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  • [Solved] Treatments for Musculoskeletal & Neurological/Psychological Disorders

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    1. Describe the diagnostic criteria of osteoarthritis versus rheumatoid arthritis 2. Discuss types of headaches and their treatment 3. Discuss types of seizures and treatment 4. Discuss Parkinson's disease, its causes, symptoms, and treatment

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    1. Describe the diagnostic criteria of osteoarthritis versus rheumatoid arthritis
    2. Discuss types of headaches and their treatment
    3. Discuss types of seizures and treatment
    4. Discuss Parkinson's disease, its causes, symptoms, and treatment

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    One research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories…

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    One research report with a qualitative design and one with quantitative design and answer the following questions regarding the following categories…

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    **files (2)** – ## Articles.pdf – LiteratureReview.docx **## Articles.pdf** References 1. Aboraya, A., Elswick, D., Berry, J., Chandran, D., Hill, C., Zheng, W., Hustead, J. D., Van Oppen, D., Patel, V., Berzingi, S., Wang, K., Grimes, D., Gallucci, G., Mishra, D., Shrestha, R., Justice, J., Chumbe…

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    Assignment Prompt & Instructions

    **files (2)**

    – ## Articles.pdf

    – LiteratureReview.docx

    **## Articles.pdf**

    References

    1. Aboraya, A., Elswick, D., Berry, J., Chandran, D., Hill, C., Zheng, W., Hustead, J. D.,

    Van Oppen, D., Patel, V., Berzingi, S., Wang, K., Grimes, D., Gallucci, G., Mishra, D.,

    Shrestha, R., Justice, J., Chumber, P., Rizvi, A., Yadava, D., … Hyacinthe, J. (2025).

    Measurement-based care training curriculum in psychiatry residency programs: Four-year

    implementation experience and future directions. Innovations in Clinical Neuroscience,

    22(4–6), 20–26.

    2. Aldis, R., Rosenfeld, L. C., Mulvaney-Day, N., Lanca, M., Zona, K., Lam, J. A., Asfour,

    J., Meltzer, J. C., Leff, H. S., Fulwiler, C., Wang, P., & Progovac, A. M. (2024).

    Determinants of remote measurement-based care uptake in a safety-net outpatient

    psychiatry department. Learning Health Systems, 8(S1), e10416.

    3. Askari, N., Gupta, R., Hussain-Shamsy, N., Barker, L. C., Champagne, T., Lam, R. W.,

    Bishop, K., Pirmohamed, J., Michalowska, M., Shah, V., Katzman, H., Jalan, A.,

    Shanmuganathan, A., Wang, V., & Vigod, S. N. (2025). Electronic measurement-based

    care for perinatal depression and anxiety. BMC Psychiatry, 25(1), 437.

    4. Azizian Kia, S., Wittkampf, L., van Lankeren, J., & Janse, P. (2025). Motives of

    therapists for using routine outcome monitoring. Administration and Policy in Mental

    Health, 52(1), 159–170.

    5. Barkham, M., Broglia, E., & The SCORE Consortium. (2024). Routine outcome

    monitoring and feedback in university mental health services. Counselling and

    Psychotherapy Research, 24(2), 459–471.

    6. Bear, H. A., Dalzell, K., Edbrooke-Childs, J., & Wolpert, M. (2022). Applying behaviour

    change theory to routine outcome monitoring. British Journal of Clinical Psychology,

    61(3), 557–578.

    7. Borgnolo, L. J., McKenna, S., Hickie, I. B., Varidel, M., Turner, A., Gorban, C.,

    LaMonica, H. M., Chong, M. K., Capon, W., Dimitropoulos, G., Battisti, R., Whitwell,

    B., Hamilton, B., Scott, E. M., & Iorfino, F. (2025). Engagement with digital mental

    health technology. Journal of Medical Internet Research, 27(3), e67597.

    8. Bugatti, M., Owen, J., Richardson, Z., Rasmussen, W., & Newton, D. (2024). Therapist

    engagement in measurement-based care. Clinical Psychology & Psychotherapy, 31(1).

    9. Cheung, B. S., Murphy, J. K., Michalak, E. E., Liu, J., Yang, X., Wang, X., Chen, J., &

    Lam, R. W. (2023). Barriers to technology-enhanced MBC for depression. Journal of

    Affective Disorders, 320, 1–6.

    10. Cuperfain, A. B., Hui, K., Berkhout, S. G., Foussias, G., Gratzer, D., Kidd, S. A.,

    Kozloff, N., Kurdyak, P., Linaksita, B., Miranda, D., Soklaridis, S., Voineskos, A. N., &

    Zaheer, J. (2021). Views of measurement-based care in early psychosis. BJPsych Open,

    7(5).

    11. de Beurs, E., Carlier, I., & van Hemert, A. (2022). Patient-reported psychopathology and

    quality of life. Quality of Life Research, 31(5), 1461–1471.

    12. El Hussein, M. T., & Bal, R. (2025). Pharmacotherapy for major depressive disorder.

    Journal for Nurse Practitioners, 21(8), 105458.

    13. Gaine, G. S., Nealis, L. J., Zhou, H., Purdon, S. E., & Abba-Aji, A. (2021). Inpatient

    recovery trajectories using ROM. Psychiatry Research, 302, 114000.

    14. Halford, W. K., & Frost, A. D. J. (2021). Depression Anxiety Stress Scale-10. Behaviour

    Change, 38(4), 221–234.

    15. He, Y., Wang, X., Wang, Z., Zhang, P., Huang, X., Yu, M., Murphy, J., Michalak, E.,

    Liu, J., Yang, T., Yang, X., Fang, Y., Lam, R., & Chen, J. (2024). Standard vs enhanced

    MBC for depression. Neuropsychiatric Disease and Treatment, 20, 1465–1473.

    16. Helldin, L., Mohn, C., Olsson-Tall, M., van Dijk-Härd, I., & Olsson, A. (2024).

    Measurement-based care in schizophrenia. Archives of Psychiatric Nursing, 53, 151–157.

    17. Hoenders, R., Bartels, A., Castelein, S., Visser, E., & Booij, S. (2021). Integrative

    outpatient mental health clinic outcomes. European Psychiatry, 64(S1).

    18. Huffman, L. G., Lawrence-Sidebottom, D., Huberty, J., Roots, M., Roots, K., Parikh, A.,

    Guerra, R., & Weiser, J. (2023). Digital MBC for youth anxiety and depression. JMIR

    Pediatrics and Parenting, 6, e46154.

    19. Ibrahim, H. M., & Jha, M. K. (2023). Measurement-based care for depression.

    Psychiatric Annals, 53(9), 395–399.

    20. Jonášová, K., Čevelíček, M., Doležal, P., & Řiháček, T. (2025). In-session use of ROM.

    Administration and Policy in Mental Health, 52(1), 106–122.

    21. Jones, S. B., Ko, H., Gatto, A. J., Kablinger, A. S., Sharp, H. D., Cooper, L. D., Tenzer,

    M. M., O’Brien, V. C., & McNamara, R. S. (2024). COVID-19 impacts using MBC.

    Journal of Patient-Reported Outcomes, 8(1), 135.

    22. Khau, M., Tabbane, K., Bloom, D., Abadi, S., Villemus, C., Rabinovitch, M., Shah, J. L.,

    Veillette, A., Iyer, S. N., Boksa, P., & Joober, R. (2022). MBC in first-episode psychosis.

    Journal of Psychiatric Research, 150, 8–16.

    23. Korsen, N., & Gerrish, S. (2022). PHQ-9 use in integrated care. Annals of Family

    Medicine, 20(Suppl 1).

    24. Kumar, M., Paz, C., Falkeström, F., & Castonguay, L. (2025). Strengthening systems

    with ROM. JAMA Psychiatry, 82(10), 953–954.

    25. Lam, R. W., Michalak, E. E., Murphy, J. K., et al. (2025). EMBED trial protocol. Cureus,

    17(8), e90395.

    26. Lampis, J., & Rocca, G. (2024). ROM use in Italian public services. Clinical Psychology

    & Psychotherapy, 31(6).

    27. Lewis, C. C., Boyd, M. R., Marti, C. N., & Albright, K. (2022). Mediators of MBC

    implementation. Implementation Science, 17(1).

    28. Lui, J. H. L., Brookman-Frazee, L., Smith, A., Lind, T., Terrones, L., Rodriguez, A.,

    Motamedi, M., Villodas, M., & Lau, A. S. (2022). Implementation facilitation strategies.

    Psychological Services, 19(2), 343–352.

    29. Machleid, F., Michnevich, T., Huang, L., Schröder-Frerkes, L., Wiegmann, C., Muffel,

    T., & Kaminski, J. (2024). Remote measurement-based care. PLOS One, 19(2),

    e0297929.

    30. McCoy, T. H., Castro, V. M., & Perlis, R. H. (2025). Estimating depression severity with

    LLMs. Journal of Affective Disorders, 381, 270–274.

    31. Meyer-Kalos, P., Owens, G., Fisher, M., et al. (2024). Putting MBC into action. BMC

    Psychiatry, 24(1), 871.

    32. Moltu, C., McAleavey, A. A., Helleseth, M. M., Møller, G. H., & Nordberg, S. S. (2021).

    Developing feedback systems. International Journal of Mental Health Systems, 15(1), 43.

    33. Patel, Z. S., Jensen-Doss, A., & Lewis, C. C. (2022). Attitudes toward MBC.

    Administration and Policy in Mental Health, 49(1), 13–28.

    34. Progovac, A. M., Fulwiler, C., Lanca, M., et al. (2025). Remote MBC rollout

    experiences. JMIR Formative Research, 9, e71570.

    35. Roebroek, L., Bruins, J., Roe, D., et al. (2021). Care needs in psychosis. Epidemiology

    and Psychiatric Sciences, 30.

    36. Rush, A. J., Gore-Langton, R. E., Bart, G., et al. (2024). Tools to implement MBC for

    OUD. Addiction Science & Clinical Practice, 19(1), 14.

    37. Sales, C. M. D., Ashworth, M., Ayis, S., et al. (2023). I-PROMs position paper. Journal

    of Clinical Psychology, 79(3), 596–621.

    38. She, Z., Xu, H., Cormier, G., Drapeau, M., & Duncan, B. L. (2024). Culture and face in

    ROM. Psychotherapy Research, 34(3), 311–322.

    39. Smits, H. J. H., Seelen-de Lang, B. L., Penterman, E. J. M., Nijman, H. L. I., &

    Noorthoorn, E. O. (2023). Quality of life outcomes in SMI. Journal of Applied Research

    in Intellectual Disabilities, 36(1), 58–67.

    40. Solstad, S. M., Kleiven, G. S., Castonguay, L. G., & Moltu, C. (2021). Clinical dilemmas

    of ROM. Psychotherapy Research, 31(2), 200–210.

    41. Solstad, S. M., Kleiven, G. S., & Moltu, C. (2021). Complexity of clinical feedback.

    Quality of Life Research, 30(11), 3117–3125.

    42. Timman, R., & Arrindell, W. A. (2022). SCL-3/7 for ROM. Acta Psychiatrica

    Scandinavica, 145(4), 397–411.

    43. Valdiviezo-Oña, J., Montesano, A., Evans, C., & Paz, C. (2023). Practice-based evidence

    via ROM. BMJ Open, 13, e071875.

    44. Van Wert, M. J., Malik, M., Memel, B., Moore, R., Buccino, D., Hackerman, F., Kumari,

    S., Everett, A., & Narrow, W. (2021). Barriers to ROM integration. Journal of Evaluation

    in Clinical Practice, 27(4), 767–775.

    45. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A., &

    Tiemens, B. G. (2023). Clinician-focused MBC strategies. BMC Health Services

    Research, 23(1), 326.

    46. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A.,

    Kleinjan, M., & Tiemens, B. G. (2021). ROM feedback challenges. Child & Youth Care

    Forum, 50(2), 307–332.

    47. Victor, S. E., Salk, R. H., Porta, G., et al. (2023). Measurement-based care for suicidal

    youth. PLOS One, 18(4), e0284073.

    48. Wiebe, D. E., Remers, S., Nippak, P., & Meyer, J. (2021). Online ROM system

    evaluation. JMIR Mental Health, 8(12), e29243.

    49. Williams, N. J., Ehrhart, M. G., Aarons, G. A., et al. (2024). Organizational climate and

    MBC. Implementation Science, 19(1), 29.

    50. Woodard, G. S., Lane, E., Ehrenreich-May, J., Ginsburg, G. S., & Jensen-Doss, A.

    (2025). Predictors of MBC fidelity. Journal of Clinical Child & Adolescent Psychology,

    54(3), 346–357.

    51. Zavaglia, E., Joober, R., Iyer, S. N., et al. (2025). Digital MBC in early psychosis.

    Schizophrenia Research, 282, 141–149.

    52. Zhou, J., Wang, X., Yang, J., Zhu, X., Xiao, L., Feng, L., & Wang, G. (2022).

    Optimization of MBC for depression. Trials, 23(1), 367.

    53. Progovac, A. M., Fulwiler, C., Lanca, M., Wang, D., Zona, K., Mulvaney-Day, N., Aldis,

    R., Leff, H. S., Wang, P., & Rosenfeld, L. C. (2025). Provider experiences with RMBC

    rollout. JMIR Formative Research, 9, e71570.

    54. Rush, A. J., Trivedi, M. H., Wisniewski, S. R., et al. (2006). Acute and longer-term

    outcomes in STAR*D. American Journal of Psychiatry, 163(11), 1905–1917.

    55. Zimmerman, M., McGlinchey, J. B., Posternak, M. A., Friedman, M., Boerescu, D., &

    Attiullah, N. (2008). How should remission be defined using the PHQ-9? Journal of

    Clinical Psychiatry, 69(12), 1856–1861.

    56. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General

    Internal Medicine, 16(9), 606–613.

    57. Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). The GAD-7.

    Archives of Internal Medicine, 166(10), 1092–1097.

    58. Fortney, J. C., Unützer, J., Wrenn, G., Pyne, J. M., Smith, G. R., Schoenbaum, M., &

    Harbin, H. T. (2017). A tipping point for MBC. Psychiatric Services, 68(2), 179–188.

    59. Lewis, C. C., Fischer, S., Weiner, B. J., Stanick, C., Kim, M., & Martinez, R. G. (2015).

    Outcomes for implementation science. Implementation Science, 10, 1–13.

    60. Zimmerman, M., & Mattia, J. I. (2001). Psychiatric diagnosis in clinical practice.

    American Journal of Psychiatry, 158(4), 589–595.

    **LiteratureReview.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/literaturereview-docx-10504709)

    **LiteratureReview.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/literaturereview-docx-10504709)

    **## Articles.pdf**

    References

    1. Aboraya, A., Elswick, D., Berry, J., Chandran, D., Hill, C., Zheng, W., Hustead, J. D.,

    Van Oppen, D., Patel, V., Berzingi, S., Wang, K., Grimes, D., Gallucci, G., Mishra, D.,

    Shrestha, R., Justice, J., Chumber, P., Rizvi, A., Yadava, D., … Hyacinthe, J. (2025).

    Measurement-based care training curriculum in psychiatry residency programs: Four-year

    implementation experience and future directions. Innovations in Clinical Neuroscience,

    22(4–6), 20–26.

    2. Aldis, R., Rosenfeld, L. C., Mulvaney-Day, N., Lanca, M., Zona, K., Lam, J. A., Asfour,

    J., Meltzer, J. C., Leff, H. S., Fulwiler, C., Wang, P., & Progovac, A. M. (2024).

    Determinants of remote measurement-based care uptake in a safety-net outpatient

    psychiatry department. Learning Health Systems, 8(S1), e10416.

    3. Askari, N., Gupta, R., Hussain-Shamsy, N., Barker, L. C., Champagne, T., Lam, R. W.,

    Bishop, K., Pirmohamed, J., Michalowska, M., Shah, V., Katzman, H., Jalan, A.,

    Shanmuganathan, A., Wang, V., & Vigod, S. N. (2025). Electronic measurement-based

    care for perinatal depression and anxiety. BMC Psychiatry, 25(1), 437.

    4. Azizian Kia, S., Wittkampf, L., van Lankeren, J., & Janse, P. (2025). Motives of

    therapists for using routine outcome monitoring. Administration and Policy in Mental

    Health, 52(1), 159–170.

    5. Barkham, M., Broglia, E., & The SCORE Consortium. (2024). Routine outcome

    monitoring and feedback in university mental health services. Counselling and

    Psychotherapy Research, 24(2), 459–471.

    6. Bear, H. A., Dalzell, K., Edbrooke-Childs, J., & Wolpert, M. (2022). Applying behaviour

    change theory to routine outcome monitoring. British Journal of Clinical Psychology,

    61(3), 557–578.

    7. Borgnolo, L. J., McKenna, S., Hickie, I. B., Varidel, M., Turner, A., Gorban, C.,

    LaMonica, H. M., Chong, M. K., Capon, W., Dimitropoulos, G., Battisti, R., Whitwell,

    B., Hamilton, B., Scott, E. M., & Iorfino, F. (2025). Engagement with digital mental

    health technology. Journal of Medical Internet Research, 27(3), e67597.

    8. Bugatti, M., Owen, J., Richardson, Z., Rasmussen, W., & Newton, D. (2024). Therapist

    engagement in measurement-based care. Clinical Psychology & Psychotherapy, 31(1).

    9. Cheung, B. S., Murphy, J. K., Michalak, E. E., Liu, J., Yang, X., Wang, X., Chen, J., &

    Lam, R. W. (2023). Barriers to technology-enhanced MBC for depression. Journal of

    Affective Disorders, 320, 1–6.

    10. Cuperfain, A. B., Hui, K., Berkhout, S. G., Foussias, G., Gratzer, D., Kidd, S. A.,

    Kozloff, N., Kurdyak, P., Linaksita, B., Miranda, D., Soklaridis, S., Voineskos, A. N., &

    Zaheer, J. (2021). Views of measurement-based care in early psychosis. BJPsych Open,

    7(5).

    11. de Beurs, E., Carlier, I., & van Hemert, A. (2022). Patient-reported psychopathology and

    quality of life. Quality of Life Research, 31(5), 1461–1471.

    12. El Hussein, M. T., & Bal, R. (2025). Pharmacotherapy for major depressive disorder.

    Journal for Nurse Practitioners, 21(8), 105458.

    13. Gaine, G. S., Nealis, L. J., Zhou, H., Purdon, S. E., & Abba-Aji, A. (2021). Inpatient

    recovery trajectories using ROM. Psychiatry Research, 302, 114000.

    14. Halford, W. K., & Frost, A. D. J. (2021). Depression Anxiety Stress Scale-10. Behaviour

    Change, 38(4), 221–234.

    15. He, Y., Wang, X., Wang, Z., Zhang, P., Huang, X., Yu, M., Murphy, J., Michalak, E.,

    Liu, J., Yang, T., Yang, X., Fang, Y., Lam, R., & Chen, J. (2024). Standard vs enhanced

    MBC for depression. Neuropsychiatric Disease and Treatment, 20, 1465–1473.

    16. Helldin, L., Mohn, C., Olsson-Tall, M., van Dijk-Härd, I., & Olsson, A. (2024).

    Measurement-based care in schizophrenia. Archives of Psychiatric Nursing, 53, 151–157.

    17. Hoenders, R., Bartels, A., Castelein, S., Visser, E., & Booij, S. (2021). Integrative

    outpatient mental health clinic outcomes. European Psychiatry, 64(S1).

    18. Huffman, L. G., Lawrence-Sidebottom, D., Huberty, J., Roots, M., Roots, K., Parikh, A.,

    Guerra, R., & Weiser, J. (2023). Digital MBC for youth anxiety and depression. JMIR

    Pediatrics and Parenting, 6, e46154.

    19. Ibrahim, H. M., & Jha, M. K. (2023). Measurement-based care for depression.

    Psychiatric Annals, 53(9), 395–399.

    20. Jonášová, K., Čevelíček, M., Doležal, P., & Řiháček, T. (2025). In-session use of ROM.

    Administration and Policy in Mental Health, 52(1), 106–122.

    21. Jones, S. B., Ko, H., Gatto, A. J., Kablinger, A. S., Sharp, H. D., Cooper, L. D., Tenzer,

    M. M., O’Brien, V. C., & McNamara, R. S. (2024). COVID-19 impacts using MBC.

    Journal of Patient-Reported Outcomes, 8(1), 135.

    22. Khau, M., Tabbane, K., Bloom, D., Abadi, S., Villemus, C., Rabinovitch, M., Shah, J. L.,

    Veillette, A., Iyer, S. N., Boksa, P., & Joober, R. (2022). MBC in first-episode psychosis.

    Journal of Psychiatric Research, 150, 8–16.

    23. Korsen, N., & Gerrish, S. (2022). PHQ-9 use in integrated care. Annals of Family

    Medicine, 20(Suppl 1).

    24. Kumar, M., Paz, C., Falkeström, F., & Castonguay, L. (2025). Strengthening systems

    with ROM. JAMA Psychiatry, 82(10), 953–954.

    25. Lam, R. W., Michalak, E. E., Murphy, J. K., et al. (2025). EMBED trial protocol. Cureus,

    17(8), e90395.

    26. Lampis, J., & Rocca, G. (2024). ROM use in Italian public services. Clinical Psychology

    & Psychotherapy, 31(6).

    27. Lewis, C. C., Boyd, M. R., Marti, C. N., & Albright, K. (2022). Mediators of MBC

    implementation. Implementation Science, 17(1).

    28. Lui, J. H. L., Brookman-Frazee, L., Smith, A., Lind, T., Terrones, L., Rodriguez, A.,

    Motamedi, M., Villodas, M., & Lau, A. S. (2022). Implementation facilitation strategies.

    Psychological Services, 19(2), 343–352.

    29. Machleid, F., Michnevich, T., Huang, L., Schröder-Frerkes, L., Wiegmann, C., Muffel,

    T., & Kaminski, J. (2024). Remote measurement-based care. PLOS One, 19(2),

    e0297929.

    30. McCoy, T. H., Castro, V. M., & Perlis, R. H. (2025). Estimating depression severity with

    LLMs. Journal of Affective Disorders, 381, 270–274.

    31. Meyer-Kalos, P., Owens, G., Fisher, M., et al. (2024). Putting MBC into action. BMC

    Psychiatry, 24(1), 871.

    32. Moltu, C., McAleavey, A. A., Helleseth, M. M., Møller, G. H., & Nordberg, S. S. (2021).

    Developing feedback systems. International Journal of Mental Health Systems, 15(1), 43.

    33. Patel, Z. S., Jensen-Doss, A., & Lewis, C. C. (2022). Attitudes toward MBC.

    Administration and Policy in Mental Health, 49(1), 13–28.

    34. Progovac, A. M., Fulwiler, C., Lanca, M., et al. (2025). Remote MBC rollout

    experiences. JMIR Formative Research, 9, e71570.

    35. Roebroek, L., Bruins, J., Roe, D., et al. (2021). Care needs in psychosis. Epidemiology

    and Psychiatric Sciences, 30.

    36. Rush, A. J., Gore-Langton, R. E., Bart, G., et al. (2024). Tools to implement MBC for

    OUD. Addiction Science & Clinical Practice, 19(1), 14.

    37. Sales, C. M. D., Ashworth, M., Ayis, S., et al. (2023). I-PROMs position paper. Journal

    of Clinical Psychology, 79(3), 596–621.

    38. She, Z., Xu, H., Cormier, G., Drapeau, M., & Duncan, B. L. (2024). Culture and face in

    ROM. Psychotherapy Research, 34(3), 311–322.

    39. Smits, H. J. H., Seelen-de Lang, B. L., Penterman, E. J. M., Nijman, H. L. I., &

    Noorthoorn, E. O. (2023). Quality of life outcomes in SMI. Journal of Applied Research

    in Intellectual Disabilities, 36(1), 58–67.

    40. Solstad, S. M., Kleiven, G. S., Castonguay, L. G., & Moltu, C. (2021). Clinical dilemmas

    of ROM. Psychotherapy Research, 31(2), 200–210.

    41. Solstad, S. M., Kleiven, G. S., & Moltu, C. (2021). Complexity of clinical feedback.

    Quality of Life Research, 30(11), 3117–3125.

    42. Timman, R., & Arrindell, W. A. (2022). SCL-3/7 for ROM. Acta Psychiatrica

    Scandinavica, 145(4), 397–411.

    43. Valdiviezo-Oña, J., Montesano, A., Evans, C., & Paz, C. (2023). Practice-based evidence

    via ROM. BMJ Open, 13, e071875.

    44. Van Wert, M. J., Malik, M., Memel, B., Moore, R., Buccino, D., Hackerman, F., Kumari,

    S., Everett, A., & Narrow, W. (2021). Barriers to ROM integration. Journal of Evaluation

    in Clinical Practice, 27(4), 767–775.

    45. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A., &

    Tiemens, B. G. (2023). Clinician-focused MBC strategies. BMC Health Services

    Research, 23(1), 326.

    46. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A.,

    Kleinjan, M., & Tiemens, B. G. (2021). ROM feedback challenges. Child & Youth Care

    Forum, 50(2), 307–332.

    47. Victor, S. E., Salk, R. H., Porta, G., et al. (2023). Measurement-based care for suicidal

    youth. PLOS One, 18(4), e0284073.

    48. Wiebe, D. E., Remers, S., Nippak, P., & Meyer, J. (2021). Online ROM system

    evaluation. JMIR Mental Health, 8(12), e29243.

    49. Williams, N. J., Ehrhart, M. G., Aarons, G. A., et al. (2024). Organizational climate and

    MBC. Implementation Science, 19(1), 29.

    50. Woodard, G. S., Lane, E., Ehrenreich-May, J., Ginsburg, G. S., & Jensen-Doss, A.

    (2025). Predictors of MBC fidelity. Journal of Clinical Child & Adolescent Psychology,

    54(3), 346–357.

    51. Zavaglia, E., Joober, R., Iyer, S. N., et al. (2025). Digital MBC in early psychosis.

    Schizophrenia Research, 282, 141–149.

    52. Zhou, J., Wang, X., Yang, J., Zhu, X., Xiao, L., Feng, L., & Wang, G. (2022).

    Optimization of MBC for depression. Trials, 23(1), 367.

    53. Progovac, A. M., Fulwiler, C., Lanca, M., Wang, D., Zona, K., Mulvaney-Day, N., Aldis,

    R., Leff, H. S., Wang, P., & Rosenfeld, L. C. (2025). Provider experiences with RMBC

    rollout. JMIR Formative Research, 9, e71570.

    54. Rush, A. J., Trivedi, M. H., Wisniewski, S. R., et al. (2006). Acute and longer-term

    outcomes in STAR*D. American Journal of Psychiatry, 163(11), 1905–1917.

    55. Zimmerman, M., McGlinchey, J. B., Posternak, M. A., Friedman, M., Boerescu, D., &

    Attiullah, N. (2008). How should remission be defined using the PHQ-9? Journal of

    Clinical Psychiatry, 69(12), 1856–1861.

    56. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General

    Internal Medicine, 16(9), 606–613.

    57. Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). The GAD-7.

    Archives of Internal Medicine, 166(10), 1092–1097.

    58. Fortney, J. C., Unützer, J., Wrenn, G., Pyne, J. M., Smith, G. R., Schoenbaum, M., &

    Harbin, H. T. (2017). A tipping point for MBC. Psychiatric Services, 68(2), 179–188.

    59. Lewis, C. C., Fischer, S., Weiner, B. J., Stanick, C., Kim, M., & Martinez, R. G. (2015).

    Outcomes for implementation science. Implementation Science, 10, 1–13.

    60. Zimmerman, M., & Mattia, J. I. (2001). Psychiatric diagnosis in clinical practice.

    American Journal of Psychiatry, 158(4), 589–595.

    **LiteratureReview.docx**

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    **## Articles.pdf**

    References

    1. Aboraya, A., Elswick, D., Berry, J., Chandran, D., Hill, C., Zheng, W., Hustead, J. D.,

    Van Oppen, D., Patel, V., Berzingi, S., Wang, K., Grimes, D., Gallucci, G., Mishra, D.,

    Shrestha, R., Justice, J., Chumber, P., Rizvi, A., Yadava, D., … Hyacinthe, J. (2025).

    Measurement-based care training curriculum in psychiatry residency programs: Four-year

    implementation experience and future directions. Innovations in Clinical Neuroscience,

    22(4–6), 20–26.

    2. Aldis, R., Rosenfeld, L. C., Mulvaney-Day, N., Lanca, M., Zona, K., Lam, J. A., Asfour,

    J., Meltzer, J. C., Leff, H. S., Fulwiler, C., Wang, P., & Progovac, A. M. (2024).

    Determinants of remote measurement-based care uptake in a safety-net outpatient

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    3. Askari, N., Gupta, R., Hussain-Shamsy, N., Barker, L. C., Champagne, T., Lam, R. W.,

    Bishop, K., Pirmohamed, J., Michalowska, M., Shah, V., Katzman, H., Jalan, A.,

    Shanmuganathan, A., Wang, V., & Vigod, S. N. (2025). Electronic measurement-based

    care for perinatal depression and anxiety. BMC Psychiatry, 25(1), 437.

    4. Azizian Kia, S., Wittkampf, L., van Lankeren, J., & Janse, P. (2025). Motives of

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    5. Barkham, M., Broglia, E., & The SCORE Consortium. (2024). Routine outcome

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    6. Bear, H. A., Dalzell, K., Edbrooke-Childs, J., & Wolpert, M. (2022). Applying behaviour

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    7. Borgnolo, L. J., McKenna, S., Hickie, I. B., Varidel, M., Turner, A., Gorban, C.,

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    B., Hamilton, B., Scott, E. M., & Iorfino, F. (2025). Engagement with digital mental

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    8. Bugatti, M., Owen, J., Richardson, Z., Rasmussen, W., & Newton, D. (2024). Therapist

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    9. Cheung, B. S., Murphy, J. K., Michalak, E. E., Liu, J., Yang, X., Wang, X., Chen, J., &

    Lam, R. W. (2023). Barriers to technology-enhanced MBC for depression. Journal of

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    10. Cuperfain, A. B., Hui, K., Berkhout, S. G., Foussias, G., Gratzer, D., Kidd, S. A.,

    Kozloff, N., Kurdyak, P., Linaksita, B., Miranda, D., Soklaridis, S., Voineskos, A. N., &

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    11. de Beurs, E., Carlier, I., & van Hemert, A. (2022). Patient-reported psychopathology and

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    Journal for Nurse Practitioners, 21(8), 105458.

    13. Gaine, G. S., Nealis, L. J., Zhou, H., Purdon, S. E., & Abba-Aji, A. (2021). Inpatient

    recovery trajectories using ROM. Psychiatry Research, 302, 114000.

    14. Halford, W. K., & Frost, A. D. J. (2021). Depression Anxiety Stress Scale-10. Behaviour

    Change, 38(4), 221–234.

    15. He, Y., Wang, X., Wang, Z., Zhang, P., Huang, X., Yu, M., Murphy, J., Michalak, E.,

    Liu, J., Yang, T., Yang, X., Fang, Y., Lam, R., & Chen, J. (2024). Standard vs enhanced

    MBC for depression. Neuropsychiatric Disease and Treatment, 20, 1465–1473.

    16. Helldin, L., Mohn, C., Olsson-Tall, M., van Dijk-Härd, I., & Olsson, A. (2024).

    Measurement-based care in schizophrenia. Archives of Psychiatric Nursing, 53, 151–157.

    17. Hoenders, R., Bartels, A., Castelein, S., Visser, E., & Booij, S. (2021). Integrative

    outpatient mental health clinic outcomes. European Psychiatry, 64(S1).

    18. Huffman, L. G., Lawrence-Sidebottom, D., Huberty, J., Roots, M., Roots, K., Parikh, A.,

    Guerra, R., & Weiser, J. (2023). Digital MBC for youth anxiety and depression. JMIR

    Pediatrics and Parenting, 6, e46154.

    19. Ibrahim, H. M., & Jha, M. K. (2023). Measurement-based care for depression.

    Psychiatric Annals, 53(9), 395–399.

    20. Jonášová, K., Čevelíček, M., Doležal, P., & Řiháček, T. (2025). In-session use of ROM.

    Administration and Policy in Mental Health, 52(1), 106–122.

    21. Jones, S. B., Ko, H., Gatto, A. J., Kablinger, A. S., Sharp, H. D., Cooper, L. D., Tenzer,

    M. M., O’Brien, V. C., & McNamara, R. S. (2024). COVID-19 impacts using MBC.

    Journal of Patient-Reported Outcomes, 8(1), 135.

    22. Khau, M., Tabbane, K., Bloom, D., Abadi, S., Villemus, C., Rabinovitch, M., Shah, J. L.,

    Veillette, A., Iyer, S. N., Boksa, P., & Joober, R. (2022). MBC in first-episode psychosis.

    Journal of Psychiatric Research, 150, 8–16.

    23. Korsen, N., & Gerrish, S. (2022). PHQ-9 use in integrated care. Annals of Family

    Medicine, 20(Suppl 1).

    24. Kumar, M., Paz, C., Falkeström, F., & Castonguay, L. (2025). Strengthening systems

    with ROM. JAMA Psychiatry, 82(10), 953–954.

    25. Lam, R. W., Michalak, E. E., Murphy, J. K., et al. (2025). EMBED trial protocol. Cureus,

    17(8), e90395.

    26. Lampis, J., & Rocca, G. (2024). ROM use in Italian public services. Clinical Psychology

    & Psychotherapy, 31(6).

    27. Lewis, C. C., Boyd, M. R., Marti, C. N., & Albright, K. (2022). Mediators of MBC

    implementation. Implementation Science, 17(1).

    28. Lui, J. H. L., Brookman-Frazee, L., Smith, A., Lind, T., Terrones, L., Rodriguez, A.,

    Motamedi, M., Villodas, M., & Lau, A. S. (2022). Implementation facilitation strategies.

    Psychological Services, 19(2), 343–352.

    29. Machleid, F., Michnevich, T., Huang, L., Schröder-Frerkes, L., Wiegmann, C., Muffel,

    T., & Kaminski, J. (2024). Remote measurement-based care. PLOS One, 19(2),

    e0297929.

    30. McCoy, T. H., Castro, V. M., & Perlis, R. H. (2025). Estimating depression severity with

    LLMs. Journal of Affective Disorders, 381, 270–274.

    31. Meyer-Kalos, P., Owens, G., Fisher, M., et al. (2024). Putting MBC into action. BMC

    Psychiatry, 24(1), 871.

    32. Moltu, C., McAleavey, A. A., Helleseth, M. M., Møller, G. H., & Nordberg, S. S. (2021).

    Developing feedback systems. International Journal of Mental Health Systems, 15(1), 43.

    33. Patel, Z. S., Jensen-Doss, A., & Lewis, C. C. (2022). Attitudes toward MBC.

    Administration and Policy in Mental Health, 49(1), 13–28.

    34. Progovac, A. M., Fulwiler, C., Lanca, M., et al. (2025). Remote MBC rollout

    experiences. JMIR Formative Research, 9, e71570.

    35. Roebroek, L., Bruins, J., Roe, D., et al. (2021). Care needs in psychosis. Epidemiology

    and Psychiatric Sciences, 30.

    36. Rush, A. J., Gore-Langton, R. E., Bart, G., et al. (2024). Tools to implement MBC for

    OUD. Addiction Science & Clinical Practice, 19(1), 14.

    37. Sales, C. M. D., Ashworth, M., Ayis, S., et al. (2023). I-PROMs position paper. Journal

    of Clinical Psychology, 79(3), 596–621.

    38. She, Z., Xu, H., Cormier, G., Drapeau, M., & Duncan, B. L. (2024). Culture and face in

    ROM. Psychotherapy Research, 34(3), 311–322.

    39. Smits, H. J. H., Seelen-de Lang, B. L., Penterman, E. J. M., Nijman, H. L. I., &

    Noorthoorn, E. O. (2023). Quality of life outcomes in SMI. Journal of Applied Research

    in Intellectual Disabilities, 36(1), 58–67.

    40. Solstad, S. M., Kleiven, G. S., Castonguay, L. G., & Moltu, C. (2021). Clinical dilemmas

    of ROM. Psychotherapy Research, 31(2), 200–210.

    41. Solstad, S. M., Kleiven, G. S., & Moltu, C. (2021). Complexity of clinical feedback.

    Quality of Life Research, 30(11), 3117–3125.

    42. Timman, R., & Arrindell, W. A. (2022). SCL-3/7 for ROM. Acta Psychiatrica

    Scandinavica, 145(4), 397–411.

    43. Valdiviezo-Oña, J., Montesano, A., Evans, C., & Paz, C. (2023). Practice-based evidence

    via ROM. BMJ Open, 13, e071875.

    44. Van Wert, M. J., Malik, M., Memel, B., Moore, R., Buccino, D., Hackerman, F., Kumari,

    S., Everett, A., & Narrow, W. (2021). Barriers to ROM integration. Journal of Evaluation

    in Clinical Practice, 27(4), 767–775.

    45. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A., &

    Tiemens, B. G. (2023). Clinician-focused MBC strategies. BMC Health Services

    Research, 23(1), 326.

    46. van Sonsbeek, M. A. M. S., Hutschemaekers, G. J. M., Veerman, J. W., Vermulst, A.,

    Kleinjan, M., & Tiemens, B. G. (2021). ROM feedback challenges. Child & Youth Care

    Forum, 50(2), 307–332.

    47. Victor, S. E., Salk, R. H., Porta, G., et al. (2023). Measurement-based care for suicidal

    youth. PLOS One, 18(4), e0284073.

    48. Wiebe, D. E., Remers, S., Nippak, P., & Meyer, J. (2021). Online ROM system

    evaluation. JMIR Mental Health, 8(12), e29243.

    49. Williams, N. J., Ehrhart, M. G., Aarons, G. A., et al. (2024). Organizational climate and

    MBC. Implementation Science, 19(1), 29.

    50. Woodard, G. S., Lane, E., Ehrenreich-May, J., Ginsburg, G. S., & Jensen-Doss, A.

    (2025). Predictors of MBC fidelity. Journal of Clinical Child & Adolescent Psychology,

    54(3), 346–357.

    51. Zavaglia, E., Joober, R., Iyer, S. N., et al. (2025). Digital MBC in early psychosis.

    Schizophrenia Research, 282, 141–149.

    52. Zhou, J., Wang, X., Yang, J., Zhu, X., Xiao, L., Feng, L., & Wang, G. (2022).

    Optimization of MBC for depression. Trials, 23(1), 367.

    53. Progovac, A. M., Fulwiler, C., Lanca, M., Wang, D., Zona, K., Mulvaney-Day, N., Aldis,

    R., Leff, H. S., Wang, P., & Rosenfeld, L. C. (2025). Provider experiences with RMBC

    rollout. JMIR Formative Research, 9, e71570.

    54. Rush, A. J., Trivedi, M. H., Wisniewski, S. R., et al. (2006). Acute and longer-term

    outcomes in STAR*D. American Journal of Psychiatry, 163(11), 1905–1917.

    55. Zimmerman, M., McGlinchey, J. B., Posternak, M. A., Friedman, M., Boerescu, D., &

    Attiullah, N. (2008). How should remission be defined using the PHQ-9? Journal of

    Clinical Psychiatry, 69(12), 1856–1861.

    56. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal of General

    Internal Medicine, 16(9), 606–613.

    57. Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). The GAD-7.

    Archives of Internal Medicine, 166(10), 1092–1097.

    58. Fortney, J. C., Unützer, J., Wrenn, G., Pyne, J. M., Smith, G. R., Schoenbaum, M., &

    Harbin, H. T. (2017). A tipping point for MBC. Psychiatric Services, 68(2), 179–188.

    59. Lewis, C. C., Fischer, S., Weiner, B. J., Stanick, C., Kim, M., & Martinez, R. G. (2015).

    Outcomes for implementation science. Implementation Science, 10, 1–13.

    60. Zimmerman, M., & Mattia, J. I. (2001). Psychiatric diagnosis in clinical practice.

    American Journal of Psychiatry, 158(4), 589–595.

    **LiteratureReview.docx**

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  • [Solved] Engage Fundamentals Vital Signs

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    ## Rubric Details – **Recognize Cues (Assessment) Identify all relevant subjective (0-10 points) and objective assessment information related to the client’s condition (0-10 points)** 20 possible points (20%) – **Analyze Cues (Analysis)– Form hypotheses Based upon assessment information, identify, a…

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    ## Rubric Details

    – **Recognize Cues (Assessment) Identify all relevant subjective (0-10 points) and objective assessment information related to the client’s condition (0-10 points)**

    20 possible points (20%)
    – **Analyze Cues (Analysis)– Form hypotheses Based upon assessment information, identify, and prioritize the top 3 client problems. In other words, which 3 assessment findings are of immediate concern? (0-9 points) Below each client problem, determine and enter 2 relevant assessment information that supports the identified client problem. (0-9 points)**

    18 possible points (18%)
    – **Prioritize Hypotheses (Analysis) Identify with rationale the assessment findings that the nurse should address first (0-6 points) State priority framework used for the identification (0-3) and rationale for choice (0-3 points)**

    12 possible points (12%)
    – **Generate Solutions (Planning) What is the desirable client outcome(s)? State 2 outcomes (0-4 points) Identify 3 possible nursing interventions that can be done for the prioritized problem. (0-9 points) State rationale for each intervention (0-3 points) SMART criteria met for outcomes and interventions (0-4 points)**

    20 possible points (20%)
    – **Take Action (Implementation) Prioritize with rationales the 3 actions the nurse should take to address the priority assessment finding? (0-9 points) What 2 client factors must you consider when making this decision? (0-4 points) How should the intervention(s) be accomplished (performed, requested, administered, communicated, taught, documented, etc.)? (0-5 points)**

    18 possible points (18%)
    – **Evaluate Outcomes (Evaluation) What signs point to: – improving status? (0-3 points) -declining status? (0-3 points) -unchanged status? (0-3 points) What additional interventions or assessments should the nurse implement if expected outcome(s) are not met? (0-3 points)**

    12 possible points (12%)

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  • [Solved] disc 7 507

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    – [\ \ disc7peds507.png](https://www.sweetstudy.com/files/disc7peds507-png "disc7peds507.png") – [\ \ rubricforPEDSdiscs.png](https://www.sweetstudy.com/files/rubricforpedsdiscs-png-10504577 "rubricforPEDSdiscs.png")

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    – [\
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  • [Solved] 566 week 1 Collaboration

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    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions. **Include the following sections:** **Step 1**: Identify your assigned client from the Week 1 Explore lesson. Your assignment is based on the first letter of your last…

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    Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

    **Include the following sections:**

    **Step 1**: Identify your assigned client from the Week 1 Explore lesson. Your assignment is based on the first letter of your last name in the chart below. Review your assigned clinical application activity from the lesson. The client case link will take you to the page in the lesson where the respective case is located.  Scroll to the bottom of the page to locate the client case.

    [Yusef Kardoust](https://chamberlain.instructure.com/courses/195312/pages/week-1-drugs-used-to-manage-fungal-infections "Week 1: Drugs Used to Manage Fungal Infections")

    **Step 2**: Assess the client’s case and the prescription writing activity for that client within the lesson.

    **Step 3**: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.

    1. **Application of Course Knowledge:**Answer all questions/criteria with explanations and detail.

    1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
    2. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
    3. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you want to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?

    No citation required for this post . please provide AI and similarity report.

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  • [Solved] Discussion

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    **Please attach either of these reports:** **Do attach:** _**Clifton Strengths Top 5 Report**_ _**Do not attach the**_ _**Emotional Intelligence Appraisal**_ _**report to this discussion.**_ _**Please submit your prepared discussion to the assignment for Turnitin review**_ _**prior**_ _**to copy and…

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    **Please attach either of these reports:**

    **Do attach:** _**Clifton Strengths Top 5 Report**_

    _**Do not attach the**_ _**Emotional Intelligence Appraisal**_ _**report to this discussion.**_

    _**Please submit your prepared discussion to the assignment for Turnitin review**_ _**prior**_ _**to copy and pasting the assignment in the discussion area.**_

    **Discussions:** Discussions will not be edited or deleted after submission. If revisions are needed, the revised submission may be submitted as a reply to the original submission with a heading noting the resubmission of the content.  If significant time has elapsed from the original submission, greater than five minutes, the original submission will be the work graded and the resubmission will not be evaluated for grading.

    A tutorial video is available in the tutorials module to provide tips for this assignment.

    Please place your discussion post in the text box for this assignment.  Use a copy and paste of the document submitted in Step One for the Turnitin review.  We understand that the discussion assignment will sometimes experience format challenges associated with the placement of content in the text box;  please do not waste hours trying to resolve format concerns in the text box. The faculty can use your pdf file submitted in the Step One part of this assignment to confirm if the hanging indent, etc. was correct when you did the copy and paste.

    Each student will post an initial post of no more than **750 words** in the discussion. _First person_ may be used for this assignment. Headings and the reference list are excluded from the word count. The discussion will be supported with peer reviewed citations and references in the correct APA 7th ed format

    Each student will then cross post to other students contributing to a robust class discussion. Cross posts should be no longer than **300 words and greater than 150 words**.

    Students will be expected to respond to cross posts from their peers; APA formatting with reference citations are required

    – [\
    \
    LeadershipandEmotionalIntelligence10.01.25.docx](https://www.sweetstudy.com/files/leadershipandemotionalintelligence10-01-25-docx "LeadershipandEmotionalIntelligence10.01.25.docx")

  • [Solved] Response- POPULATION HEALTH AND EPIDEMIOLOGY THEN AND NO

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    respond to the 2 people in the attached **Respond** to **at least two** colleagues on **two different days** in one or more of the following ways: – Ask a probing question, substantiated with additional background information, evidence, or research. – Share an insight from having read your colleague…

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    respond to the 2 people in the attached

    **Respond** to **at least two** colleagues on **two different days** in one or more of the following ways:

    – Ask a probing question, substantiated with additional background information, evidence, or research.
    – Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
    – Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
    – Validate an idea with your own experience and additional research.
    – Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
    – Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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  • [Solved] REply discussion post 6050

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    **Mental Health as a Presidential‑Level Population Health Issue** Mental health is a significant population health concern that has continuously made its way to the presidential agenda. Millions of Americans experience anxiety, depression, suicide, and substance-related mental health issues. Income …

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    Assignment Prompt & Instructions

    **Mental Health as a Presidential‑Level Population Health Issue**

    Mental health is a significant population health concern that has continuously made its way to the presidential agenda. Millions of Americans experience anxiety, depression, suicide, and substance-related mental health issues. Income and economic stability is the social determinant that has the greatest impact on this problem. Low-income earners tend to be uninsured, have to wait long queues, and experience stressful conditions contributing to greater risks of mental illnesses. Mental health deteriorates when basic needs such as employment, housing, and food are not steady.

    **The Way 2 Recent Presidents dealt with the problem.**

    The Affordable Care Act (ACA) gave mental health a national priority by President Barack Obama. The ACA demanded insurance programs to cover mental health services just as it covers physical health care. Obama also broadened Medicaid that enabled millions of low-income adults to receive counseling, drugs, and substance-use treatment. His government also initiated campaigns against stigma through public education to enhance early diagnosis.

    One area that President Donald Trump paid much attention to is the opioid epidemic which is strongly associated with mental health. His administration proclaimed the opioid crisis a national health crisis and allotted more funds to treatment programs, prevention, and law-enforcement actions(Short, 2022). Another Act that Trump signed was the SUPPORT Act, which helped increase access to medication-assisted treatment, enhanced mental health services in rural communities (DeMarco & Tufts, 2014).

    Both presidents acknowledged mental health as a national crisis, and the two approaches were different; Obama focused on insurance coverage and access, and Trump focused on addiction treatment and emergency response.

    **What I Would Do Differently**

    In policy-setting, I would emphasize prevention and community-based care, and not only treatment. Most individuals seek help when they are already in a crisis. I would increase school based mental health programs, fund community health centers and make insurance companies cover preventive mental health screenings (Lamb et al., 2015). I would also invest in social determinants, such as affordable housing, secure communities, and secure employment, since mental health cannot be improved unless the environment people live in is improved as well. Nurses, as described by Short (2022), are significant participants in the policy-making process and promoters of these preventive measures.

    2nd one

    One major population health issue that continues to reach the presidential agenda is the opioid epidemic. This crisis affects millions of Americans and has serious effects on families, healthcare systems, and communities. The social determinant that most affects the opioid epidemic is economic stability. When people struggle with unemployment, low income, unstable housing, or limited education, they often experience high levels of stress and have less access to healthcare and treatment. Communities with higher poverty rates tend to have higher rates of substance use and overdose deaths. Financial problems can also make it harder for people to get mental health care, which is closely connected to substance misuse. Because of this, improving economic stability is important for preventing addiction and supporting recovery.

    Two recent presidents have responded to the opioid crisis in different ways. Under Donald Trump, the opioid epidemic was declared a public health emergency in 2017. His administration increased funding for treatment and recovery programs and signed the SUPPORT for Patients and Communities Act in 2018. There was also a strong focus on law enforcement and stopping illegal drugs from entering the country. Under Joe Biden, the focus has been on expanding access to medication-assisted treatment, increasing the availability of naloxone to prevent overdose deaths, and supporting harm reduction programs. His administration has also worked to improve mental health services and address the rise of fentanyl. Overall, there has been more focus on treating addiction as a health issue rather than mainly a criminal justice issue.

    While both presidents took important steps, more can be done. Efforts could include investing in job training programs, increasing affordable housing, offering early mental health screenings in schools and clinics, and strengthening prevention programs for youth. A strong population health approach should focus on prevention, equal access to care, economic support, and teamwork between federal, state, and local communities. Addressing the root causes of addiction can help reduce health disparities and improve long-term outcomes.