Hello Dr Myers and Class.
I will be discussing the need to have depression screening in college students. I selected
this policy change because of the stigma and effects of this mental illness in young adults which
always go unnoticed, and not well discussed while it continues to be more and more prevalent. I
developed interest related to depression after one of my niece was diagnosed with depressive
episode following parents’ divorce and almost succeeded in suicide attempt. As a nurse, I always
feel obligated to help patients identify this disease before it consumes and distorts their mental
health status which can lead to tragedy.
According to center for disease control and prevention, depression is associated with
significant healthcare needs, school problems, loss of work, and possible earlier mortality. About
seven points six percent of persons twelve years of age and older is reported to have depression
in any two-week period. Although effective treatments are available, many individuals with
depression do not have access to treatment or do not take advantage of services. If not effectively
treated, depression is likely to become a chronic disease.
(Russell et. al, 2012) states that depressive disorders have become more prevalent and
have increased cases reported to the primary care pediatricians. And, with all the reported cases,
At least three quarters of them remain undetected until the impact on the disease becomes more
I plan to discuss several approaches to help improve identification of depression in school
setting. First; by developing problem oriented questionnaires that focuses on the symptoms and
signs of depression and having the college students complete the forms and return to the appropriate health care personnel who can then review the forms and act on any suspected cases
especially those with risk factors such as family history or previous diagnosis. This can be done
as a mandatory student survey upon completion of course registration each semester.
Second, I would suggest for the school to evaluate drastic changes in students’
performance like poor grades, absenteeism, self-reported cases of feeling helpless with
everything if reported by students. When such cases are acted upon immediately. The students
can then be referred for appropriate medical intervention. Lastly, I will also suggest for the
college to have a qualified advance trained healthcare personnel who can help in implementation
of new programs as well as ensuring that the students with known cases follow treatment plans
effectively without any discriminatory incidents.
Of the four basic models or approaches to policy making mentioned in our lesson for
week two reading, I would choose the stage-sequential model. (Chamberlain University,
2017)Lesson two explains that “Like the various nursing-theory models, a model that serves as a
framework for approaching policy and policy making provides critical structure to this process”
Thus any model should be used depending upon the particular policy and its context. Because
the stage-sequential model mostly identifies similarities with nursing process. I think it would be
the best model for developing depression screening tools for students because college can easily
adopt its policy-agenda setting, policy formation, program implementation, and policy
evaluation. (CU, 2017). References Chamberlain University (2017), NR 506 .Policy Development and Analysis. Week 2:
HHealth CarePolicy. [Online lesson]. Downers Grove, IL: DeVry Education Group.
Russell, P. S., Basker, M., Russell, S., Moses, P. D., Nair, M. C., & Minju, K. A. (2012).
Comparison of a Self-rated and a Clinician-rated Measure for Identifying Depression among
Adolescents in a Primary-care Setting. Indian Journal Of Pediatrics, 7945-51.
Centers for Disease Control and Prevention. (2016, May 9th). Retrieved from

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