Highlights
- •Seventy percent of mental health services occur in primary care settings.
- •There is a paucity of adequately prepared providers to treat mental health in primary care.
- •COVID-19 has exacerbated mental health problems for people across the lifespan.
- •A 3 credit mental health course is adequate to teach FNPs to treat common mental health problems.
- •The mental health course for FNPs utilizes the DSM-5-TR diagnostic criteria manual.
Abstract
Family nurse practitioners (FNPs) face challenges in delivering mental health services
in the primary care setting, where >70% of mental health services are now provided.
The goal is to present a mental health course that teaches FNP students to provide
quality, essential mental health treatment in the primary care setting. A detailed
description of a stand-alone 3-credit mental health course for FNP students, “Mental
Health for Family Nurse Practitioners,” is presented. Case study examples are provided,
and a case study is thoroughly analyzed to demonstrate the unique features of mental
health case analysis.
Keywords
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References
- Mental Health Care Service in Primary Care: Tackling the Issues in the Context of Health Care Reform. 2010. Center of American Progress.https://www.americanprogress.org/wp-content/uploads/issues/2010/10/pdf/mentalhealth.pdfDate accessed: January 20, 2023
- Psychotherapy, 1960 to the Present.in: Norcross J.C. VandenBos G.R. Freedheim D.K. History of Psychotherapy: Continuity and Change. American Psychological Association, 2011: 39-62
- Does primary care fill the gap in access to specialty mental health care? A mixed methods study.J Gen Intern Med. 2022; 37: 1641-1647https://doi.org/10.1007/s11606-021-07260-z
- Primary mental health care in a new era.Healthcare (Basel). 2022; 10: 2025https://doi.org/10.3390/healthcare10102025
- Assessing primary care contributions to behavioral health: a cross-sectional study using medical expenditure panel survey.J Prim Care Community Health. 2021; 12: 1-6https://doi.org/10.1177/21501327211023871
- Workforce Tracker Finds Large Variation in Healthcare Providers Offering Behavioral Health Services Nationwide. April 19.https://publichealth.gwu.edu/content/workforce-tracker-finds-large-variation-healthcare-providers-offering-behavioral-healthDate: 2022Date accessed: January 20, 2023
- Now more than ever, mental health care needs family medicine.Fam Pract Manag. 2021; 28 (11A-11C)
- Mental Health in Primary Care: Illusion or Inclusion? Technical Series on Primary Health Care, Issue.https://apps.who.int/iris/bitstream/handle/10665/326298/WHO-HIS-SDS-2018.38-eng.pdf?sequence=1&isAllowed=yDate: 2018Date accessed: January 20, 2023
- Wonca/WHO primary care mental health factsheet: what is primary care mental health?.Ment Health Fam Med. 2008; 5: 9-13
- National trends in outpatient psychotherapy.Am J Psychiatry. 2010; 167: 1456-1463https://doi.org/10.1176/appi.ajp.2010.10040570
- Diagnostic and Statistical Manual of Mental Disorders.in: Text Revision. DSM-5-TR™. Fifth Edition. American Psychiatric Association, 2022
- Understanding the expanding role of primary care physicians (PCPs) to primary psychiatric care physicians (PPCPs): enhancing the assessment and treatment of psychiatric conditions.Ment Health Fam Med. 2010; 7: 17-25
- Barriers, facilitators, and proposals for improvement in the implementation of a collaborative care program for depression: a qualitative study of primary care physicians and nurses.BMC Health Serv Res. 2022; 22: 446https://doi.org/10.1186/s12913-022-07872-z
- Lack of pediatric mental health clinical experiences among FNP students.Arch Psychiatr Nurs. 2021; 35: 267-270https://doi.org/10.1016/j.apnu.2021.03.008
- Primary care and mental health: where do we go from here?.World J Psychiatry. 2021; 11: 271-276
- Behavioral health service provision by primary care physicians.Behavioral Health Workforce Research Center, Issue2019https://www.behavioralhealthworkforce.org/wp-content/uploads/2019/12/Y4-P10-BH-Capacityof-PC-Phys_Full.pdfDate accessed: January 20, 2023
- International PRISMA scoping review to understand mental health interventions for depression in COVID-19 patients.Psychiatry Res. 2022; 316114748https://doi.org/10.1016/j.psychres.2022.114748
- Mental health in the time of corona virus disease 2019.J Nurse Pract. 2022; 18: 957-961
- COVID-19 restrictions and mental distress among American adults: evidence from Corona Impact Survey (W1 and W2).J Public Health (Oxf). 2020; 42: 704-711https://doi.org/10.1093/pubmed/fdaa148
- Mental Health and Substance Use Disorders—Fact Sheets.(Published December 13, 2021)https://www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/#Date accessed: January 20, 2023
- Prolonged social isolation of the elderly during COVID-19: between benefit and damage.Arch Gerontol Geriatr. 2020; 89104086https://doi.org/10.1016/j.archger.2020.104086
- Social isolation and loneliness among older adults in the context of COVID-19: a global challenge.Glob Health Res Policy. 2020; 5: 27https://doi.org/10.1186/s41256-020-00154-3
- Pediatric mental health and the power of primary care: practical approaches and validating challenges.J Pediatr Health Care. 2020; 34: e12-e20https://doi.org/10.1016/j.pedhc.2019.09.013
- Evaluation of suicides among US adolescents during the COVID-19 pandemic.JAMA Pediatr. 2022; 176: 724-726https://doi.org/10.1001/jamapediatrics.2022.0515
- Preparing the FNP workforce for the increasingly complex work environment.J Nurse Pract. 2019; 15: e107-e113
Grando VT, Morrell M, Gardner E. A Model for Teaching Culturally Competent Care to Graduate Students Engaged in Mental Health Practitioner Education using a Web-based Format. Presented at: International Council of Nurses 23rd Quadrennial Congress, Yokohama, Japan, May 27-June 1, 2007.
- Population-Focused Nurse Practitioner Competencies: Family/Across The Lifespan: Neonatal, Pediatric Acute Care, Pediatric Primary Care, Psychiatric-Mental Health, Women’s Health/Gender-Related.https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdfDate: 2013Date accessed: January 20, 2023
- Nurse practitioner mental health care in the primary context: a Californian case study.Healthcare (Basel). 2015; 3: 162-171
- Screening, brief intervention, and referral to treatment training for family nurse practitioner students.J Am Assoc Nurse Pract. 2020; 33: 375-382https://doi.org/10.1097/JXX.0000000000000423
- The Art of Helping.10th ed. HRD Press, 2019
- Cultural competence education for health professionals.Cochrane Database Syst Rev. 2014; 5: CD009405https://doi.org/10.1002/14651858.CD009405.pub2
- Improving behavioral health equity through cultural competence training of health care providers.Ethn Dis. 2019; 29: 359-364https://doi.org/10.18865/ed.29.S2.359
- Acculturative stress and mental health among economically disadvantaged Spanish-speaking Latinos in primary care: the role of anxiety sensitivity.Psychiatry Res. 2018; 261: 421-427https://doi.org/10.1016/j.psychres.2018.01.009
- Ataque de nervios as a marker of social and psychiatric vulnerability: results from the NLAAS.Int J Soc Psychiatry. 2010; 56: 298-309https://doi.org/10.1177/0020764008101636
- Comparative phenomenology of ataques de nervios, panic attacks, and panic disorder.Cult Med Psychiatry. 2002; 26: 199-223https://doi.org/10.1023/A:1016349624867
- Daughters-in-law in Korean caregiving families.J Adv Nurs. 2001; 36: 399-408https://doi.org/10.1046/j.1365-2648.2001.01987.x
- Mental Health Screening and Assessment Tools for Primary Care.https://www.heardalliance.org/wp-content/uploads/2011/04/Mental-Health-Assessment.pdfDate: 2011Date accessed: January 20, 2023
- Anxiety, Depression, and Suicide Risk: Medical Education Training in Adolescent Depression and Suicide Screening.https://aapca1.org/resource/anxiety-depression-suicide-risk/Date accessed: January 20, 2023
- Columbia-Suicide Severity Rating Scale (C-SSRS) Pediatric.(Version 6/23/10)https://cssrs.columbia.edu/wp-content/uploads/C-SSRS_Pediatric-SLC_11.14.16.pdfDate accessed: January 20, 2023
- Lithium and suicide in mood disorders: updated meta-review of the scientific literature.Bipolar Disord. 2017; 19: 575-586https://doi.org/10.1111/bdi.12543
Biography
All authors are affiliated with Saint Luke's College of Nursing and Health Services, Rockhurst University, Kansas City, MO. Victoria T. Grando, PhD, RN, is dean emerita of nursing, and can be reached at [email protected]
Biography
All authors are affiliated with Saint Luke's College of Nursing and Health Services, Rockhurst University, Kansas City, MO. Roy M. Grando, PhD, is a psychologist and an adjunct instructor of nursing.
Biography
All authors are affiliated with Saint Luke's College of Nursing and Health Services, Rockhurst University, Kansas City, MO. Shane Hagen, DNP, APRN, FNP-BC, is an adjunct instructor in nursing.
Article info
Publication history
Published online: February 02, 2023
Footnotes
In compliance with standard ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
