PSYCHIATRIC–MENTAL HEALTH NURSE PRACTITIONER PROFESSIONAL ROLE AND HEALTH POLICY   57
home has support of the Health Resources and Services Administration (HRSA) and initiatives to
provide client-centered, evidenced-based, coordinated, and quality care are moving forward.
Patient-Centered Care Model (PCC)
   XX Welcoming environment: Provide a physical space and an initial personal interaction
      that is welcoming and familiar, not intimidating.
   XX Respect for clients’ values and expressed needs: Obtain information about the
      client’s care preferences and priorities; inform and involve the client and family or
      caregivers in decision-making; tailor care to the person; and promote a mutually
      respectful, consistent client–provider relationship.
   XX Client empowerment or “activation”: Educate and encourage the client to expand his
      or her role in decision-making, health-related behaviors, and self-management.
   XX Sociocultural competence: Understand and consider culture, economic and educa-
      tional status, health literacy level, family patterns and situation, and traditions (includ-
      ing alternative and folk remedies); communicate in language and at a level that the
      client understands.
   XX Coordination and integration of care: Assess the client’s need for formal and informal
      services that may affect health or treatment; provide team-based care, care manage-
      ment, and referrals as needed; advocate for the client and family; and ensure smooth
      transitions between different providers and phases of care.
   XX Comfort and support: Emphasize physical comfort, privacy, emotional support, and
      involvement of family and friends.
   XX Access and navigation skills: Provide what the patient can consider a “medical
      home”; keep waiting times to a minimum; provide convenient service hours; pro-
      mote access and client flow; help client attain skills to better navigate the healthcare
      system.
   XX Community outreach: Make demonstrable, proactive efforts to understand and reach
      out to the local community (Silow-Carroll, Alteras, & Stepnick, 2006).
Health Care Home (Substance Abuse and Mental Health Services
Administration [SAMHSA], 2015)
   XX Defined in the Affordable Care Act (2010) as an approach to primary care that pro-
      vides coordinated care to persons with multiple chronic health conditions, including
      mental health and substance use
   XX Offers team-based care
   XX Builds on community supports
CONFLICT OF INTEREST
A conflict of interest (COI) is a situation in which a person’s financial, professional, or personal
situation may affect or appear to affect the person’s judgment in his or her professional respon-
sibilities, including healthcare decisions, research, and other matters, with the potential for