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Community Health Center Plan

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Community Health Center Plan The following presents a community health center CHCC which is abehavioral health center A description of the CHCC with reasons forlosses in revenue why an adolescent dual diagnosis program is important and what a dual diagnosis program is provided This is followed by a listof the strengths and weaknesses of the Behavioral Health Center and goalsof the new service A comprehensive plan with project management theory ispresented with a discussion of multiple cultural backgrounds that must beconsidered as

The normal structures and components of aninpatient adolescent dual diagnosis program include support, education, andtreatment to help adolescents understand and recognize the harm thatchemical abuse plays in their lives. Communication Considerations The Nursing Director and staff will use methods to increase thecommunication processes as the line of service is implemented. Do change management theories really work? The current program will use thismodel as presented by the Lahey Clinic. Support for substance abuse might beongoing. Elements of a nursing professional practice model. Reasons why the behavioral health center lost$5, , include a lack of profit making programs, poor use of servicesand products, and lack of communication to facilitate services and outcomesin optimal fashions. The Lahey Clinic(2 9) developed and used this model. During the unfreeze phase, people tend to strive towardfeeling in control and safe. Adolescent Dual Diagnosis Program An adolescent dual diagnosis program is important to the community andwill increase financial security for the CHCC since it will provide cost-effective services for the CHCC while helping adolescents overcome thesedual diagnoses. An agreement willbe arrived at regarding what information will be provided to the parent andwhat will remain confidential. Retrieved April 2, 2 9 from www.changingminds.org/disciplines/leadership/theories/leadership_theori es.htmChanging Minds. Journal of Professional Nursing, 12(6), 354-364.Petrock, F. The Nursing Director will use connection power orthe power derived from the relationships with others who are competent orinfluential. Strengths and Weakness of the Behavioral Health Center Strengths of the Behavioral Health Center that influence this new lineof service include a mission to serve others to the highest potential andhelp adolescents, their families, and the community reach optimal goals.This center strives to identify and deal with prominent issues in thecommunity, which include the common dual diagnosis of adolescents. The current program will provide a minimum of three months ofeducation and cognitive behavioral treatment, one year of family therapy,and ongoing support for substance abuse. Dual diagnosis is very common in adolescents andstudy findings show that half of the adolescents with substance abusediagnoses have a mental illness diagnosis as well (NAMI, 2 9). Retrieved April 2, 2 9 from www.leadinstitute.comLayey Clinic. Make use of any conflict to build instead of tear down relationships, energize and inspire stakeholders, and increase success. (2 9b). In summary, the CHCC is a behavioral health center that has shownlosses in financial revenue in the last year. (2 9). For example, meetings that allowfor diversity to bring about unique ideas will allow for positivecommunication processes to take place. Each of these stakeholders has their own uniquecultural considerations and each of the patient presents with a furthercultural consideration. Lewin's freeze phases. (1999). This program willbe cost-effective and help teens overcome substance abuse and mental healthissues. The next stage is the transitional phase. (2 9). (2 9). Three measureableoutcomes that will be used for the evaluation of the line of serviceinclude: a decrease or elimination of substance use, a decrease ofpsychological symptoms, and an increase in profits for the center. Today's diverse world demands that health careprofessionals and all staff be aware of these cultural differences and theneed to understand and deal effectively with different perspectives. TheNursing Director will be aware of these phases and provide information andempowerment with collaboration and shared decision making for the firstphase. Support for stakeholders will be providedto ensure that team members maintain high levels of enthusiasm duringplanning and implementation and termination of old processes. Z. Create teams that are empowered to power this project toward successful goals . (2 9). They attach to the old since it iscomfortable and they resist alternatives even if these might bring benefitsto all. Retrieved April 2, 2 9 from www.lahey.org/Professionals/Nursing/NursePracticeModel_Index.aspMassachusetts General Hospital. (2 8). Retrieved April 2, 2 9 from http://www.nami.org/Content/ContentGroups/Helpline1/Dual_Diagnosis_in_A dolescence.htmOhio State University. Upper Saddle River, NJ: Prentice Hall.Teen Saver. Thegoals during the planning and implementation of this project include thefollowing as noted by Randolph and Posner (2 2): . Goals of Service The goals of this new line of service over the next 12 months includethe elimination of substance abuse in adolescents, a decrease in mentalillness symptoms, changes in negative thinking that facilitatedysfunctional behaviors and feelings in teens, an increase in teen-familyrelationships, and maintenance of healthy outcomes. (2 9). A description of the CHCC with reasons forlosses in revenue, why an adolescent dual diagnosis program is important,and what a dual diagnosis program is provided. Lewin presented freeze phases involved inthe change process, to include unfreeze, transition, and refreeze (ChangingMinds, 2 9b). (2 2). The program will include consideration for cultural diversity andhelp empower stakeholders to overcome their resistance to planning andimplementing this program. Retrieved April 2, 2 9 from http://ohioline.osu.edu/bc-fact/ 14.htmlRandolph, W. This process helps to make employeeschange ready. Teen addiction treatment for drug & alcohol abuse. Adolescent chemical dependency/dual diagnosis inpatient program. This information will be presented to thestakeholders to help them become more aware of the need for a dualdiagnosis inpatient program for adolescents. This model is helpful to help achieveclinical outcomes (Massachusetts General Hospital, 2 9). Today's healthcareperson must commit to becoming culturally competent in their personal andprofessional lives. The mission will be to focus on the unique needsof each person with a team-based approach. During this phasepeople must go from being frozen to unfrozen and his is a frighteningprocess. Q. The dimensions ofdiversity in organizations that must be considered include: age, gender,educational background, family status, income, physical and mental ability,social class, work experience, and race and ethnicity. The Nursing Director will also uselegitimate and expert power when needed, since there is a certain authorityembodied in this position and the Nursing Director has a great deal ofskill, knowledge, and experience with this type of program and how todevelop and implement it. Informed consent will be gathered from bothparties to ensure that there is no confusion about this agreement and thelegal limits of confidentiality. (2 9). This is followed by a listof the strengths and weaknesses of the Behavioral Health Center and goalsof the new service. Description of the CHCC The CHCC is a private for-profit organization that has been inexistence for ten years. Multicultural Considerations There are multiple types of multicultural backgrounds required of thestakeholders of this line of services. The refreezing phase takes place when stakeholders are able toestablish themselves in the new. Retrieved April 2, 2 9 from www.mgh.harvard.edu/pcs/about/professional_practice_model.aspxNAMI. Rewards such as recognitionwill be used to empower stakeholders. For this plan, project managementtheory will be used to guide the project through a four-step life cyclewhich includes conception, planning, implementation, and termination. (2 9a). Thenext consideration is for the need for stakeholders to identify theirbeliefs regarding the different cultures represented to includestereotypical beliefs that affect communication processes. Power bases. Retrieved April 2, 2 9 from www.changingminds.org/disciplines/change_management/lewin_change/lewin_ changeFamily Business Experts. They remain frozen in this state and management must make aconsiderable effort to unfreeze them. Leadership theories. Leadership and Change Management Theory There are many leadership theories such as participative, situational,contingency, transactional, and transformation leadership methods that allcontribute to successful leadership (Changing Minds, 2 9a). Checkered flag projects: Ten rules for creating and managing projects that win, 2nd edition. Withinthis model, leaders will focus on patient care and will be recognized fortheir expertise and compassion related to this care as well as care of thefamilies and community. B., & Weller, R. Ethical Issues Two ethical issues that the Nursing Director will face regarding thenew adolescent dual diagnosis program include the need to protect the minorclient and the need to inform parents of the minor's progress (Weller &Weller, 1999). This network will be used to help influence the behavior ofothers. During this phase, the Nursing Director will guide theincrease in technology use to facilitate the planning and futureimplementation of the program. Thisprogram must address emotional and physical needs of the adolescent andtheir family as well as the social, cultural, and spiritual needs of all(University Of Minnesota, 2 9). Reimbursement for this program included 5 %managed care contracts, 3 % Medicate, 1 % MediCal, and 1 % private pay orunreimbursed care. Retrieved April 2, 2 9 from http://www.uofmchildrenshospital.org/AdolescentChemicalDependencyDualDi agnosisInpatientProgram/index.aspWeller, E. ReferencesArredondo, P., Tovar-Blank, Z. A. There has been an increase in patients in the last yearbut a decrease in revenue with a total loss of $5, , . If anyconflict develops, efforts will be made to ensure that all stakeholders areempowered and re-energized. Determine barriers to program implementation with solutions . Within the model, the nursingvision, mission, and philosophy will represent the core values. Each of thesefactors affects communication and choice of communication methods. During the transition phase, the Nursing Director will ensure thatstakeholders are provided with ongoing training and support to decreasetheir anxiety and increase their motivation and enthusiasm. Treatmentfor the dual diagnosis teen must cover more than substance abuse issues;these teens use substances to escape physical, emotional, and psychologicalissues (Teensavers, 2 9). Professional practice model. Working with diversity. They must possess the knowledge of and skills to workwith people from many different backgrounds (Arredondo, Tovar-Blank, &Parham, 2 8). The Nursing Director can maximize the cultural strengths ofall involved by creating a multicultural atmosphere and training for staffto increase their awareness of all cultures and how to deal with them.This demands that communication methods address cultural differences. The philosophy of nursing willinclude the belief that this profession is an art and a science thatresponds to the human condition. A comprehensive plan with project management theory ispresented with a discussion of multiple cultural backgrounds that must beconsidered as well as communication processes that will be needed. These methods will help the stakeholders unfreeze and consider newideas. Retrieved April 2, 2 9 from www.family-business-experts.com/change- management-theories.htmlHoffart, N., & Woods, C. Information power will also be used since the Nursing Directormight have access to information that all other stakeholders might not haveor believe is important. (2 9). Aweakness of this center includes a lack of current program to deal withthis population, ineffective use of technology to enhance communication,and a lack of empowerment of stakeholders. G., & Parham, T. As noted by Ohio StateUniversity (2 9), working with diversity requires an initial understandingof the different cultures that must be considered. Challenges and promises of becoming a culturally competent counselor in a sociopolitical era of change and empowerment. Twoethical issues that the Nursing Director will face are presented. A. The Nursing Director must ensure that the rights of thepatient and the parent are protected and in some instances these goals mayconflict. Transition is filled with fear as well as help and people requirecounseling, coaching, or other psychological support to deal with thisanxiety. This model has five subsystemsthat help reach this goal and these include: values, professionalrelationships, delivery model, management approach, and compensation andrewards (Hoffart & Woods, 1996). To enhance strengths in this situation the Nursing Director must helpstakeholders discuss their differences and make positive use of thesedifferences in an empowering situation. Retrieved April 2, 2 9 from http://www.medscape.com/viewarticle/423328 Appendix A The Nursing Director will address these issues by informing thepatient and the parent of the limits of confidentiality. (1996). A professional practice model provides the framework for achieving clinical outcomes, and is driven by critical thinkers and strong decision-makers. However, aleadership and a change management theory will be used to enhance theimplementation plan of this line of service. A shared governance model will beused to ensure quality in professional relationships, optimal deliverymodel, appropriate management approach, and equal compensation and rewards. Communication methodsto reach these goals include verbal recognition of cultural differences,clear communication of objectives with feedback methods to ensure this hastaken place, and ongoing support for the enrichment provided by culturaldifferences. Multicultural care must now include a variety of cultural practicesand this demands that professionals and staff have an appropriate level ofself-awareness about their own and others' cultures. Dual diagnosis in adolescence. This team will be dedicated toproviding the highest quality of care. Oncestakeholders are unfrozen the Nursing Director will help them re-freezewith the use of ongoing collaboration, recognition, and a team effort forthe development and implementation of the new program. Power Bases Three power bases that the Nursing Director will use to implement thisline of services include connection power, information power, and rewardpower (Petrock, 2 9). Ask up-front questions that allow for the dealing with the change process . (2 9). This leader has the right to help othersunderstand the need for this new service. | || || || || | Community Health Center Plan The following presents a community health center (CHCC) which is abehavioral health center. Comprehensive Plan with Project Management Theory The following presents a comprehensive plan using a project managementtheory for the implementation of goals. This isfollowed by a discussion of the need for an incorporation of leadership andchange management theory, identification of power bases, and the need touse a nursing professional practice model. Itis important for leaders to help people reach this phase and avoidremaining stuck in the transition phase (Changing Minds, 2 9b). This program must also address the co-occurring mental illness and develop realistic recovery skills. During the planning stage, theNursing Director will work collaboratively with stakeholders to determineprogram goals, procedures, and services as well as barriers toimplementation. Integrate people and technology in a more effective manner . This model was selected because it provides a system thathelps with the control over nursing care. They feel safe and stable in the new. The leadermust make sure that diversity is embraced and used as a tool to increasesupport and facilitate the generation of new and innovative ideas fordevelopment and implementation of the new program. Theprocesses will include consideration for the many different cultures thatare present in the stakeholders and the patients. An adolescent dual diagnosis program is one that providescare for an adolescent suffering from both a mental health issue and asubstance abuse issue. A new line ofservice to increase revenue, established by the Nursing Director, willestablish a 12 bed, adolescent dual diagnosis inpatient program within theBehavioral Health Center. The nursing Director will ensure that a team-based approach will be used for shared decision making within a contextthat supports and values diversity. This will demand that the Nursing Director andstakeholders maintain cultural considerations and utilize maximum forms ofcommunication. Build the commitment and passion of stakeholders to ensure resilience and high-performance . The length of time needed for each teenvaries according to the diagnoses. A., & Posner, B. Diversity training will also beprovided to help stakeholders understand differences in people and theirown values and beliefs that affect communication processes. Ethical issues in informatics for child and adolescent psychiatry. Theplanning phase of this project will last one month and implementation willbe an ongoing endeavor with an initial three month focus to overcomeresistance to change and the remainder of time spent on evaluation and re-evaluation of the program and its outcomes over a 12-months period. Change management theorieshelp leaders to unfreeze stakeholders and facilitate the change process(Family Business Experts, 2 9). Patient-focused care is the focus andthis model will be used to understand that this must vary by the person.The multi-disciplinary approach will be needed and used to guide thepatient through the healthcare system. The program will be evaluated foroutcomes related to teen substance abuse and mental health symptoms andfinancial cost effectiveness. Journal of Counseling and Development: JCD, 86(3), 261-268.Changing Minds. Nursing Professional Practice Model The nursing professional practice model that is in alignment with theimplementation an adolescent dual diagnosis program is the ProfessionalPractice Model. Determine when to stop the planning and implement the program . Retrieved April 2, 2 9 from http://www.teensavers.com/University of Minnesota. Thus, during the conception stage the Nursing Director will strive tocreate the teams needed to drive this project and ensure that the teammembers are empowered by including them in the decision making process.This stage will include the asking of questions of all stakeholders toensure that plans will reach desired goals. The stakeholders include nurses,mangers, dieticians, doctors, pharmacists, psychologists, counselors, andall other staff members. A new adolescent dualdiagnosis program will be develop and implemented to offset this financialloss and deal with a prominent problem in the community.

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