NOTE: You must read both M1 Content Guides before participating in this discussion.
For this discussion, you are a nurse practitioner in a human services agency, The Wallace Stevens Community Center (WSCC). Role assignments are posted in the Announcement forum (week 2).
As you read in the M1 content guide 2, your documentation is entered into your agency's management information system (MIS). Your agency uses the information that you document to evaluate your performance as an individual practitioner and the degree to which your work enabled your client to achieve the outcomes you identified together. In addition to evaluating practice at the individual level, your agency examines all data entered by you and your colleagues to evaluate overall agency performance and determine if it is achieving its outcome goals and thus, fulfilling its mission.
Instructions:
· Review the outcome goals in the "Description of Your Human Services Agency."
· Given your role within the agency, identify activities that you might engage in with your clients.
· Discuss how each activity will contribute to the achievement of both client and agency outcome goals.
· Describe how progress toward outcome goals will be measured. (How will you know that the client's and the agency goals have been met?)
My role in the agency is a nurse practitioner.
Make your initial post according to the instructions above.
Below is the agency that I provided for you to read to answer the questions. I also provided an outline for you so you can put it in a paragraph.
The Wallace Stevens Community Center*
Agency Mission: The Wallace Stevens Community Center (WSCC) seeks to support, strengthen, and empower adults in the north country by providing them with access to a wide variety of services including medical, mental health, continuing education, housing, career counseling, and temporary financial assistance.
Agency Outcome Goals: The adults who are served by the Wallace Stevens Community Center will achieve ongoing stability as evidenced by:
· Completing client education goals within 2 years from the initiation of service
· Obtaining stable employment within 1 year from the initiation of service
· Obtaining stable housing within 3 months from the initiation of service
· Achieving physical and psychological wellness or management of chronic medical conditions within 1 year from the initiation of service
Agency Description: The Wallace Stevens Community Center (WSCC) provides a
oad a
ay of services through its multi-disciplinary staff and its community-based network of agencies and programs. The central office of the WSCC is located in Glens Falls with satellite offices throughout the north country to provide access to services to individuals in remote rural areas.
Agency Operations
Each office is staffed with a case coordinator, nurse practitioner, caree
adult education specialist, financial specialist, mental health counselor and substance abuse counselor. Each office will use the same management information system to demonstrate accountability to its executive board, its funders, its clients and other community stakeholders; to evaluate the efficacy of service delivery at the individual practitioner and organizational levels (whether services enabled clients to reach outcome goals), and to communicate within the agency and externally with key stakeholders and the community.
Agency Treatment Approach
As a staff member of WSCC, you are expected to work with clients and each other according to the principles of a strengths-based, solution-focused practice. When employing a solution-focused practice:
· Clients are given an opportunity to describe their needs and problems.
· The service provider assists the client to identify their strengths and resources.
· The service provider works with clients to develop well formed goals as soon as possible inviting the client to consider “What will be different in your life when your needs are met and your problems are solved?”
· The service provider asks clients to consider a time when their needs were met and their problems were not present.
· The service provider assists clients to consider how they can use their strengths and supports to solve their problems.
· At the end of each meeting, the service provider summarizes agreements and next steps, including activities to reach goals, and who is responsible for doing what.
Agency Treatment Teams
Throughout agency involvement, service providers and clients evaluate the progress being made toward reaching satisfactory solutions and meeting needs.
As a staff member of WSCC, you are expected to collaborate with your colleagues as a member of a treatment team. Each member of the treatment team will serve the client according to his or her role and specialty. Each member of the treatment team will collaborate with the team and client to identify client needs and strengths. Each team member will work with the client to identify outcomes and activities to achieve them and communicate the goals and progress toward them to the team. Each member of the team will refer clients to community-based agencies as needed.
Agency Refe
al Network
The staff of WSCC will supplement the direct service that they provide with refe
als to a variety of community-based services including, but not limited to the Adirondack Food Pantry and Fresh Food Network, the Lewis, Washington, St. Lawrence, Wa
en, Essex, Clinton, Herkimer Counties of Departments of Social Services and Health and Mental Health, Adirondack Community College, United Churches and Synagogues Community Services Center, Volunteers for North Country Wellness, the North County YMCA and YWCA, Volunteers in Service to America, Supporting Our Greatest Resource: Our Neighbors, the North Country Business Association’s not for profit public service agency and Pro Bono Legal Services.
Agency Staff Roles
Nurse Practitioner – Responsible for refe
ing patients to a physician for initial diagnosis and treatment. With the client, develop and monitoring a wellness plan to reduce/manage symptoms and to achieve wellness goals
Caree
Education Counselor – Responsible for assisting client to identify education and career goals and the resources and supports required to achieve them
Mental Health Counselor - Responsible for refe
ing patients to a physician for initial diagnosis and treatment if needed. With the client, develop and monitoring a wellness plan to reduce/manage symptoms and to achieve wellness goals.
Substance Use Disorder Counselor– Responsible for assisting clients to achieve so
iety and/or reduce the harm caused by substance use
Financial Specialist – Responsible for assisting the client to achieve financial stability through refe
als for temporary financial assistance as needed, legal refe
als, debt and budget management
* This is a fictitious agency created as a case study for this course. Any resemblance to any existing agency is coincidental.
My outline as a Nurse practitioner that I have created that might help you put it into a paragraph.
There are 4 bullets that you must answer. I think I answered some but some I haven’t.
My Role
· As a Nurse Practitioner, my primary responsibility within the agency is to refer patients to a physician for their initial diagnosis and treatment. Additionally, I am tasked with developing and overseeing a comprehensive wellness plan aimed at reducing or managing symptoms, as well as helping patients achieve their wellness goals.
Gathe
Give Information
· Initial meeting- explain the role in their health education, support, provide resources then refer to a physician.
Set-Up Plan
· After the doctor visit, diagnosis, and treatmentset up a wellness planwhat’s the diagnosis then educate the client on what that means (mental/physical) Rehab.
Treatment plan- medication, how often, if insurance is covered. Therapy if necessary. Other supports if necessary Weekly checkup up to monitor progress.
Record Keeping
· Weekly Visits- Monitor physical, mental, and social skills. Address any setbacks, and emphasize positives.
Describe how progress toward outcome goals will be measured. How will you know that the client's and the agency goals have been met?)
Client- 1. Educate the client about their health so they can take ownership (accountability)
Agency- 2. Wellness check will give a real-time view of client progress so we can track improvements
Accountability.