NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

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NURS FPX 6026 Assessment 2 Biopsychosocial Population Health Policy Proposal

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Student name

Capella University

NURS-FPX6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Professor Name

Submission Date

Biopsychosocial Population Health Policy Proposal

One of the major health issues encountered by the general population of military veterans is post-traumatic stress Disorder (PTSD). They are very vulnerable to the disorder due to the exposures to combat and life-threatening situations (Al Jowf et al., 2023). Some of the hindrances to PTSD veterans in the long run include mental health stigma, inadequate specialized care in rural settings, and institutional healthcare disparities.

PTSD not only affects the two extremes of the biopsychosocial axis in the veterans but also causes psychological distress, depression, substance abuse, sleeping, chronic pain, and social isolation that strains the relationships between the family and the community. The reasoning behind such an assignment is the analysis of vulnerable populations, which was conducted earlier. The proposed policy will also prove useful in supporting the equitable, trauma-informed, and integrated mental health services among the veterans.

Proposed Policy and Guidelines for Improved Outcomes and Quality of Care

One of the trauma-informed strategies of Veteran Integrated Care Access and Equity Policy (VICEP) is the capacity to provide holistic mental health care within the context of primary healthcare to the veterans. It involves the use of evidence-based interventions, including Cognitive Behavioural Therapy (CBT) and the Eye Movement Desensitisation and Reprocessing (EMDR) to ensure timely and integrated therapy in the regular care (Hudays et al., 2022).

The policy will provide access to tele-mental health to all the veterans of the remote communities, introduce the integration of peer support specialists to create more interaction and trust, and make all the providers culturally competent and aware of trauma. A combination of these methods will contribute to the reduction of stigma, fragmented care, and the lack of access and improvement of continuity of treatment and mental health outcomes. The VICEP enables a fair, affordable, and quality system of care to PTSD veterans since it integrates the primary services of care with psychological care.

• Guidelines

VICEP offers equal care, quality care, and consistency. It implements a primary care screening program of PTSD, funds tele-mental health of rural veterans, and requires provider-training based on trauma and cultural competency (Wong et al., 2022). The policy will support the cooperation of the clinicians and help the veterans in the peer networks to forget about stigma and facilitate the recovery process by creating a holistic, fair, and patient-centered model of care of PTSD veterans.

• Potential Difficulties and How to Address Them

The potential issues linked to the implementation of VICEP are the lack of funds, the reluctance of the providers, and the mental health stigma that currently exists. In rural settings, there is a risk of poor infrastructure and tele-mental health connection, which might be staff-constrained (Al-Mahrouqi et al., 2022).

One of the policies to counter them is encouraging grants by the federal government and the state, public-privately, and long-term provider education that can help develop support and reduce stigma. With the assistance of common electronic health records and interdisciplinary meetings, which will occur regularly, communication and coordination will be improved. Addressing these challenges, the sustainable, efficient, and high-quality model of PTSD care among the veterans will be ensured.

Advocating the Need for the Proposed Policy

PTSD is a disability disorder that affects veterans, and up to 20 percent of the veterans in operations Iraqi and Enduring Freedom have developed the condition (Maddah et al., 2024). Despite efforts by the VA in the development of mental health care, many veterans fail to access the service due to stigma, fear, or a lack of trust. The treatment gaps are also aggravated by racial, ethnic, and socioeconomic disparities and fragmented systems, and low follow-up, which mostly affect rural communities.

These issues are addressed in the VICEP by implementing an interdisciplinary and trauma-sensitive policy that incorporates the mental health services into the primary care (Sun et al., 2025). The policy changes the paradigm of treatment by turning the screening of PTSD, evidence-based treatment, and peer support into regular procedures in visits and reducing stigma in treatment. It focuses on tele-mental health and cultural competence, which aligns with the goals of Healthy People 2030 to enhance access and reduce inequalities. VCIP encourages fair, effective, and people-centered recovery and reintegration of veterans into a civilian lifestyle through advocacy, funding, and interaction.

• Considering Contrary Data and Opposing Viewpoints

Despite the potential of the VICEP as a solution, the detractors assert that integrating trauma-informed mental health care into primary care can be costly and also a logistical nightmare for overstretched systems. Such therapies as EMDR and CBT cannot be scaled in other settings and other levels of expertise, but this is doubted by other people.

However, the evidence provided by the VA and APA proves that the trauma-centered therapies can impact the outcomes positively and reduce the costs in the long-term by reducing readmission, the number of crises, and chronic disability (Pinho et al., 2021). The interdisciplinary care model is also effective by sharing responsibilities and coordinating activities that increase efficiency. This policy can be sustainable, effective, and successful through the partnership and constant training of the provider in order to improve the mental health of the veterans.

Interdisciplinary Approach to Policy Implementation

Component	Details	Impact/Outcome
Model	VICEP is based on an interdisciplinary model ensuring coordinated and integrated care provision to veterans (psychiatrists, psychologists, nurses, primary care providers, therapists, social workers).	Meets psychosocial needs of veterans; supports integrated care. (Harward et al., 2024)
Help-seeking barriers & engagement	Veterans have many problems with seeking help; care, follow-ups, and navigation coordination by case managers and peer support specialists help engage those who do not want to seek help.	Builds trust and increases engagement in care. (Harward et al., 2024)
Efficiency & clinical practice	Pooling of different expertise into one patient-centered plan with shared decision-making, regular case reviews, and systematic communication.	Delivers coherent, evidence-based care and improves efficiency. (Harward et al., 2024)
Collaboration improvements	Trauma-informed care and cross-training recommended; reduces service duplication and enhances accountability.	Improved collaboration, reduced duplication, increased accountability. (Harward et al., 2024)
Comorbidity management	Interdisciplinary strategy manages comorbidities like substance use, chronic pain, and sleep issues.	Improves coordination, quality, and sustainability of PTSD treatment long-term. (Harward et al., 2024)

• Knowledge Gaps and Areas of Uncertainty

Although Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) are effective therapy methods used in the treatment of PTSD, longitudinal studies have not been conducted to determine the effectiveness of integrated care models among veterans (Burback et al., 2025). The absence of cost-effectiveness data may also not be able to provide proper projections of the scalability and sustainability on a country-wide basis.

In addition, cultural, racial, and gender factors that define the symptoms of PTSD, adherence to treatment, and recovery are not extensively examined. Future research should also include the outcome assessment, cost-benefit analysis, and culturally adaptive interventions, which would help the researchers to refine the policy and make sure that the VICEP is not only fair but also effective and sensitive to the changes in the needs of the veterans.

Conclusion

The Veteran Integrated Care Access and Equity Policy (VICEP) is an accessible and evidence-based policy that seeks to promote mental treatment and care for PTSD. It should be able to ameliorate access inequity, fragmented care, and stigma through the introduction of trauma-informed values in primary care, enhancing tele-mental health, and interdisciplinary collaboration.

This will help in enhancing continuity of treatments, recovery, and congruency with the goals of Healthy People 2030 in an endeavour to enhance mental health and reduce disparities. Strongly, VP-ICEP is determined nationally to offer dignified, amiable, and good care to fulfill the dignity and wellness of the veterans.

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References for NURS FPX 6026 Assessment 2

Al Jowf, G. I., Ahmed, Z. T., Reijnders, R. A., de Nijs, L., & Eijssen, L. M. T. (2023). To predict, prevent, and manage post-traumatic stress disorder (PTSD): A review of pathophysiology, treatment, and biomarkers. International Journal of Molecular Sciences, 24(6), 1–31. https://doi.org/10.3390/ijms24065238

Al-Mahrouqi, T., Al-Alawi, K., Al-Alawi, M., Al Balushi, N., Al Ghailani, A., Al Sabti, H., & Al Sinawi, H. (2022). A promising future for tele-mental health in Oman: A qualitative exploration of clients and therapists’ experiences. SAGE Open Medicine, 10(1). https://doi.org/10.1177/20503121221086372

Burback, L., Winkler, O., Jetly, R., Swainson, J., Zhang, Y., Bhat, V., & Vermetten, E. (2025). Evolving psychotherapeutic approaches for PTSD: Beyond the fear-based model. PubMed, 35(1), S152–S167. https://doi.org/10.5152/pcp.2025.241019

Harward, L. K., Lento, R. M., Teer, A., Samph, S., Parmenter, M. E., Bonvie, J., Magee, C., Brenner, L., Picard, K., Sanders, W., Tinney, W. J., Andrew, C., Covitz, J., Echevarria, K., Vanderweit, R., Maggiolo, N. S., & Tanev, K. S. (2024). Frontiers in Psychiatry, 15(1), e89. https://doi.org/10.3389/fpsyt.2024.1387186

Hudays, A., Gallagher, R., Hazazi, A., Arishi, A., & Bahari, G. (2022). International Journal of Environmental Research and Public Health, 19(24), 16836. https://doi.org/10.3390/ijerph192416836

Maddah, Z., Negarandeh, R., Rahimi, S., & Pashaeypoor, S. (2024). BMC Psychiatry, 24(1), e151. https://doi.org/10.1186/s12888-024-05572-y

Pinho, L. G. de, Lopes, M. J., Correia, T., Sampaio, F., Arco, H. R. do, Mendes, A., Marques, M. do C., & Fonseca, C. (2021). Journal of Personalized Medicine, 11(8), 776. https://doi.org/10.3390/jpm11080776

Sun, Y., Skouteris, H., Tamblyn, A., Berger, E., & Blewitt, C. (2025). Trauma, Violence, & Abuse, 1(1), 0. https://doi.org/10.1177/15248380251325217

Wong, E. S., Rajan, S., Liu, C.-F., Morland, L. A., Pyne, J. M., Simsek-Duran, F., Reisinger, H. S., Moeckli, J., & Fortney, J. C. (2022). Economic costs of implementing evidence-based telemedicine outreach for posttraumatic stress disorder in VA. Implementation Research and Practice, 3(1). https://doi.org/10.1177/26334895221116771

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