Nurs fpx 8024 Assessment 3 Leading Global Health Strategic Planning and Policy Development

nurs fpx 8024 assessment 3

Student name

Capella University

NURS-FPX8024

Professor Name

Submission Date

Leading Global Health Strategic Planning and Policy Development

Slide 01

Hello, my name is _________, and now I am going to discuss the policies and strategies of improving the results in mental health and trauma services with displaced persons and refugees.

Slide 02

Overview of the Health Issue

The refugees in the war-torn countries and the host nations experience stigma and lack of resources leading to extreme disparities. Over 120 million individuals are displaced around the world and most of them have depression, post-traumatic stress disorder (PTSD), and anxiety, and have minimal access to care (UNHCR, 2024). The outcome objective is to reduce treatment gap and develop resilience. The stakeholders (policy leaders and non-governmental organizations or NGOs) must be concerned as untreated trauma is detrimental to individuals, economies, and peacebuilding. In case mental health is not addressed, displaced people face greater barriers to education, employment, and integration. Children and families especially have to shoulder the burden across generations and keep the cycles of instability going. Organizations are able to improve recovery, resilience, and overall well-being in the community by investing in trauma care.

Strategies to Address the Health Issue

Slide 03

First Historical Initiative

In the past, care was conducted in a biomedical model, which depended on psychologists and psychiatrists. Can be used with severely disturbed groups, but the method is both costly and unavailable in camps (Stein et al., 2022). An example is the post-conflict activities in Bosnia and Kosovo, which were based on international professionals, yet the activities tended to collapse after the funding was stopped. The model addressed urgent demands, but is not sustainable in the current conditions of refugees. The method also disregarded stigma, culture and involvement of the community in recovery. The services were not adopted by refugees because they were distrustful (Sherif et al., 2022). The lessons of such programs imply that the development of local workforce, cultural suitability, and sustainability are not inferior to clinical competence. There was also the emphasis of hospitals or urban areas which excluded rural or camp-based living, creating further inequities of access. The biomedical approach also failed to consider prevention and enhancement of community resilience, and focused on treatment and diagnosis. Finally, the model underestimated the importance of culturally modified interventions which only served to continue mistrust and entrenchment of the treatment gaps among the displaced people.

Slide 04

Second Historical Initiative

The other more recent strategy is community-led and task-sharing models in which providers get trained to offer structured counseling, such as problem management plus. It is a scalable and flexible approach that was used in Afghanistan and East Africa to administer psychological first aid and counseling (Papathanasiou and Kougioumtzi, 2024). With the model, stigma was reduced and access enhanced, yet there are issues of workforce turnover and lack of supervision. The strategy empowers communities to possess their own healing and enhances resiliency not only to the individual but also to the community, reducing isolation and shame. The models are a step to equity and access, showing how the mental health support can be permeated even into the most resource-constrained setting (Papathanasiou and Kougioumtzi, 2024). The continuity of care is increased by the incorporation of the methods into the primary healthcare system and already existing systems of humanitarian aid, and the decrease in the reliance on short-term external funding. Moreover, such programs are less objectionable to refugees in cases where they have cultural mediators and peer supporters, who mediate the lack of trust and understanding between providers and communities.

Slide 05

Culturally Sensitive Educational Resource

Target Population

  • The target population of the instructional content will be the refugees, internally displaced persons (IDPs) and caregivers in crisis-prone regions, such as the Middle East and Sub-Saharan Africa as well as South Asia. The exposure to trauma, the loss, and the disruption of support systems especially in women, children, and old age put them at a high risk.

Setting

  • The learning content will be applied in the refugee camps, community centers and the host community schools where the displaced individuals gather on a regular basis. They are strategic points of delivering low-literacy, convenient access, and multilingual resources that encourage resilience and minimize stigma.

Slide 06

Educational Resource

Mission: Healing Together: Strengthening Minds in Times of Crisis.

The tool will be a multilingual co-created booklet and infographic about the illustrated material in collaboration with the leaders of the refugee communities. The resource will provide direct coping skills such as peer support, sharing of stories, deep breathing, information on when to seek help and the locally available services. Storytelling and peer support have been proven to be effective in eradicating stigma (Vegt et al, 2024). The resource promotes the help-seeking and eradicates stigma and empowers families to help themselves and one another by using culturally familiar images and stories.

Implementation

The NGO field staff, mobile health teams, and community health workers will be used to disseminate the resource. The resource will be connected to free or low-cost mental health services to address such social determinants as poverty, lost education, and the lack of formal services. The target population should also be deprived of stigma (Cabieses et al., 2024). The learning content will also emphasize that seeking assistance is acceptable in the cultural and religious practices and the stigma of mental illness being shameful or incurable will be broken.

Realistic Nature of Resource

The resource is feasible in the sense that it is based on the existing community-based humanitarian programming and it does not cost a lot to produce and translate. Disseminating the educational content among the stakeholders, such as NGO, the United Nations High Commissioner for Refugees (UNHCR), and local ministries, communicates a potential, evidence-based strategy to increase mental health awareness, reduce stigma, and augment the coverage of psychosocial services in fragile settings. It also creates a sense of community ownership, where the interventions are believed in and embraced extensively. And best of all, it enhances resilience by providing refugees with coping and recovery instruments.

Slide 07

Slide 08 

Closing the Presentation

As it has been seen, the situation of mental health and trauma among refugees is not only a health problem but a human one and one that gets to the depths of dignity, strength, and hope. All the untreated traumas are personal pain as well as families, communities, and peacebuilding future. By implementing the evidence-based and culturally appropriate practices, we have the ability to bridge the divide between the access and the need, as well as enable refugees to heal, rebuild, and prosper.

It is now a choice of whether we continue to reproduce cycles of trauma or invest in healing that transforms the lives of people and societies. The decision, which is that no one is brought to the state of displacement, but to the power and potential can be made by policymakers, NGOs, and communities alike. It is time to proceed with urgency, empathy, and commitment because the healing of trauma is not just a question of being alive but also creating a future where everyone will be able to flourish. Thank you.

References for Nurs fpx 8024 Assessment 3

Cabieses, B., Belo, K., Calderón, A. C., Rada, I., Rojas, K., Araos, C., & Knipper, M. (2024). The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review. The Lancet Regional Health – Americas, 40, e100660. https://doi.org/10.1016/j.lana.2023.100660

Papathanasiou, C., & Kougioumtzi, A. (2024). Peer‐provided problem management plus (PM+) and case management for Arabic‐speaking and Farsi‐speaking refugees and asylum seekers in Greece. Mental Health Science. https://doi.org/10.1002/mhs2.86

Sherif, B., Awaisu, A., & Kheir, N. (2022). Refugee healthcare needs and barriers to accessing healthcare services in New Zealand: A qualitative phenomenological approach. BioMed Central Health Services Research, 22(1), 1310. https://doi.org/10.1186/s12913-022-08560-8

Stein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N., & Maj, M. (2022). Psychiatric diagnosis and treatment in the 21st century: Paradigm shifts versus incremental integration. World Psychiatry, 21(3), 393–414. https://pmc.ncbi.nlm.nih.gov/articles/PMC9453916/

UNHCR. (2024). Figures at a glance | UNHCR US. UNHCR US. https://www.unhcr.org/us/about-unhcr/overview/figures-glance

Vegt, N., Visch, V., Spooren, W., Elisabeth, & Andrea. (2024). Erasing stigmas through storytelling: Why interactive storytelling environments could reduce health-related stigmas. Design for Health, 8(1), 1–32. https://doi.org/10.1080/24735132.2024.2306771

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