Improving the Mental Health System

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Introduction

Existing service methods and treatment options fall short of addressing the worldwide mental health epidemic appropriately. Mental disorder contributes to roughly one-third of full-grown persons’ health-connected psychiatric disorders, stemming from significant human anguish and communal outlays. Primary depressing illness, schizophrenia, and bipolar ailments impact people of all ages and are found in all nations, including the United States, European Union, Canada, and advanced as well as emerging nations (Okpaku, 2021). Mental ailment is linked to poverty, conflicts, and philanthropical disasters. It can lead to suicide, among the most prevalent preventable triggers of mortality among teenagers and fledgling grown-ups. Psychological disease is the twenty-first-century pandemic and will be the world’s next big health problem. Although depressant drugs have become more extensively accessible in recent times, associated limited effectiveness, expensive medication expenses, and welfare concerns have contributed to a substantial unaddressed prerequisite for depressed state therapy.

How Common Is the Problem?

Every year, it is estimated that approximately three hundred and fifty million people suffer from depression. The standard years are almost ten to get therapy for depressed mood indications, and far over sixty-eight percent of depressed individuals never get the help they need. Psychiatric conditions have vast social, work-related, and other related emotional costs. They are the most ranking disability cause in the United States for persons between fifteen to forty-four years of age, accompanied by a productivity deficit of about thirty-one billion dollars (Lake, 2017). Suicide is the second-ranked cause of mortality among fifteen to twenty-nine years individuals, causing significant societal upheaval and productivity deficits. Annually, between ten and twenty million depressed people attempt suicide, with about one million succeedings. In 2016, the World Health Organization (WHO) designated melancholy as the largest debilitating illness due to these frightening situations.

How Important Is the Problem in the Nursing Arena?

The problem has brought attention to the WHO as well as the nursing arena to implement strategies to address the unmet needs in mental care, especially in the United States metropolitan areas. Some of the strategies included in the mental health action plan are better effective therapeutic management and administration, and society psychiatric community care programs that are comprehensive and integrated. Others include advocacy and mitigation initiatives that are being implemented, computational modeling, evidence, and investigation (Lake, 2017). Similarly, to solve the challenge of enhanced mental health care access, relying solely on specialty mental health practitioners is certainly not the finest or best viable solution.

Articles That Discuss Potential Solutions

Based on one scholar’s article, diverse categories of services are in the research. During Multisystemic treatment (MST) at home, therapists treat both the kid and the family in the same location. The second service was Intensive home treatment, which permitted young children to get therapy within their residence to put forward circumstances that have connected them to their families, improving their psychological symptoms (McDougall, 2019). Based on other studies, day hospitalization was implemented to aid individuals with mental problems instead of hospitalization. Day hospitalization fills the gap between regular and full-fledged inpatient hospitalization (Heekeren et al., 2020). Aside from thorough therapy, the patient will improve through continual treatment in their normal social setting (Heekeren et al., 2020). Also, the patient can incorporate existing conflicts and difficulties in the known environment into the treatment. Concurrently, other studies concentrated on the inpatient hospitalization of patients with acute mental ailments, especially adults and seniors (Bloch, 2021). The program will provide acute treatments for short-term, mood-related disorders, suicidal preoccupation, functioning failures, psychosis, and behavioral changes related to mental ailment.

Are Solutions supported by the Research?

In the first studies related to the PubMed central survey, the various alternatives to inpatient care, multisystemic therapy (MST) are closely linked to the research. It is a cost-effective method as the advantages accruing are promising based on the statistics carried out instead of other proposed alternatives. The other alternatives have huge costs since the individual progress is minimal, requiring more involvement in other treatment methods. On the other hand, day hospitalization is cost-saving if only the direct costs are considered (Heekeren et al., 2020). Costs attributable to the treatment are less than when the patient could have been fully hospitalized and residing within the hospital premises.

Disadvantages to the Potential Solutions

Some of the solutions proposed, for instance, MST alternative and the cost-effectiveness of the research, were omitted. Therefore, we can say it is cheaper than inpatients in general terms. The reason is that the evidence absence results from incomplete evidence from monetary assessments of early involvement amenities for psychosis. Similarly, the advantage of day hospitalization is the indirect costs associated with the service. Day hospitalization is cheaper if the direct costs are taken into consideration. The indirect costs include costs associated with transport, recreation, and meals. On the other hand, the disadvantage of fully-fledged inpatient hospitalization is the high costs associated with it (Bloch, 2021). Every treatment or exercise undertaken requires payments as the staff work as a team, from experienced psychiatrists to recreation therapists.

How to Implement the Research to Solve the Clinical Problem

Contemporary nursing should take advantage of the problem and implement new strategies to address the problem. The current healthcare model does not address all the members’ needs involving mental health attention. This has brought the need to refine the existing model of care to accommodate the unmet issues. The research will enable nurses to collaborate with the existing models to achieve a better patient outcome and take into consideration the funds attributable to the patients. The gaps in the psychiatry field shown by this research ought to be filled by experienced nurses in the same field.

The Stakeholders

The key stakeholder in collaborative care is the care manager, who maintains information regarding the integrative care received and patient practices and keeps the information regarding mental care in detail. Similarly, we have healthcare practitioners, including specialists, workers, nurses, doctors, and the health workforce. They play an important role in health care provision to the concerned mental individuals. They are the pivot in the health care systems, recovery process, and treatment of the concerned individuals. Concurrently, the family members related to the mentally related play a significant role as they are involved in the healing process of the patients (Batka et al., 2021). They are regarded as part of the medical team as they play a bigger role in the recovery process of the patients as they are their mentors, advisers, and healers.

Possible Approaches to Making this Change in Practice

Patients with psychiatric illnesses have elevated levels and unmet therapeutic options in advanced economies. This highlights the deficiencies of both conventional biomedicine and complementary and alternative medicine treatments and the drawbacks of mental health care designs. The existing circumstances necessitate the expansion of more efficient, secure, and cost-effective integrative therapeutic options that incorporate proof of conventional biomedical and complementary and alternative medicine modalities. In addition, there will be the establishment of an incorporated model of psychological healthcare provision in which therapeutic and rational health issues are solved in one clinic (Lake, 2017). Scientific discoveries, societal developments, and accessibility of secure, cheap nonpharmacologic therapies have contributed to the growing acceptability of complementary and alternative medicine (CAM) treatments in the United States and other advanced global countries.

Methods to Overcome the Disadvantage or Barriers

Psychiatry desperately needs a more diverse research program that gradually builds upon prospective CAM and integrative treatments utilizing current research methodologies and a larger spectrum of treatment options that incorporates evidence-based complementary therapy. For decades, the traditional psychiatric study has prioritized the creation of new medications, with psychotherapy playing a considerably smaller role. Both therapy modalities are cost-heavy, although they are helpful in reducing distress associated with the disorder. Expanding psychiatry study goals to incorporate analysis of integrative and CAM techniques will aid in elucidating the multifaceted origins of psychological disorders varying from social, artistic, and cognitive to biological heights (Lake, 2017). Several corresponding CAM involvements, such as the role of lifestyle adjustments on emotional and expressive health, cognizance-body treatments, and convinced natural product accompaniments, have currently proven to be effective.

Conclusion

To address the unmet needs in the maternal health care systems resulting from financial problems on the part of patients, the maternal systems ought to collaborate in their systems the integrative care. This is cost-effective and takes into consideration the social, economic, psychological and regional aspects of the affected. Similarly, since it is evidence-based, better patient outcomes and satisfaction are met. To curd the high-cost perspective, complementary and alternative medicines need to be taken into consideration. They represent lifestyle-changing mechanisms for improving psychological well-being. In this case, the use of natural products as opposed to medications and body-mind treatments is necessary. Mental ailments are preventable and treatable in case of occurrence instead of attempting suicidal acts to solve the problem.

References

Batka, C., Tanielian ,T., Woldetsadik, MA., Farmer C., & Jaycox, LH. (2021). Stakeholder experiences in a stepped collaborative care study within U.S. Army Clinics. Psychosomatics. Web.

Bloch, B. A. (2021, December 30). Brief inpatient psychiatric treatment: Designing social work education to enhance clinical practice. Behavioral Health News.

Heekeren, K., Antoniadis, S., Habermeyer, B., Obermann, C., Kirschner, M., Seifritz, E., Rössler, W., & Kawohl, W. (2020). Psychiatric Acute Day Hospital as an alternative to inpatient treatment.Frontiers in Psychiatry, 11. Web.

Lake, J. (2017). Urgent need for improved mental health care and a more collaborative model of care. The Permanente Journal. Web.

McDougall, T. (2019). Nursing children and young people in Specialist CAMHS inpatient settings.Nursing Skills for Children and Young People’s Mental Health, 55–66. Web.

Okpaku, S. O. (2021). The challenges and opportunities for Global Mental Health.Innovations in Global Mental Health, 3–28. Web.

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