Tag: Care Plans

  • [Solved] HCP Week 2 Reply to Peer 1

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    **Florida: Maternal Health Access and Mortality Rates** Getting access to maternal health in Florida varies greatly, mainly when comparing individuals who are insured to those who are uninsured. Eligible low-income women can get contraception services under Medicaid from the state, including support…

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    **Florida: Maternal Health Access and Mortality Rates**

    Getting access to maternal health in Florida varies greatly, mainly when comparing individuals who are insured to those who are uninsured. Eligible low-income women can get contraception services under Medicaid from the state, including support with birth control, IUDs, implants, and sterilization (Zielinski et al., 2023). However, not everyone from low-income or undocumented families has health insurance. In rural areas or among racial and ethnic minorities, women who lack insurance frequently discover that there are only a small number of providers available, they have to pay more out of pocket, and it is hard for them to get the time off needed for appointments. According to Zielinski et al. (2023) and, to an extent, Tolbert et al. (2024) in Kaiser Family Foundation’s (KFF) publication, since Florida did not opt for Medicaid expansion under the Affordable Care Act, many people below the poverty line continue to be left without health coverage, especially women who are in their reproductive years. As a result, women do not always have consistent access to care during pregnancy, birth control, or reproductive advice.

    Moving on, abortion in Florida is strongly regulated by law, per the KFF report. From May 2024, abortion is not permitted after 6 weeks, except when the mother’s life or the health of the fetus is at risk (Frederiksen et al., 2024). Patients who are eligible for the process in Florida are required to meet with a counselor and wait 24 hours between their consultation and their procedure. Such laws are stricter on uninsured women and those unable to spare time or funds for long appointments, repeat visits, or remote clinics. The lack of access can mean that people receive care later or continue high-risk or unplanned pregnancies, which increases complications and lowers their quality of life (Grand-Guillaume-Perrenoud et al., 2022).

    Thus, indicators on maternal and infant health in the state highlight these critical challenges facing the system. According to the World Health Organization report of 2023, per the Florida Department of Health (n.d.), there were 18.5 maternal deaths for every 100,000 live births and six infant deaths per 1,000 live births. They go beyond the country’s standard rates and are particularly found to be higher among Black women and newborns. Numerous studies prove that a lack of complete reproductive care with abortion increases the chances of both women and babies dying. For those populations struggling with consistent access to contraception, unplanned pregnancies are often linked to two main things: late care for the mother and the baby, and poor birth outcomes. Also, issues are made worse by the combination of structural racism and unequal access to healthcare. Ensuring family planning, abortion, and maternal healthcare are available to those without insurance is essential to address many preventable deaths and ensure fair health outcomes in Florida.

    **References**

    Florida Department of Health. (n.d.). _Maternal deaths (all) – rate per 100,000 live births_. FLHealthCHARTS. Retrieved May 26, 2025, from [https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?cid=0392&rdReport=InfantDeath.Dataviewer](https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?cid=0392&rdReport=InfantDeath.Dataviewer)

    Frederiksen, B., Ranji, U., Diep, K., Gomez, I., & Salganicoff, A. (2024, August 14). _Women and abortion in Florida: Findings from the 2024 KFF Women’s Health Survey_. KFF. [https://www.kff.org/womens-health-policy/issue-brief/florida-women-and-abortion-2024-womens-health-survey/](https://www.kff.org/womens-health-policy/issue-brief/florida-women-and-abortion-2024-womens-health-survey/)

    Grand-Guillaume-Perrenoud, J. A., Origlia, P., & Cignacco, E. (2022). Barriers and facilitators of maternal healthcare utilisation in the perinatal period among women with social disadvantage: a theory-guided systematic review. _Midwifery_, _105_, 1-29. [https://doi.org/10.1016/j.midw.2021.103237](https://doi.org/10.1016/j.midw.2021.103237)

    Tolbert, J., Cervantes, S., Bell, C., & Damico, A. (2024, December 18). _Key facts about the uninsured population_. KFF. [https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/](https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/)

    Zielinski, M. R., Harvey, J., Jones, W., & Wen, J. (2023). Medicaid Expansion Case Study: Differences Between Florida and New York Medicaid Expansion Policy. _Journal of Social Equity and Public Administration_, _2_(2), 46-62. [https://doi.org/10.24926/jsepa.v2i2.5593](https://doi.org/10.24926/jsepa.v2i2.5593)

    – a year ago

  • [Solved] Scientific underpinnings for evidence based practice

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    ### Formative Assessment This formative assessment will build towards your final project by reinforcing your understanding of various decision-making models and how they can be applied to enhance clinical practice. Mastering this competency is essential for effective leadership in nursing, ensuring …

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    ### Formative Assessment

    This formative assessment will build towards your final project by reinforcing your understanding of various decision-making models and how they can be applied to enhance clinical practice. Mastering this competency is essential for effective leadership in nursing, ensuring that patient care is informed by a comprehensive understanding of available options and their implications for patient outcomes.

    **Instructions**:

    For this assignment, you will evaluate and compare two decision models—one from nursing and one from another discipline (e.g., psychology, business, public health)—and discuss their applicability to a specific clinical scenario in nursing practice.

    1. **Select Decision Models**:

    – Choose one decision-making model from nursing (e.g., the Nursing Process) and one model from another discipline (e.g., the OODA loop from psychology).
    2. **Clinical Scenario**:

    – Identify a relevant clinical scenario where decision-making is critical. This could involve a complex patient case, a team-based care situation, or an urgent care decision.
    3. **Compare and Analyze**:

    – Write a brief analysis (at least one page) addressing the following:
    – **Description**: Summarize each decision model, emphasizing key components and processes.
    – **Applicability**: Discuss how each model could be applied to the chosen clinical scenario.
    – **Strengths and Limitations**: Analyze the strengths and weaknesses of each model in informing clinical judgment in this context.

    ### Document Type/Template

    – Word Document

    – [\
    \
    Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10305279 "Rubric.pdf")

    – a year ago

  • [Solved] Emerging issues and Ethical considerations in practical Leadership

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    ### Formative Assessment For this formative assessment, you will write a proposal (300 words) addressing how to develop a hospital-led continuous education program focused on ethical issues. Use an example from something you have experience in your field of work. The proposal should include: – **Nee…

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    ### Formative Assessment

    For this formative assessment, you will write a proposal (300 words) addressing how to develop a hospital-led continuous education program focused on ethical issues. Use an example from something you have experience in your field of work.

    The proposal should include:

    – **Needs Assessment**: Identify gaps in staff knowledge regarding ethical issues.
    – **Program Objectives**: Define three specific goals of the education program.
    – **Educational Strategies**: Outline methods for delivering the content (e.g., workshops, online courses).
    – **Evaluation Plan**: Describe how you will assess the program's effectiveness.

    ### Document Type/Template

    – Word Document

    – [\
    \
    Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10305275 "Rubric.pdf")

    – a year ago

  • [Solved] Nursing Dnp Essentials

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    ### Formative Assessment Choose 1 nursing-related theory. – Why is it important to nursing? – How does the theory benefit patients? ### Document Type/Template – Word Document at least 200 words – [\ \ Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10305267 "Rubric.pdf") – a year ago

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    ### Formative Assessment

    Choose 1 nursing-related theory.

    – Why is it important to nursing?
    – How does the theory benefit patients?

    ### Document Type/Template

    – Word Document at least 200 words

    – [\
    \
    Rubric.pdf](https://www.sweetstudy.com/files/rubric-pdf-10305267 "Rubric.pdf")

    – a year ago

  • [Solved] Nursing Assignment

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    In-depth study guidance and analytical solution covering Nursing Assignment.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Psychiatric Mental Health Practicum

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    Topic: Electroconvulsive therapy in the treatment of severe depression. **Literature Review** Begin by describing which databases you searched, search terms you used related to your topic, how you narrowed your search, how you selected those references you will discuss in this section. **Summary of …

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    Topic: Electroconvulsive therapy in the treatment of severe depression.

    **Literature Review**

    Begin by describing which databases you searched, search terms you used related to your topic, how you narrowed your search, how you selected those references you will discuss in this section.

    **Summary of Article**

    This section should discuss at least 5 articles/peer reviews on the topic you selected. The content of this section should be separated by bolded headers between the summary of each article.

    references no more than 5 years.

    – a year ago

  • [Solved] Discussion Post

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    Response to 2 discussion – a year ago **files (1)** – ## Discussionresponse.docx **## Discussionresponse.docx** **Daveena Hardwick-Gibson** May 28 8:40pm Manage Discussion by Daveena Hardwick-Gibson Reply from Daveena Hardwick-Gibson Mental health disorders, also called psychopathology, develop thro…

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    Response to 2 discussion

    – a year ago

    **files (1)**

    – ## Discussionresponse.docx

    **## Discussionresponse.docx**

    **Daveena Hardwick-Gibson**

    May 28 8:40pm

    Manage Discussion by Daveena Hardwick-Gibson

    Reply from Daveena Hardwick-Gibson

    Mental health disorders, also called psychopathology, develop through a combination of biological, psychological, and social influences. These different areas interact in complex ways, which means mental illness usually doesn’t have just one cause. Understanding this helps mental health providers offer better care that fits each person's needs.

    From a biological perspective, genetics and brain function play a key role. Some people inherit a higher risk of developing mental illnesses. Boland, Verduin, and Ruiz (2022) report that “twin studies suggest a heritability estimate of approximately 80% for schizophrenia” (p. 508). Additionally, problems with brain chemicals like dopamine or serotonin, or changes in brain areas like the frontal lobe, can affect thinking, mood, and behavior. As Jackson and Milberg (2018) explain, “frontal lobe dysfunction has been linked to difficulties in executive function, which are common in many psychiatric disorders” (p. 68).

    Psychological factors include how people think, feel, and behave. Negative thinking patterns, poor coping skills, and learned behaviors can contribute to issues like depression and anxiety. Boland et al. (2022) highlight that these patterns can become automatic, making them hard to change without support. Development also matters—children who experience trauma, neglect, or instability are at greater risk for mental health problems. Masten and Kalstabakken (2018) point out that “children exposed to early adversity are at increased risk for a range of psychological disorders” (p. 20), showing how early life experiences shape mental health later on.

    Social and cultural factors also influence mental illness. People from different cultures may express or understand mental health symptoms in unique ways. For example, Boland et al. (2022) write, “Somatization is often a culturally shaped way to express psychological distress” (p. 492), which means people might feel physical pain instead of emotional symptoms. Other social stressors, like poverty, discrimination, or lack of support, can make symptoms worse. Cheung and Mak (2018) explain that “stigma associated with mental illness remains one of the major barriers to seeking help in many Asian cultures” (p. 130), which shows how social pressures can prevent people from getting needed care.

    In conclusion, psychopathology is shaped by many factors working together. Biological traits, personal thoughts and experiences, and the social world all contribute to mental health. A complete understanding of these influences allows professionals to create better, more personalized treatment plans.

    References:

    Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),
    _APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders_ (Vol. 1, pp. 127–147). American Psychological Association. https://doi.org/10.1037/0000064-006

    Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),
    _APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders_ (Vol. 1, pp. 65–90). American Psychological Association. https://doi.org/10.1037/0000064-004

    Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.),
    _APA handbook of psychopathology: Child and adolescent psychopathology_ (Vol. 2, pp. 15–36). American Psychological Association. https://doi.org/10.1037/0000065-002

    · Reply to post from Daveena Hardwick-Gibson
    **Reply**

    [**Jessica Barnette**](https://waldenu.instructure.com/courses/172782/users/125885)

    Manage Discussion by Jessica Barnette

    **Discussion Main Post**

    Psychopathology refers to a collective study of mental disorders known to be mental illness. There are several aspects that can influence the development of psychopathology and include biological, psychological, and social and cultural factors. As a provider, it is important to learn the various influences and factors as a nurse practitioner to create an appropriate treatment plan.

    **Biological Factors**

    Biological factors include an individual’s genetics and neurobiology. Andreassen et al. (2023) explains genetics variants in an individual may act to increase the risk for developing a psychiatric disorder. This means that an individual with multiple gene variants may lead to an increased risk for developing mental illness such as schizophrenia. Additionally, an individual with family members with mental illness, may increase the hereditary risk for genetic influence on illnesses such as ADD, bipolar, alcoholism, and schizophrenia. Psychiatric disorders also share genetic influences with a range of behavioral and somatic traits and diseases, including brain structures, cognitive function, immunological phenotypes and cardiovascular disease, suggesting shared genetic etiology of potential clinical importance (Andreassen et al., 2023). The neurobiology includes the development and function of neurotransmitters and pathways. For example, an alteration in the balance of norepinephrine and serotonin may lead to depression.

    **Psychological Factors**

    Another set of factors include the emotional, developmental, and cognitive and behavioral processes. Individuals and children grow in various environments. A child that is not able to learn to regulate their emotions may have a hard time managing anger or anxiety as they get older. The lack of ability to manage stress in a healthy manner, may lead to unhealthy coping, such as substance use. Childhood trauma may influence and create emotional damage, depression, flashbacks, and post-traumatic stress. Cognitive and behavioral factors, such as negative self-talk, can influence psychopathology. Mental health development in infancy and early childhood includes the dynamics of the infants' inborn capacities and the progressive integration of physiological and emotional influences, as well as the attentional and cognitive stimulation (Ammitzboll et al., 2024).

    **Social, Cultural, and Interpersonal Factors**

    Kirkbride et al. (2024) discusses an individual’s surrounding environment can also influence psychophysiology, such as poverty, can lead to increased stress, which can lead to increased risk for mental illness like anxiety or depression. Social interaction can have an effect at an early age, such as baby bonding can sooth an infant and the lack of nurture may have an opposite effect. An individual’s culture may not acknowledge or accept mental illness, which will also affect treatment and management of the disease. Culture encompasses an individual’s beliefs, practices, and traditions. Interpersonal factors include relationships between individuals. Radzilini (2024) explains interpersonal relationships, such as marriages and friendships, can be healthy or unhealthy and affect mental illness. For example, a marriage that consist of chronic tension or betrayal, may lead to increased risk for anxiety or depression due to conflict.

    **Resources**

    Ammitzboll, J., Olsen, A., Landorph, S., Ritz, C., & Skovgaard. (2024). Regulatory problems and developmental psychopathology within the first 2 years of living-a nested in cohort population-based study.
    _Frontiers in Child and Adolescent Psychiatry,_ 3.
    [https://doi.org/10.3389/frcha.2024.1330999Links to an external site.](https://doi.org/10.3389/frcha.2024.1330999)

    Andreassen, O., Hindley, G., Frei, O., & Smeland, O. (2023). New insights from the last decade of research in psychiatric genetics: Discoveries, challenges and clinical implications.
    _World Psychiatry: Official Journal of the World Psychiatric Association (WPA)_,
    _22_(1), 4–24.
    [https://doi.org/10.1002/wps.21034Links to an external site.](https://doi.org/10.1002/wps.21034)

    Kirkbride, J., Anglin, D., Colman, I., Dykxhoorn, J., Jones, P., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., & Griffiths, S. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations.
    _World Psychiatry: Official Journal of the World Psychiatric Association (WPA)_,
    _23_(1), 58–90. https://doi.org/10.1002/wps.21160

    Radzilani, M. (2024). The effects of interpersonal relationships on mental health.
    _International Journal of Social Impact, 9_(2). DOI: 10.25215/2455/0902011

    · Reply to post from Jessica Barnette
    **Reply**

    **## Discussionresponse.docx**

    **Daveena Hardwick-Gibson**

    May 28 8:40pm

    Manage Discussion by Daveena Hardwick-Gibson

    Reply from Daveena Hardwick-Gibson

    Mental health disorders, also called psychopathology, develop through a combination of biological, psychological, and social influences. These different areas interact in complex ways, which means mental illness usually doesn’t have just one cause. Understanding this helps mental health providers offer better care that fits each person's needs.

    From a biological perspective, genetics and brain function play a key role. Some people inherit a higher risk of developing mental illnesses. Boland, Verduin, and Ruiz (2022) report that “twin studies suggest a heritability estimate of approximately 80% for schizophrenia” (p. 508). Additionally, problems with brain chemicals like dopamine or serotonin, or changes in brain areas like the frontal lobe, can affect thinking, mood, and behavior. As Jackson and Milberg (2018) explain, “frontal lobe dysfunction has been linked to difficulties in executive function, which are common in many psychiatric disorders” (p. 68).

    Psychological factors include how people think, feel, and behave. Negative thinking patterns, poor coping skills, and learned behaviors can contribute to issues like depression and anxiety. Boland et al. (2022) highlight that these patterns can become automatic, making them hard to change without support. Development also matters—children who experience trauma, neglect, or instability are at greater risk for mental health problems. Masten and Kalstabakken (2018) point out that “children exposed to early adversity are at increased risk for a range of psychological disorders” (p. 20), showing how early life experiences shape mental health later on.

    Social and cultural factors also influence mental illness. People from different cultures may express or understand mental health symptoms in unique ways. For example, Boland et al. (2022) write, “Somatization is often a culturally shaped way to express psychological distress” (p. 492), which means people might feel physical pain instead of emotional symptoms. Other social stressors, like poverty, discrimination, or lack of support, can make symptoms worse. Cheung and Mak (2018) explain that “stigma associated with mental illness remains one of the major barriers to seeking help in many Asian cultures” (p. 130), which shows how social pressures can prevent people from getting needed care.

    In conclusion, psychopathology is shaped by many factors working together. Biological traits, personal thoughts and experiences, and the social world all contribute to mental health. A complete understanding of these influences allows professionals to create better, more personalized treatment plans.

    References:

    Cheung, F. M., & Mak, W. W. S. (2018). Sociocultural factors in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),
    _APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders_ (Vol. 1, pp. 127–147). American Psychological Association. https://doi.org/10.1037/0000064-006

    Jackson, C. E., & Milberg, W. P. (2018). Examination of neurological and neuropsychological features in psychopathology. In J. N. Butcher & J. M. Hooley (Eds.),
    _APA handbook of psychopathology: Psychopathology: Understanding, assessing, and treating adult mental disorders_ (Vol. 1, pp. 65–90). American Psychological Association. https://doi.org/10.1037/0000064-004

    Masten, A. S., & Kalstabakken, A. W. (2018). Developmental perspectives on psychopathology in children and adolescents. In J. N. Butcher & P. C. Kendall (Eds.),
    _APA handbook of psychopathology: Child and adolescent psychopathology_ (Vol. 2, pp. 15–36). American Psychological Association. https://doi.org/10.1037/0000065-002

    · Reply to post from Daveena Hardwick-Gibson
    **Reply**

    [**Jessica Barnette**](https://waldenu.instructure.com/courses/172782/users/125885)

    Manage Discussion by Jessica Barnette

    **Discussion Main Post**

    Psychopathology refers to a collective study of mental disorders known to be mental illness. There are several aspects that can influence the development of psychopathology and include biological, psychological, and social and cultural factors. As a provider, it is important to learn the various influences and factors as a nurse practitioner to create an appropriate treatment plan.

    **Biological Factors**

    Biological factors include an individual’s genetics and neurobiology. Andreassen et al. (2023) explains genetics variants in an individual may act to increase the risk for developing a psychiatric disorder. This means that an individual with multiple gene variants may lead to an increased risk for developing mental illness such as schizophrenia. Additionally, an individual with family members with mental illness, may increase the hereditary risk for genetic influence on illnesses such as ADD, bipolar, alcoholism, and schizophrenia. Psychiatric disorders also share genetic influences with a range of behavioral and somatic traits and diseases, including brain structures, cognitive function, immunological phenotypes and cardiovascular disease, suggesting shared genetic etiology of potential clinical importance (Andreassen et al., 2023). The neurobiology includes the development and function of neurotransmitters and pathways. For example, an alteration in the balance of norepinephrine and serotonin may lead to depression.

    **Psychological Factors**

    Another set of factors include the emotional, developmental, and cognitive and behavioral processes. Individuals and children grow in various environments. A child that is not able to learn to regulate their emotions may have a hard time managing anger or anxiety as they get older. The lack of ability to manage stress in a healthy manner, may lead to unhealthy coping, such as substance use. Childhood trauma may influence and create emotional damage, depression, flashbacks, and post-traumatic stress. Cognitive and behavioral factors, such as negative self-talk, can influence psychopathology. Mental health development in infancy and early childhood includes the dynamics of the infants' inborn capacities and the progressive integration of physiological and emotional influences, as well as the attentional and cognitive stimulation (Ammitzboll et al., 2024).

    **Social, Cultural, and Interpersonal Factors**

    Kirkbride et al. (2024) discusses an individual’s surrounding environment can also influence psychophysiology, such as poverty, can lead to increased stress, which can lead to increased risk for mental illness like anxiety or depression. Social interaction can have an effect at an early age, such as baby bonding can sooth an infant and the lack of nurture may have an opposite effect. An individual’s culture may not acknowledge or accept mental illness, which will also affect treatment and management of the disease. Culture encompasses an individual’s beliefs, practices, and traditions. Interpersonal factors include relationships between individuals. Radzilini (2024) explains interpersonal relationships, such as marriages and friendships, can be healthy or unhealthy and affect mental illness. For example, a marriage that consist of chronic tension or betrayal, may lead to increased risk for anxiety or depression due to conflict.

    **Resources**

    Ammitzboll, J., Olsen, A., Landorph, S., Ritz, C., & Skovgaard. (2024). Regulatory problems and developmental psychopathology within the first 2 years of living-a nested in cohort population-based study.
    _Frontiers in Child and Adolescent Psychiatry,_ 3.
    [https://doi.org/10.3389/frcha.2024.1330999Links to an external site.](https://doi.org/10.3389/frcha.2024.1330999)

    Andreassen, O., Hindley, G., Frei, O., & Smeland, O. (2023). New insights from the last decade of research in psychiatric genetics: Discoveries, challenges and clinical implications.
    _World Psychiatry: Official Journal of the World Psychiatric Association (WPA)_,
    _22_(1), 4–24.
    [https://doi.org/10.1002/wps.21034Links to an external site.](https://doi.org/10.1002/wps.21034)

    Kirkbride, J., Anglin, D., Colman, I., Dykxhoorn, J., Jones, P., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., & Griffiths, S. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations.
    _World Psychiatry: Official Journal of the World Psychiatric Association (WPA)_,
    _23_(1), 58–90. https://doi.org/10.1002/wps.21160

    Radzilani, M. (2024). The effects of interpersonal relationships on mental health.
    _International Journal of Social Impact, 9_(2). DOI: 10.25215/2455/0902011

    · Reply to post from Jessica Barnette
    **Reply**

  • [Solved] 507m2r

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  • [Solved] 507clm2r

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  • [Solved] 507-WK2: D

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    500 words, apa 2 citations – a year ago

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    500 words, apa 2 citations

    – a year ago