy Institute for Leadership and Training of Baltimore and the School of Nursing of the University Maryland jointly recognized a need to address the quality and efficacy of community-based treatment and expand the number of trained clinicians to work with sex offending youth. As a result of positive program evaluations, this community program will be provided annually.
Subject(s)
Education , Juvenile Delinquency/rehabilitation , Psychiatric Nursing/education , Sex Offenses/psychology , Adolescent , Combined Modality Therapy/nursing , Community-Institutional Relations , Cooperative Behavior , Curriculum , Education/organization & administration , Health Policy , Humans , Interdisciplinary Communication , Juvenile Delinquency/legislation & jurisprudence , Juvenile Delinquency/psychology , Male , Maryland , Mentors/education , Mentors/psychology , Patient Care Planning/organization & administration , Secondary Prevention , Sex Offenses/legislation & jurisprudence , Sex Offenses/prevention & controlSubject(s)
Child Health Services/legislation & jurisprudence , Child Welfare/legislation & jurisprudence , Federal Government , Politics , Psychiatric Nursing , Vulnerable Populations/legislation & jurisprudence , Adolescent , Child , Health Services Accessibility/legislation & jurisprudence , Humans , Insurance, Health/legislation & jurisprudence , United StatesSubject(s)
Caregivers , Family Characteristics , Foster Home Care/legislation & jurisprudence , Caregivers/economics , Caregivers/legislation & jurisprudence , Child , Child Custody/economics , Child Custody/legislation & jurisprudence , Humans , Legal Guardians/legislation & jurisprudence , Public Assistance/economics , Public Assistance/legislation & jurisprudence , United StatesSubject(s)
Caregivers/legislation & jurisprudence , Parent-Child Relations , Parenting , Social Planning , Child , Humans , Internet , Poverty , Public Policy , Social Facilitation , Social Support , United StatesSubject(s)
International Cooperation , Mental Disorders/nursing , Psychiatric Nursing/organization & administration , World Health Organization/organization & administration , Americas/epidemiology , Benchmarking , Health Services Accessibility/organization & administration , Health Services Needs and Demand , Humans , International Educational Exchange , Mental Disorders/epidemiology , Nurse's Role , Practice Guidelines as Topic , Psychiatric Nursing/education , Regional Health Planning/organization & administrationABSTRACT
The Institute of Medicine (IOM) released the latest in the Quality Chasm Series.
