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Assessment 3: Letter to Editor Population Health Policy

Advocacy

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Student Name

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Capella University

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NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Prof. Name
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MAR 24, 2024
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Population Health Policy Advocacy
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Title: Addressing the Urgent Need for Enhanced Care and Health Policy Regarding
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Adolescent Depression

Authors:
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[Your Name], [Your Credentials], [Your Institution]

Abstract:
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This correspondence underscores the pressing issue of adolescent depression and the
existing deficiencies in its management and care. It advocates for evidence-based
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alterations in health policies, prioritizing early identification, comprehensive intervention,

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and rigorous monitoring. Additionally, it emphasizes the significance of interdisciplinary

collaboration and advocacy to ameliorate health outcomes for this vulnerable
demographic.
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Keywords:
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Teenage depression, Healthcare policy, Interdisciplinary collaboration, Quality
healthcare, Health outcomes, Advocacy, Early identification, Comprehensive
intervention, Personalized treatment, Mental wellness.

Evaluation of Current State of Care Quality and Outcomes

Adolescent depression poses a substantial challenge to healthcare systems due to its

wide-ranging repercussions, including diminished academic performance, compromised
social relationships, and heightened suicide risk (Agrawal et al., 2022). Despite its
severity, prevailing strategies often involve delayed intervention, leading to postponed
care and potential exacerbation of depressive symptoms. Available data indicate a

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fragmented approach to adolescent depression, characterized by insufficient continuity
of care and comprehensive interventions.

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Furthermore, the prevalent reliance on pharmacological interventions over psychosocial
treatments contributes to an imbalance in care, resulting in suboptimal outcomes

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(Gureje et al., 2020). An often overlooked aspect in the management of adolescent
depression is its profound impact not only on the individual but also on their family and

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community. The burden of depression frequently extends to parents and siblings,
leading to heightened stress levels and strained familial relationships. Moreover, the
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condition also affects the school environment and peer interactions, escalating the risk
of social isolation, bullying, and academic underachievement (Ho et al., 2023).
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Additionally, it is imperative to address the knowledge gaps regarding adolescent

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depression. For instance, there is a noticeable dearth of information concerning the

efficacy of diverse treatment modalities in varied social and cultural contexts.
Furthermore, the intersectionality of depression with other factors such as gender,
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socioeconomic status, and other mental health conditions remains largely unexplored.
Enhanced understanding of these areas can facilitate the development of targeted
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interventions tailored to the diverse needs of affected adolescents.

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Analysis of Necessity for Health Policy Development and Advocacy

These inadequacies underscore the urgent need for novel, enhanced health policies
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promoting comprehensive and early interventions for adolescent depression. The

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formulation of such policies, coupled with vigorous advocacy endeavors, could catalyze
essential changes in current healthcare approaches. This entails establishing improved
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screening mechanisms for early detection, implementing integrative care models, and
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ensuring regular monitoring of treatment progress. Simultaneously, advocating for these
policies is crucial to mobilize resources, garner societal support, and influence
healthcare policy-makers to prioritize initiatives aimed at adolescent mental health.

Moreover, the glaring disparities in access to and quality of mental health services for
adolescents across diverse socioeconomic, racial, and geographical strata underscore
the necessity for equitable health policies. Addressing these inequities through inclusive
policy formulation can augment the reach and effectiveness of depression care
services. Importantly, integrating digital health technologies and telemedicine services
into policy frameworks can help overcome access barriers, particularly in remote and
underserved areas (Ho et al., 2023).

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Areas of ambiguity necessitating further exploration to inform policy development
include delineating the precise roles of different stakeholders in adolescent depression
care, striking a balance between pharmacological and psychosocial interventions, and

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devising measures for assessing treatment efficacy. Clearer insights into these aspects
would furnish a more robust foundation for policy advocacy and design, leading to

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enhanced health outcomes for adolescents grappling with depression.

Justification for Developed Policy to Enhance Care Quality and Outcomes

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The proposed health policy for adolescents with depression revolves around a holistic
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care approach encompassing early detection, interdisciplinary collaboration, public
education, and individualized care strategies (Menear et al., 2022). Such a policy is
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substantiated by evidence indicating enhanced patient outcomes with comprehensive

care models prioritizing mental health as an integral component of overall well-being
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(Sandhu et al., 2021). Specifically, early detection can facilitate timely intervention,
mitigating the risk of symptom exacerbation and improving prognosis. Interdisciplinary
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collaboration can ensure a holistic treatment plan addressing various health

dimensions. Public education can bolster societal understanding and support for
adolescents with depression, while individualized care strategies can cater to each
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individual's unique needs and circumstances (Schlesinger et al., 2022).

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There are multiple perspectives to consider in policy development. Some may contend
that the policy's emphasis on interdisciplinary collaboration might engender increased
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healthcare costs or coordination challenges. Despite these potential hurdles, such a

model, in reality, promotes efficient resource utilization, curbing unnecessary
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interventions and fostering patient-centered care. Thus, the long-term benefits far
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outweigh the initial challenges. Furthermore, there is apprehension that the focus on

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individualized care strategies may disregard commonalities in treatment approaches,
potentially resulting in care variability.

Nevertheless, this approach does not discount the utilization of established clinical
guidelines; rather, it complements them by tailoring treatment plans to individuals'
unique circumstances and needs, thereby enhancing intervention efficacy and patient
adherence. Hence, given the urgency of addressing adolescent depression and the
documented benefits of comprehensive care, the policy's implementation is both
imperative and timely (Menear et al., 2022).

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Advocacy for Policy Development in Various Care Settings

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Adolescent depression transcends healthcare settings; it permeates schools,
communities, and households. Therefore, advocating for and implementing our

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proposed policy across these settings are imperative. Deploying the policy in schools
can aid educators and counselors in early detection of depressive signs and provision of
requisite support. In community and household settings, the policy can foster increased
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awareness and comprehension, encouraging early intervention and diminishing stigma.
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By embedding this policy across diverse environments, we can ensure a cohesive,
concerted effort toward enhancing adolescent mental health outcomes. Nonetheless,
promoting policy development in varied settings is not devoid of challenges.
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Resistance to change and lack of awareness pose common hurdles in policy advocacy,
particularly in non-healthcare milieus like schools and households. In such scenarios,
strategic communication elucidating the issue's significance, coupled with
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evidence-based information regarding the policy's potential impact, can be pivotal in

surmounting resistance (Menear et al., 2022). Resource constraints can pose significant
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challenges, especially in settings lacking mental health infrastructure. However, such

impediments can be addressed by forging strategic alliances with diverse stakeholders
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and seeking funding from governmental and non-governmental entities. Overall, while
challenges persist, their presence underscores the importance of robust advocacy
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strategies to ensure successful policy implementation across varied settings.

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Interdisciplinary Aspects of the Policy

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The proposed policy espouses an interdisciplinary approach to adolescent depression
care. This entails collaborative involvement of educators, counselors, primary
healthcare providers, mental health specialists, nursing personnel, and social workers,
ensuring comprehensive care delivery (Sandhu et al., 2021). Such collaboration is
pivotal as it facilitates efficient and effective attainment of desired health outcomes by
integrating diverse professionals' expertise. Moreover, it nurtures a culture of shared
responsibility and collective action toward enhancing adolescent mental health, crucial
for effecting sustainable change in this pertinent health issue. There exists ambiguity in
effectively implementing an interdisciplinary approach in real-world settings, particularly
considering potential barriers such as communication gaps, professional cultural
disparities, and organizational hierarchies (Menear et al., 2022).

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Further research is imperative to identify strategies to mitigate these challenges and
ensure streamlined interdisciplinary collaboration. Furthermore, uncertainty persists
regarding the roles and responsibilities of each professional in an interdisciplinary team.

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Clear

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-cut guidelines and job descriptions could potentially enhance clarity and ensure mutual
understanding regarding everyone's contributions to adolescent depression care.
Interdisciplinary education programs designed to bolster comprehension and
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collaboration among diverse professionals could also prove beneficial in this regard.
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Conclusions
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Combatting adolescent depression warrants immediate attention and concerted

endeavors. By embracing a biopsychosocial approach underpinned by robust policies,
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interdisciplinary collaboration, and steadfast advocacy, we can envisage a future

wherein every adolescent receives the support, care, and resources requisite for
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navigating depression's challenges. To materialize this vision, our collective

determination and commitment to reshaping extant care paradigms for adolescent
depression are indispensable. Not only must we advocate for enhanced policies, but
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also ensure their efficacious implementation across myriad care settings to foster an
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environment responsive and empathetic to the needs of adolescents grappling with

depression.
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Sincerely,
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[Your Name]
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[Your Position]
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[Your Contact Information]

References

Agrawal, A., Sharma, S., & Mandumpala, J. J. (2022). Childhood abuse and late life
depression – Recent updates. Indian Journal of Child Health, 9(6), 87–91.
https://doi.org/10.32677/ijch.v9i6.3531

Gureje, O., Kola, L., Oladeji, B. D., Abdulmalik, J., Ayinde, O., Zelkowitz, P., & Bennett,
I. (2020). Responding to the challenge of Adolescent Perinatal Depression (RAPiD):
Protocol for a cluster randomized hybrid trial of psychosocial intervention in primary

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maternal care. Trials, 21(1). https://doi.org/10.1186/s13063-020-4086-9

Ho, Y.-C., Chiou, H.-Y., Molloy, L., Lin, K.-C., Chang, P.-C., & Chang, H.-J. (2023).

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Identifying differential trajectories and predictors for depressive symptoms in
adolescents using latent class growth analysis: A population‐based cohort study.

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Journal of Adolescence. https://doi.org/10.1002/jad.12161

Menear, M., Girard, A., Dugas, M., Gervais, M., Gilbert, M., & Gagnon, M.-P. (2022).
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Personalized care planning and shared decision making in collaborative care programs
for depression and anxiety disorders: A systematic review. PLOS ONE, 17(6),
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e0268649. https://doi.org/10.1371/journal.pone.0268649
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Sandhu, S., Sharma, A., Cholera, R., & Bettger, J. P. (2021). Integrated health and
social care in the United States: A decade of policy progress. International Journal of
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Integrated Care, 21(4). https://doi.org/10.5334/ijic.5687

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Schlesinger, A., Sengupta, S., Marx, L., Hilt, R., Martini, D. R., DeMaso, D. R., Beheshti,
N., Borcherding, B., Butler, A., Fallucco, E., Fletcher, K., Homan, E., Lai, K., Pierce, K.,
Sharma, A., Earls, M., Rockhill, C., Bukstein, O. G., Abright, A. R., & Becker, T. (2022).
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Clinical update: Collaborative mental health care for children and adolescents in
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pediatric primary care. Journal of the American Academy of Child & Adolescent
Psychiatry. https://doi.org/10.1016/j.jaac.2022.06.007
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