Graduation Semester and Year
2018
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Jacqueline L Michael
Second Advisor
Richard E Gilder
Abstract
It is estimated that 24% of persons served by community mental health agencies have a co-occurring psychiatric and substance use disorder (COPSD). Up to 50% of persons with substance abuse have co-occurring post-traumatic stress disorder (co/PTSD). A failure remains in objectively identifying this population in everyday practice. At a community mental health agency serving rural East Texas, a new Screening-Into-Intake Procedure (SIIP) for adults initiating services was implemented using the Iowa Model for Evidence-Based Practice. Implemented in four stages, this SIIP incorporated both self- and observer-rated screening instruments to assist in identifying and provisionally diagnosing post-traumatic stress disorder (PTSD), COPSDs, and co/PTSD. Using the Chi-square test, an average rate of 21% true positive PTSD diagnoses were identified between the screening and diagnostic stages of the intake process. However, for an average of 25.5% of persons, PTSD diagnosis remained inconclusive and unidentified. Due to the limited sample size of data collected, most results regarding the COPSD and co/PTSD diagnoses were statistically insignificant. While the SIIP intervention raised agency awareness about assessing PTSD and COPSDs within its population, their identification remains elusive. Screener competency in SIIP use was identified as a primary factor in both SIIP effectiveness and disorder identification.
Keywords
Health related quality of life (HRQOL), Depression in women -- Menopause, Depression in women -- Quality improvement initiatives
Disciplines
Medicine and Health Sciences | Nursing
License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.
Recommended Citation
Deneui, Terry, "Compliance with Post-Intervention Follow-up in the Depressive Pre, Peri and PostMenopausal Client: A QI Initiative" (2018). Doctor of Nursing Practice (DNP) Scholarly Projects. 69.
https://mavmatrix.uta.edu/nursing_dnpprojects/69
Comments
Degree granted by The University of Texas at Arlington