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Respond to this discussion by suggesting additional approaches to address the barriers they identified. Be specific and cite sources to support your recommendations. Reference within 5 years in APA Organization Selected My selection the organization for this assignment is my workplace, Assertive Community Services (ACT) Program). In this program more than ninety percent of the clients are diagnosed with schizophrenia or schizoaffective disorders. The ACT program is a community based nonprofit organizations that follow an intensive case management treatment model, provide the highest level of community-based outpatient care with in person services with 24 hours on call services in addition to regular business hours for adults who are experiencing or at risk of homelessness, have a serious mental illness, and who may also have a substance use condition. Practice/Organizational Issue The evidence-based practice I chose to minimize the chance of rehospitalization among patient diagnosed with schizophrenia via medication compliance. Mostly clients in the program are noncompliance with their antipsychotic medication s and this needs to be addressed to have a successful program and for patient best outcome. The focus is to assist client and increase their medication compliance. According to Religioni et al, 2025, For best clinical outcome, cost reduction, enhance quality of life patient’s adherence to treatment is crucial. Selected EBP QI Initiative To minimize rehospitalization of patient who are noncompliance medication could be addressed by educating patient the importance of taking medication through peer support. The treatment of the ACT program includes Psychiatric and Mental Health Practitioners (PMHNPs), Registered Nurses (RNs), Licensed Vocational Nurses (LVNs), Psychologists, Social workers and peer specialists. Peer support workers who lived the experience of schizophrenia or substance use disorder who are trained to support patients provide emotional, social and practical guidance and assist clients to navigate their treatment program. Individuals who have experience of their own noncompliance behavior could change other peers who are struggling with similar issues. According to Andreae et al, 2021, patients who are suffering from with chronic illness accepted their diagnosis and became more medication compliance with satisfactory improvement when they are approached by peer support and when peer supports told them their own story. Enablers that you might encounter Registered Nurses (RNs) and Licensed Vocational Nurses (LVNs) play a crucial role in supporting medication adherence as part of the healthcare team. They can educate patients on the benefits of taking medications as prescribed, emphasizing how consistent use improves symptoms, prevents relapse, enhances overall well-being, and prevent re admission to the hospital. Additionally, by closely monitoring patient behavior, mood changes, and physical symptoms, RNs and LVNs can identify early warning signs of noncompliance such as missed doses or worsening conditions and intervene promptly. Their ongoing observation and patient engagement through building trust, they can help to ensure better treatment outcomes and long-term stability. Nurses trusting relationship with a patient affects patient medication adherence which can nurses achieve that by educating patient, follow up and building the connection (Zoromski, L. M., & Frazier,2023). Barriers that may be encountered There two identified barriers from accomplishing the EBP QI including staff shortage and un stability of patients in their housing. One of the primary barriers to expanding peer support services is the shortage of qualified peer specialists, largely due to the challenge of recruiting and retaining individuals willing to work for minimal wages. Many peer support roles offer low salaries that do not reflect the emotional labor and expertise required, making it difficult to attract candidates, especially those in stable recovery who may seek higher-paying jobs elsewhere. They need better funding, livable wages, and professional recognition, the peer support workforce will continue to struggle with staffing shortages, ultimately limiting access to these vital services for those in need. Patient un stability: Most of the clients have been homeless in their lifetime or they are currently homeless due to their mental illness. Client who are paranoid sometimes chose to live in street tan being with other peers with similar diagnosis. This creates un stability and patients they stop taking medication and focusing on their housing issues and trying to manage their life in the street. Addressing Barriers as a DNP-Prepared Nurse Doctor of Nursing Practice (DNP)-prepared nurses can leverage their expertise in policy advocacy to improve patient outcomes by addressing systemic barriers. They can push for higher wages for peer support specialists, whose low pay undermines retention despite their proven effectiveness by working with noncompliance patients to improve medication adherence among noncompliant patients. Additionally, DNPs can advocate for housing-first policies to combat homelessness, a critical barrier for patients with schizophrenia and paranoia, whose unstable living conditions exacerbate treatment challenges.

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