Health Promotion Plan

Health Promotion Plan health Promotion Plan

Analysis of the community health concern that is the focus of our health promotion plan The aim of this research paper is to come up with a health promotion plan based on depression management within a remote community of Cutler Bay. Depression is a major problem affecting approximately 13 percent of the total health problems recorded in the local community hospital of the Cutler Bay community. This paper will focus on this specific health problem with a particular interest in improving their health using supportive evidence. According to the recent annual community health reports, it is estimated that approximately 13 percent of cases reported in the community dispensary is a result of either primary or secondary depressive symptoms.

The most prevalent form of depression in the common is psychotic depression affecting mostly those coming from low socio-economic families. Apart from the common mild psychotic depressive symptoms, other psychotic illnesses recorded though in small numbers are schizophrenia and drug abuse-related depression. On close analysis, we found out that although most symptoms cause depressive (dysphoric) moods, accompanied by other symptoms like strong feelings of guilt, extreme fatigue, loss of appetite and sleep disturbance. We found three main attributes of mental depression; the social, biological and psychological factors (Green & Pope, 2020).

Proposed health promotion plan We proposed Dahlgren and Whitehead model of 1991 since the factors influencing depression were found to be multi-dimensional, thus we needed a model that will cover the wider determinants of health.

According to our research, the main factors were found to be of general cultural, socioeconomic, poor working conditions, lifestyle factors, sex, age, and environment triggered (Forsman et al., 2020). Our health promotion plan depicts affected individuals as the main characters who are influenced by other determinants that have a big role in influencing their health status. At the center are the individual affected members of the community while the surrounding is the various factors ranked in terms of the degree and influence they have on these individuals. In the first line, we proposed individual lifestyle factors that trigger people into using drugs that trigger psychotic thoughts and having too much stress.

These lifestyle factors are followed immediately by social and community networks like peer-groups who push you into doing certain unwanted things. On the third row are other factors like poor working conditions, unemployment, living environment, housing conditions, and poor health care services. On the outermost part are the general socio-economic, environmental and cultural factors having the least impact on depression (Martin et al., 2020).

Management plan Diagnoses plan Hint 1: Major depressive disorders, multiple episodes Hint 2: Major Depressive disorders, single and partial remission disorder Hint 3: problem with family and primary support groups Justification for change of diagnosis In order to reflect the progress made, the primary diagnosis was changed from the common hospital plan of Major Depressive Disorder, single moderate episode to major Depressive disorder single and partial remission disorder.

This change is significant to include those not showing no major symptoms but has feelings of suicidal thoughts, worthlessness, and loss of interest in basic things. Short term goal ; To reduce major episodic to partial remission within a period of 21 days. Long term goals; to significantly reducing depressive symptoms to an extent that they will no longer interfere with the patient’s normal functioning within a period of 3 months. Anticipated completion period : 3 months with a t score of less than 60 short term activity period 1. Develop a no self-harm contract safety plan 2. Involve the individual in at least one extracurricular sport or activity 3. Monitor and report suicidal ideation for 21 days 4. Help the victim learn coping skills including how to regulate emotions and solve problems through therapy sessions 5. Help the victim identify his/her areas of interest, strengths, and weaknesses Action plan Intervention/action Reason Individual therapy To help the victim learn and implement coping skills To help the victim, identify negative feelings, process them and resolve them Family therapy To give the affected individual support and encouragement Psycho-education program Lobby for the start of a psycho-education program in the community to sensitize the community on the effects of depression and how to offer support to affected individuals

Paper For Above instruction

Depression remains a significant public health concern, particularly within vulnerable communities such as the remote region of Cutler Bay. This health promotion plan aims to address the multifaceted nature of depression, integrating community-based strategies, psychosocial interventions, and policy advocacy to reduce its prevalence and mitigate its impacts. Understanding depression through the lens of social, biological, and psychological determinants provides a comprehensive framework for intervention, aligning with the Dahlgren and Whitehead model, which considers the complex interplay of individual, social, economic, and environmental factors.

The community of Cutler Bay exhibits notable rates of depression, with approximately 13% of individuals affected, predominantly stemming from socio-economic disadvantages. Psychotic depression, along with schizophrenia and substance-related depressive syndromes, are the primary clinical presentations observed. These conditions are characterized by symptoms such as anhedonia, feelings of guilt, fatigue, sleep disturbances, and in severe cases, suicidal ideation. Identifying the root causes and determinants is vital for effective intervention planning.

The health promotion strategy emphasizes a holistic approach that addresses not only individual symptoms but also upstream social determinants. The model positions individuals at the core, surrounded by concentric layers representing lifestyle behaviors, social networks, living and working conditions, and broader socio-economic and cultural factors. Interventions at each level can significantly influence mental health outcomes. For instance, promoting healthy lifestyle choices and reducing substance use can mitigate risks associated with depression. Strengthening social support networks is equally crucial, as peer and family support serve as protective factors against depression.

The management plan includes a diagnostic revision to better capture the spectrum of depressive states, shifting from a focus on acute episodes to a broader classification that encompasses partial remission states and subthreshold symptoms. This refinement allows for earlier intervention, potentially preventing escalation to more severe episodes. The short-term goal is to reduce the severity of depressive episodes within 21 days, while the long-term goal aims for sustained remission and functional recovery within three months.

Actionable strategies involve the development of safety plans, engagement in community activities, close monitoring of suicidal ideation, and delivery of evidence-based psychotherapy, including cognitive-behavioral therapy (CBT). Family involvement and psycho-educational campaigns form a cornerstone for fostering community understanding and reducing stigma. These initiatives promote resilience, equip individuals with coping skills, and increase awareness about depression’s signs and treatment options.

Implementation of individual therapy sessions aims to empower affected persons to develop emotional regulation and problem-solving skills. Family therapy provides support, enhances communication, and encourages ongoing assistance. A community psycho-education program aims to change perceptions about mental health, dispel myths, and encourage early help-seeking behaviors. Such integrated efforts can substantially reduce depression's burden, improve quality of life, and foster a healthier community environment.

References

• Forsman, A. K., Nordmyr, J., & Wahlbeck, K. (2020). Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health Promotion International, 35(5), 85-107.
• Green, C. A., & Pope, C. R. (2020). Depressive symptoms, health promotion and health risk behaviors. American Journal of Health Promotion, 15(1), 29-45.
• Martin, A., Sanderson, K., & Cocker, F. (2020). Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms. Scandinavian Journal of Work, Environment & Health, 46(1), 7-18.
• World Health Organization. (2017). Depression and Other Common Mental Disorders: Global Health Estimates. WHO Publications.
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• Lopez, M., & Hamza, A. (2021). Community-based strategies for depression management: A review. Journal of Community Psychology, 34(2), 112-125.
• Patel, V., et al. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553-1598.
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• Narcisse, M., & Mugbem, M. (2019). Socioeconomic determinants of depression: a systematic review. Social Psychiatry and Psychiatric Epidemiology, 54(3), 291–301.
• Harvey, S., et al. (2014). The role of lifestyle in the management and prevention of depression. Psychiatric Clinics of North America, 37(4), 471-485.