First Advisor

Dunemn, Kathleen N.

Degree Name

Doctor of Nursing Practice

Document Type

Scholarly Project

Date Created

5-2019

Department

College of Natural and Health Sciences, Nursing, Nursing Student Work

Abstract

Schizophrenia occurs in about 1.1% of the population in the United States--more than 2.2 million. Over 100,000 patients will be diagnosed with schizophrenia in the United States this year. As of 2016, there is no cure for schizophrenia but the treatment success is high (over 50% completely recover or are much improved with relative independence). The cost of schizophrenia is estimated to be over $6.2 billion. Most people with schizophrenia are seen by a primary care provider before they receive referral to a mental health professional. In fact, primary care visits are six times higher in the six years before a first episode psychosis in patients with schizophrenia than in patients without schizophrenia. This frequency is not easily tracked by individual providers. More than 15 schizophrenia screening tools are available. Providing a brief education and selecting a short screening tool could quickly update primary care providers, possibly lead to earlier intervention for patients, and greatly improve the quality of life for those with schizophrenia and for their families. A Delphi review included 41 experts in the initial round, 34 in the second round, 21 in the third round, and nine in the fourth round. The fifth round was the validation of the tool and included 21 experts, although not necessarily the same experts. KEY WORDS: Schizophrenia, mental health, primary care.

Extent

101 pages

Local Identifiers

WinchesterCapstone19.pdf

Rights Statement

Copyright is held by the author.

Digital Origin

Born digital

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