17 Feb 2023

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Screening for Mental Health Conditions in Adolescents in the Outpatient Setting

Format: APA

Academic level: Master’s

Paper type: Research Paper

Words: 2084

Pages: 7

Downloads: 0

Mental health conditions are part of the greatest concerns facing adolescents in the contemporary setting. The screening of mental health in Adolescents is fundamental owing to the possibility of early diagnosis which results in successful treatment. Likewise, the onset of behaviors such as drug use in adolescence presents the possibility for the occurrence of disorders likely to result in disorders later on in their lives. Poor mental health among young people has often been associated with the persistent burden of diseases experienced. It is also bound to contribute towards the occurrence of domestic violence, child abuse, crime, suicide and homicide. This paper will examine the concepts identified in a peer-reviewed article on screening for mental health conditions in adolescents, “Interventions for Adolescent Mental Health: An Overview of Systematic Reviews.” by Das et al., (2016). The primary objective of this paper is to analyze arguments on screening of specific mental health problems experienced by Adolescents in the outpatient setting. 

Concept Analysis Description 

Concept Analysis occasions assessment of a process of review through the engagement of various techniques in order to explore how a concept appears in literature or to advance it from observational data ( AnAaker & Elf, 2014 ). Screening in regards to mental health is an exam conducted on an individual in order to identify their emotional wellness and determine if they are suffering from a mental illness. The purpose of conducting the concept analysis of screening among adolescents is due to their increased vulnerability to mental diseases. The analysis undertaken will be based on the Wilson method of concept analysis ( Alghamdi, 2016 ). In order to understand the defining attributes of screening among adolescents, one can refer to various contextual disciplines. For instance, in Healthcare and Nursing, screening is viewed as a two-part process with a potential of identifying phenotypic features whose manifestation in adolescents is likely to cause psychological problems. The theory of screening among adolescents was formulated by the United States Preventive Services Task Forces upon the identification of considerable risk connected to depression ( Alghamdi, 2016 ). The author, therefore, purposes to establish how significant early identification of mental problems is upon utilization of screening and also determine the competence of screening for mental problems among adolescents. Also, with a majority of young people being exposed to factors such as drugs and poverty, it is necessary for screening to be undertaken in order to ascertain their mental wellbeing. 

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The understanding of screening among adolescents is very resourceful to healthcare and nursing in several ways. Evidence depicts that sufficient familiarity on the subject results in improved knowledge which translates to better treatment interventions being remitted in order to assist adolescents in the outpatient sector. Likewise, literacy on the concept has the potential to improve mental population health among vulnerable adolescents. Through analysis of screening, it will be possible to also understand some of the underlying factors which mostly lead young individuals to experience mental illnesses. Similarly, a better comprehension of the subject matter is likely to enable the learner to establish ways of changing the attitudes of people towards mental health. Often, the subject of an individual`s psychological health is undermined and it is, therefore, important for people to be educated on the availability of screening to prevent potentially harmful diseases from affecting them. Further, there is a lot of information present regarding screening of adults, however, information detailing the execution of such a practice among adolescents is scanty. Content analysis on the subject, therefore, suffices as an important learning process which is capable of unearthing some of the relevant facts likely to influence adolescents` risky behaviors. Moreover, systematic content analysis presents the capability of synthesizing key findings and innovations regarding the most up-to-date ideas on screening. The information obtained can, therefore, serve as a reference material for the mental health practitioner. 

The concept analysis on screening is also transferrable to other phenomena of interest. Besides, the avenue of offering treatment incentives to adolescents in the outpatient sector and knowledge obtained from the analysis is relevant to counselling. Screening among adolescents presents a better chance for the counsellor or mental health provider to discern whether their client is suffering from any mental health challenge and device ways of addressing it ( Alali et al., 2020 ). Also, the information obtained on screening of adolescents can be utilized in future subjects geared towards improving the quality-life outcomes of young people. Analyzing the concept of screening also aids in the identification of elements that necessitate young individuals to be screened for mental conditions. For instance, if a student`s grades are consistently deteriorating ( Das et al., (2016 ). Accordingly, the analysis presents an opportunity for international organizations to identify relevant guidelines which can be utilized consistently to determine if an adolescent qualifies for screening. It is possible that the requirements may vary depending on the variation of the social determinants of mental health conditions of individuals over time. The analysis, thus, presents an opportunity for organizations such as the World Health Organization (WHO) to identify a pattern depicted from the changes experienced. 

Concept Appraisal 

The concept analysis process utilized by Walker and Avant involves a series of 8 distinctive steps. The first stage includes selecting a concept. In reference to the first step, the concept here is screening for mental health conditions in Adolescents in the outpatient setting. Screening for the risk factor of Mental Health conditions of Adolescents is fundamental since it makes it possible to identify unique behaviors or biomarkers. Out of these, a proper method of addressing the concerns can be established and put into practice to ensure de-escalation of the risk identified. Secondly, the purpose of analysis is determined. The current analysis seeks to examine various arguments on screening of specific mental health problems experienced by Adolescents in the outpatient setting. Assumptions of the model would, therefore, best be defined under this step. Competence can be viewed as a process through which something is undertaken efficiently. It consists of cultural: knowledge, awareness, encounters, skills and also desire ( Oh, Yeom & Kim, 2019 ). The author, therefore, purposes to document the effectiveness or competence of screening in determining the complexity of substance use among adolescents. This is majorly due to the association of substance use to mental health problems experienced by adolescents. The evaluator can also get to learn about the correlates and consequences of negative behavior to the onset of mental health conditions of adolescents in the outpatient sector. Further, through the same process, it is possible to ensure that the identical problems are not flagged during screening. For example, relationship between adolescents and family, medical condition, delinquent behavior and also their academic performance. 

In the third step, the potential uses of the concept are defined. There exists a symbiotic relationship between the problems being experienced by adolescents which later translates to mental health problems identified during screening in the outpatient sector. Through screening of adolescents, the severity of the technique can be diagnosed in an accurate manner ( Siegel et al., 2020 ). Also, a corrective treatment plan geared at addressing the concerns raised can be identified for application by health experts. Another use can also be the successful establishment of a plan that can be monitored and implemented successfully. Further, recommendations can be made for referral to other agencies. Additionally, the process ensures that the expert does not presuppose the existence of the problem in an adolescent found engaging in substance use. The fourth step involves defining the concept`s attributes. It is essential to take note of the fact that screening cannot just be undertaken by any practitioner. The process has to be done by someone who is well-trained in dealing with adolescents or young people experiencing mental health complications ( Levy et al., 2014 ). The concept also necessitates the one conducting it to possess adequate knowledge on psychological assessment and the application of standardized mechanisms pertaining to substance abuse. Furthermore, attributes pertain to the physician’s capability to apply some relevant aspects to their work in regards to: diagnosing, handling and also interacting with patients. 

The fifth step involves the idea of a model case being identified. In this context, the case may be represented as one that reflects diagnostic performance. Likewise, it can be evaluated in reference to the associated costs and also the expected outcomes. The sixth step may involve the identification of a borderline, related and also contrary cases that can be utilized. In reference to the borderline case, the physician`s knowledge regarding the patient is assessed. Related cases, on the other hand, revolve around general competencies that are seemingly hard to separate from the model case ( Das et al., 2016 ). Correspondingly, a contrary case, would define a different occurrence from that of the model case. The seventh step is identification of antecedents and consequences. In this case a determination is made on the existence of a functioning system. The final step is the definition of empirical referents. When close to completion, the measurability of the concept is determined as well as its application in the real world ( Das et al., 2016 ). In this setting, a demonstration of the knowledge on promotion and prevention of mental health problems in the outpatient setting can be observed. 

Impact of Concept Analysis 

   

Concept analysis presents a positive impact in reference to how the Phenomenon of Interest (POI) is viewed in the current concept. For instance, it succeeds in refining and clarifying the concept of screening. The analysis requires that some approaches be utilized prior to screening. For instance, individual level of intervention can be used. This is a concept which is fundamental to cope with adolescent resilience. One has to appreciate that as much as the concept of screening adolescents in the outpatient sector is fundamental, not all young people will be open to the idea. The assessment is also contingent of factors such as the academic achievement of the patient, their personality, enduring values, and also communication skills ( Lundgren & Krull, 2018 ). The screening personnel ought to be knowledgeable enough in order for them to successfully acquire relevant information from the adolescent being screened. Also, the concept analysis unearths the family intervention which is also essential to certain screening interventions ( Yazdani, Hosseini & Ahmady, 2016 ). Since the family is the main form of social support for most adolescents, it presents an equally good opportunity to cater for the POI. The analysis proposes a non-blaming parental style of approaching the screening intervention. Engagement of social intervention may equally be effective. It involves engagement of peer support while their companion is undergoing screening. Moreover, Concept Analysis has further made it possible to determine how best to measure resilience. The approach can, for instance, be actualized by establishing psychometrically sound instruments that can assess, skills resources and other elements capable of manipulating the character of an adolescent. 

It is further apparent that Concept Analysis is useful in predicting the outcomes related to screening of specific mental health problems experienced by Adolescents in the outpatient setting. Through analysis, the author can clearly comprehend the various gaps present in regards to determining the health outcomes of adolescents facing mental health challenges. It is also possible to coherently, and systematically relate the concept of screening to other related disciplines that can be used in assessing the mental conditions of adolescents ( Das et al., 2016 ). Through the analysis, the evaluator can discern the essence of refining or clarifying a concept in the event that it appears chaotic. Additionally, the adequacy of competing concepts and their relationship to the phenomena ends up being identified. The method has also been useful in evaluating the congruence present in reference to how screening is defined and operationalized ( Das et al., 2016 ). Moreover, the clinical application of the concept ends up being thoroughly assessed. 

The implication of concept analysis for practice is evident in various ways. For instance, while alluding to the logical principle, the concept has to be relevant coherently associated with other concepts ( Lundgren & Krull, 2018 ). Screening of adolescents is essential and directly related to the elements that affect adolescents such as drug abuse whose application is likely to result in mental health conditions. Correspondingly, the epistemological principle further asserts that concepts ought to be distinct from other POI. The POI of the current analysis is distinct in the sense that it is based on adolescents in the outpatient setting alone. This increases the chances of obtaining more credible information that can be used in remedying the mental challenges identified by screening the targeted group. 

To sum it up, this paper has utilized concept analysis to attain a greater and more comprehensive understanding concerning various arguments on screening of specific mental health problems experienced by Adolescents in the outpatient setting. Notably, the author has observed that while screening for adolescents in the healthcare sector is essential, it is not entirely foolproof. The technique is dependent on the responsiveness of the patient and also other factors such as their relationship with those close to them. In order for screening to be utilized effectively, it has to be applied openly and attentively by the healthcare professionals involved in order to attain the best results. Finally, a comprehension of the underlying factors pertaining to screening will be necessary in order to fully address the mental health challenges facing adolescents. 

References 

Alali, M. A., Robbins, L. B., Ling, J., Kao, T. S. A., & Smith, A. L. (2020). Concept analysis of relatedness in physical activity among adolescents.  Journal of Pediatric Nursing

Alghamdi, M. G. (2016). Nursing workload: a concept analysis.  Journal of nursing management 24 (4), 449-457. 

AnAaker, A., & Elf, M. (2014). Sustainability in nursing: a concept analysis.  Scandinavian journal of caring sciences 28 (2), 381-389. 

Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for adolescent mental health: an overview of systematic reviews.  Journal of Adolescent Health 59 (4), S49-S60. 

Levy, S., Weiss, R., Sherritt, L., Ziemnik, R., Spalding, A., Van Hook, S., & Shrier, L. A. (2014). An electronic screen for triaging adolescent substance use by risk levels.  JAMA pediatrics 168 (9), 822-828. 

Lundgren, L., & Krull, I. (2018).  Screening, assessment, and treatment of substance use disorders: Evidence-based practices, community and organizational setting in the era of integrated care . Oxford University Press. 

Oh, W. O., Yeom, I., & Kim, D. S. (2019). What is the concept of parental ‘emotional transference’to children? A Walker and Avant concept analysis.  Scandinavian Journal of Caring Sciences 33 (1), 34-42. 

Siegel, M., McGuire, K., Veenstra-VanderWeele, J., Stratigos, K., King, B., Bellonci, C. ... & Walter, H. J. (2020). Practice Parameter for the Assessment and Treatment of Psychiatric Disorders in Children and Adolescents with Intellectual Disability (Intellectual Developmental Disorder).  Journal of the American Academy of Child & Adolescent Psychiatry 59 (4), 468-496. 

Yazdani, S., Hosseini, F., & Ahmady, S. (2016). System based practice: a concept analysis.  Journal of advances in medical education & professionalism 4 (2), 45. 

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StudyBounty. (2023, September 16). Screening for Mental Health Conditions in Adolescents in the Outpatient Setting.
https://studybounty.com/screening-for-mental-health-conditions-in-adolescents-in-the-outpatient-setting-research-paper

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