Â Respond to your colleagues by providing additional insights or alternative perspectives.Â
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Mental Â health disorders, even though suffered by many, remains stigmatized and Â receives less attention than other health care issues (Swanton, 2016). Â Â Many patients are not willing to disclose their mental health diagnosis Â because of the fear of being looked down on or judged. There are also Â limited mental health resources as well as some communities are not able Â to gain some of these benefits due to insurance issues or the inability Â to pay (Choi et al, n.d.).
Â Â Â Â Â Â Â Â Â Â Â Â Two of the issues, that this writer believes need change are that of Â Â the granting of FMLA leave to patients with diagnosed psychiatric Â disorders and making treating options available to everyone. This writer Â has worked with several clients who were having difficulties being Â granted Â FMLA or being denied. The FMLA is the Family and Medical Leave Â Act. It works on behalf of those with medical and mental health Â disorders who are unable to perform their job duties due to the Â disability from the diagnoses (Wray et al., 2015). Â Clients with Â physical ailments may find it less difficult to be granted this paid Â leave as their disorder is visible by the employer and those granting Â the leave. When it comes on to mental health disorders, client tend to Â run into several road blocks as their disorder is not readily visible.Â
Many Â clients explain that their request was denied or met several obstacles Â as their diagnoses was not considered chronic or disabling. Many of the Â clients argue that anxiety and depression make it difficult for them to Â carry out their jobs that require them to come in contact with people. Â The increased stress from interacting with others and trying to fit in Â to the workplace can be debilitating but is rarely considered so by Â employers. This is an area that needs attention and change. This writer Â believes that Nurse Practitioners and other health care providers can be Â an advocate for the client by providing thorough information on the Â clientâ€™s illness that support the need for a leave. Â The Nurse Â Practitioner should be readily available to answer questions and educate Â the employers on mental health disorders. In addition, the Nurse Â Practitioner could advocate for change on a federal or state level by Â writing congress or their elected leaders.
Â Â Â Â Â Â Â Â Â Â Â Â Another issue that this writer believes need special attention is that Â of making special procedures available to everyone. When treating mental Â health disorders there are many treatments that would be beneficial for Â a client, but the client will end up not receiving the treatment due Â their inability to pay or insurance coverage (Wang & Xie, 2019). Â This writer has worked with several client suffering with depression who Â have exhausted the use of antidepressants but were not qualified for Â ECT due to monetary reasons. The client is simply placed back on the Â antidepressants with limited hope to treat their disorder. This issue is Â also another social change issue that we as Nurse Practitioners could Â propose to our elected leaders. The mental health community on a whole Â is stigmatized and separated and this only separates them more by Â causing a separation amongst themselves.
Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â References
Choi, N. G., DiNitto, D. M., & Marti, C. N. (n.d.). Relationship Between the Types of InsuranceÂ
Coverage and Outpatient Mental Health Treatment Use Among Older Adults.Â JOURNALÂ
OF APPLIED GERONTOLOGY,Â 35(12), 1343â€“1362.
Swanton, M. (2016). Mental Distress.Â InsideCounsel,Â 16(181), 26â€“28. Retrieved fromÂ
Wang, N., & Xie, X. (2019). Associations of health insurance coverage, mental health problems,Â
and drug use with mental health service use in US adults: An analysis of 2013 NationalÂ
Survey on Drug Use and Health.Â Aging & Mental Health,Â 23(4), 439â€“446.
Wray, T. B., Dvorak, R. D., & Martin, S. L. (2015). Demographic and economic predictors ofÂ
mental health problems and contact with treatment resources among adults in a low-
income primary care setting.Â Psychology, Health & Medicine,Â 18(2), 213â€“222.
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