Your healthcare organization has had several small compliance incidents in the past two years, and the organization is now motivated to update its compliance program. Your executive leadership team asked you to review two health care compliance programs from similar organizations to determine how they constructed their compliance program and what aspects your organization should adopt.

Select the type of health care organization you want represented in this assignment (e.g., family practice, hospital, urgent care, or nursing home).

Locate two compliance program documents from comparable health care organizations using your internet search engine.

Read both compliance program documents and examine the similarities and differences between the two.

Create a matrix that compares how both organizations execute the following compliance components:

Write a 525- to 700-word executive summary that informs your executive leadership about the matrix you created and offer your opinion as to which best practices the organization should adopt for its own compliance program.

Cite the 2 compliance program documents and any additional references that support your opinion (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

Adoption

Research shows that 12% to 14% of adopted of all adopted children in the United States between ages 8 to 18years of age are diagnosed with a mental health disorder each year. (Guarino, 2017). Within the U.S. children in the 2.5 percent margin are adopt by family members, while 1.5 percent of the adopters are not related to the child (Sadock et al., 2014). The implications of adoption for the emotional and behavioral adjustment of children have been an issue in child welfare for many years. (Brand & Brinch, 2014).

                                                Psychological issues associated with Adoption

There is a psychological toll of adoption on everyone involved in the adoption process. “Adopted children are almost twice as likely as children brought up with their biological parents to suffer from mood disorders like anxiety, depression, and behavioral issues.” (Guarino, 2017)

Past research has suggested that adopted children are over-represented in mental health settings. (Brand & Brinch, 2014). However, there is an increase in mental health disorders among adopted children and this may be because of a lack of preparation on the part of both the adopted parent and the child involved. “Some studies have suggested that adopted and nonadopted children differ on measures of social, emotional, behavioral, and cognitive functioning.” (Brand & Brinch, 2014). Accommodating and adjustment factors in the adopters and the adoptees, have been known to have an effect on the emotions of both parties.

Most effective assessment measure that could be used, and explain why

The most effective assessment measure that can be used in reducing the incidence and prevalence of mental health disorders among adopted children is involving the whole family in the adoption process. The family if involved is able to detect any signs of mental health issues in the adopted child. Also, if the family is involved, they are able to help with the treatment process and the support the child and or adolescent may need.  There are other assessment tools that have been can be used in assessing the mental health of adopted children and this includes The Narrative Story Stem NSSTs and the Diagnostic Interview for Children and Adolescents (DICA-R). An assessment that can give a more thorough unmasking of a child’s experiences and personal issues is the NSSTs (The Narrative Story Stem). In this assessment, a child is asked to finish story arcs given by the conductor of the interview (Tang, et al., 2018).

                                      Treatment options available for children and adolescents in adoption

There are different treatment options available for children and adolescents who have been adopted. Depending on the severity of the disorder, the children can have psychotherapy or Pharmacotherapeutics treatment and in some instances, both treatments. Careful assessment, diagnoses, and treatment are important when it comes to these children as they may need more emotional help than the average child.

                                                         Influence of culture on treatments in Adoption

Culture appears to influence every area of one’s life. There are different attitudes and perceptions when it comes to mental disorders in different cultures. Cultures play a major role in who people are and are a very strong thing to eradicate or change. Depending on the culture from which the child is adopted and the culture into which they are going, mental health disorders can occur. As PMHNP, it’s important to carefully evaluate adopted children and adolescents with mental health disorders to ascertain whether it’s the effect of the culture that is causing the disorder or its organic and or other causes.

                    Conclusion

As PMHNP, it important our values and beliefs are not projected onto our patients. Our culture and perceptions about what a family is should not impair our judgment and also on how we view our clients. We should be opened in our practice and in cases where we are uncomfortable with issues at stake, can refer our client to another provider. Our goal is to cause no harm and to provide the best that we can for our clients.

References

Brand, A.E., & Brinch, P.M., (2014) Behavior Problems and mental health contacts in

            Adopted, foster, and nonadopted children.

 https://pubmed.ncbi.nlm.nih.gov/10604400/

Guarino, G., (2017) Adopted Children often face Mental Health Struggles as Young Adults

https://www.claudiablackcenter.com/adopted-children-often-face-mental-health-struggles-as-young-adults/

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry:

 Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Tang, E., Bleys, D., & Vliegen, N. (2018). Making Sense of Adopted Children’s Internal Reality

Using Narrative Story Stem Techniques: A Mixed-Methods Synthesis. Frontiers  Psychology, 9, 1189. doi:10.3389/fpsyg.2018.01189