Monique Rubert, RN, MSN, FNP, PNP, FMHS Director of Behavioral Health Services
Just think when you are driving in the midst of a fog it reduces your visibility for hours or days. This reduction in visibility while driving can impact your navigation on the streets or through a tunnel in route to work, home or any place of destination. Often time the fog blurs your vision, and can cloud your judgment just like depression. Depress can creep up at anytime during day, evening or night. How you are able to manage driving through the fog in the midst of the tunnel affects the path you take to recovery and resiliency from depression.
Depression affects 1 in 10 or nearly 15 million — adults in the U.S and approximately 10%.of teenager are increasingly being diagnosed in today society. There are many triggers and signs and symptoms that play a major role in coping with depression. Seeking help whether it is being an inpatient on the Behavioral Health Unit at Frederick Memorial Healthcare System or through community social support groups impacts how the patient utilizes Recovery, Resiliency and Family & Patient Centered Care:
The Triggers to Depression can be identified by using the acronym EIGHTS:
- Emotional Setbacks
- Inability to identify of Self Expression
- Hormonal Changes
The 4S that depicts the Signs and Symptoms of Depression are:
- Sudden angry feeling without a place of origin
- Secluded with a lost of interest in hobbies or activity of daily living
- Sadness with frequent crying episodes
Treatment includes and not limited to Frederick Regional Health System System on the Behavioral Health Unit:
Inpatient hospitalization at FMHS for patients diagnose with depression are seen by the interdisciplinary team at FMH with daily 1:1 sessions and group psychotherapy sessions with our psychiatrists, social workers, psychiatric nurses, director of nursing and community outreach providers:
Services includes but not limited to:
- Medication Reconciliation Review & Medication Education Sessions
- Psychotherapy Sessions
- Spirituality Sessions
- Art Therapy Sessions
- Music Therapy Sessions
- Family and Patient Centered Care Meeting Sessions
- Discharge Planning Sessions that includes transitional plan of care to the next level healthcare provider in the community that is supportive of continuity of care.
Conclusion: Recovery, Resiliency and Family & Patient Centered Care
Finally, while depression can consume an alternate your activity of daily living the goal is how resilient a patient can be in recovery from depression with family and patient centered care interaction with the interdisciplinary team is paramount. Resiliency preparation of patient recovery can occur between family and patient centered care with interdisciplinary team. The interdisciplinary continues to collaborate with the patients in working on a comprehensive plan to help the patients achieve recovery and resiliency by:
- Understand how the patients own thoughts patterns can impact the outcome of the treatment plan.
- Identify coping skills to better understand and change unresolved stressor or triggers that contributed to the episode of depression.
- Support an environment (i.e. family and patient care meeting) that assist the patient to effectively communicate with the family or significant others while finding resolutions to unresolved conflict between patient and family.
- Review medication reconciliation and promote compliance in adherence to medication treatment plan and self-medication.
- Follow up with scheduled discharge planning to next level of healthcare provider & continue with social support resources.
- Reach out in the community for social support resources by calling :
- 2-1-1 Hotline or call from your landline 301-662-2255 or if you are not in Frederick call 1-866-411-6803.
- For 24/7 Crisis Intervention contacts the Maryland Crisis & Referral line 1-800-422-0099.
- For 24/7 Emergency Crisis Intervention call 1-800-273-TALK (8255) or 1-800-SUICIDE (784-2433).
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4. Thota AB, Sipe TA, Byard GJ, et al. Collaborative care to improve the management of depressive disorders: a Community Guide systematic review and meta-analysis. Am J Prev Med2012; 42(5):525–38
5. U.S. Preventive Services Task Force. Screening for depression in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2009; 151(11):784 –92.