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5 pages/β‰ˆ1375 words
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3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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MS Word
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Topic:

Health Equity and Social Determinant of Health

Research Paper Instructions:

COMPETENCIES
7070.12.1 : Planning for Social Determinants of Health
The graduate develops a plan to address the social determinants of health across populations.
7070.12.2 : Managing Diverse Client Populations
The graduate evaluates interventions, using social determinants of health for diverse populations, to ensure they are culturally sensitive and appropriate.
INTRODUCTION
Task-centered practice (TCP) is a long-standing model used in health and behavioral health practice settings. The model allows clients and involved team members from 1–10 sessions to identify and collaborate on specific, measurable, achievable, realistic, and time-sensitive (SMART) goals.
Task-centered contracts, based on TCP, are agreements between a client and one or more members of a clinical team. A task-centered contract identifies specific issues or goals to work collaboratively on and the tasks to be accomplished in order to address the specific issues or goals. A task-centered contract also defines the responsibilities of the client and the clinical team toward meeting those issues or goals.
Task-centered contracts are especially beneficial across the industry’s practice settings (e.g., hospitals, community-based clinics, managed care organizations). While a series of contract stages are often associated with TCP, they involve the following five stages at a minimum:
1. Engage and establish rapport with the client
2. Identify the target issue or goal
3. Identify task(s) (or any finite objectives) for implementation by the client and clinician, with defined accountability
4. Review the action plan with touchback
5. Develop a timeframe for task implementation
The social determinants of health (SDOH) have many parts, which can make accomplishing treatment goals complex for all involved stakeholders. This is especially true for the client and clinical team. The health services coordinator (HSC) will play an integral role in facilitating primary-level case management, including the client’s linkage with requisite resources. Task-centered contracts serve as the HSC’s vital means to organize and prioritize the client’s treatment goals and the needed resources to achieve the goals. Task-centered contracts also define accountable goals for all necessary actions (tasks).
SCENARIO
Note: The scenario is for use only with part B below.
The client is a 16-year-old, female, second-generation immigrant from Mexico named Maria. Maria speaks English fluently and has average to above average grades in school. Maria indicates she has a few close friends but does not go out much as she enjoys solitary activities such as reading and playing video games. Maria is approximately 40 pounds overweight, according to the body mass index (BMI), and indicates she does not engage in any physical activity; she reports walking up one flight of stairs leaves her winded. Maria’s parents are English language learners, and English is not spoken in the home. Both of Maria’s parents are smokers with one-pack-per-day habits. Maria does not smoke but admits to occasionally sneaking alcohol from her parents’ refrigerator. Maria’s family lives in a small, rural community that is part of a Healthcare Professional Shortage Area (HPSA) in their state and does not have primary care physicians or a dentist designated. There is no public transportation in the community, and there are no walking trails. Maria does not have a driver’s license. Maria is eligible for free and reduced lunch at her school, and Medicaid pays for her healthcare.
Maria was admitted through the emergency department with complaints of light-headedness and generally not feeling well. Maria was diagnosed with prediabetes and referred to you as the HSC for coordination of appropriate services in the healthcare facility’s outpatient clinic.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Analyze task-centered contracts by doing the following:
1. Describe the five stages of the task-centered contract approach.
2. Discuss how the chosen task-centered contract approach is effective at addressing client needs.
3. Discuss the usefulness of the task-centered contract approach across health and behavioral health practice settings.
4. Explain how you will determine if a task-centered contract contributed to the identification of a client’s target issues and goals.
B. Develop a task-centered contract for the client described in the scenario by doing the following:
1. Describe three SDOHs that may be contributing to Maria’s existing health concerns.
2. Describe the health issue or health behavior to be addressed in the task-centered contract.
3. Discuss three resources Maria would need to address the identified health issue or health behavior from part B2.
4. Develop a task-centered contract for Maria that is focused on the health issue or health behavior identified in part B2.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
D. Demonstrate professional communication in the content and presentation of your submission.
RUBRIC:
A1:FIVE STAGES
COMPETENT:
All 5 stages of the task-centered contract approach are described so that the descriptions could be used to develop the respective parts of a task-centered contract.
A2:CHOICE OF TASK-CENTERED CONTRACT APPROACH
COMPETENT:
The discussion accurately and completely shows how the task-centered contract approach is effective at addressing client needs.
A3:USEFULNESS OF TASK-CENTERED CONTRACT APPROACH
COMPETENT:
The discussion accurately and completely shows the usefulness that the task-centered contract approach serves across health and behavioral health practice settings.
A4:ISSUES AND GOALS
COMPETENT:
The explanation includes issues and goals that the HSC should address and includes appropriate resources that meet the client’s physical and behavioral needs.
B1:SOCIAL DETERMINANT DESCRIPTION
COMPETENT:
The description includes a logical rationale for how each of the 3 provided SDOHs may be contributing to Maria’s current health concerns.
B2:HEALTH ISSUE OR BEHAVIOR
COMPETENT:
The described health issue or health behavior is based on the scenario and is appropriate for a task-centered contract.
B3:RESOURCES
COMPETENT:
The discussion includes a logical rationale for how each of the 3 resources provided are needed to address the identified health issue or health behavior from part B2.
B4:TASK-CENTERED CONTRACT DEVELOPMENT
COMPETENT:
The task-centered contract developed for Maria is based on the information in the scenario and on the health issue or health behavior identified in part B2.

Research Paper Sample Content Preview:

Health Equity and Social Determinant of Health
Student's First Name, Middle Initial(s), Last Name
Institutional Affiliation
Course Number and Name
Instructor's Name and Title
Assignment Due Date
Health Equity and Social Determinant of Health
Section A
1 Stages
The task-centered approach's first stage is engaging and establishing a rapport with the client. This stage is an essential element of creating a quality therapeutic relationship with the client because it involves reflective and active listening and the fact that it focuses on maintaining a positive and supportive attitude. Identifying the target issue is the next stage. The rapport is meant to enhance confidence in the client and get them to trust the clinician. After this is done, the target issue can easily be raised through the question-answer strategy. The third stage is identifying tasks for implementation with defined accountability (Rooney, 2018). After identifying the issue, steps on finding the solution must be developed, and in this case, they lead to the identification of tasks. The fourth stage is reviewing the action plan. The steps that have been set much be counter-checked to eliminate mistakes before the plan is implemented. Finally, developing a timeframe for task implementation is the next stage. This stage is vital in setting deadlines because it will provide a framework for monitoring different tasks' progress.
2 Effectiveness
The task-centered approach effectively addresses the client's needs because it incorporates both partnership and empowerment. In relation to the stages that have to be followed, it is clear that both the client and the clinician work together in all the steps. This leads to collaboration where the client can specify problems from his or her perspective, which leads to empowerment when the client is supposed to establish individually significant goals. This approach is also practical because clients are assured of making their own decisions (Rooney, 2018). Even though the program is meant to focus on client-acknowledged complications, all the work is left to the client. Other than the support offered by acknowledging the problem, the client is supposed to come up with different individual views on how the issue should be tackled, thus addressing their needs. The approach builds on people's strengths, an aspect that favors the client's needs and provides help. Therefore, this makes it effective because it motivates clients to solve their problems.
3 Usefulness
The task-centered contract approach is helpful across health and behavioral health settings because it promotes clarity of thinking between clients and service providers. To some extent, the task-centered approach can help uphold the attention of service workers, given that it can be used in managing cases (Teater, 2019). The task-centered model helps in emphasizing the client's abilities and ensures active participation in treatment because the generalist-electric framework which is about commitment is embraced in the process. Generally, the approach is inclusive, and because it empowers the client to make almost all the decisions, there is assurance that objectives linked to it will be accomplished. The task-centered contract approach is a...
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