Individualized Healthcare Plan
Medical Diagnosis:
Pscyh: Depression
Brownsville ISD: Health Services
Student Name:
DOB:
School Nurse:
Date of IHP:
NURSING DIAGNOSIS
1. Ineffective role performance related to
altered self-view.
STUDENT GOALS
The student will develop appropriate
responses to stress.
The student will develop appropriate selfview and self-regulation skills.
The student will participate in school and
classroom activities.
The student will maintain academic
achievement and performance.
.
Home Campus:
PLAN OF ACTION
Assist student, staff and parents/guardians
in monitoring student mood, stress level
and self-regulation skills.
Assist the student to identify their
strengths and abilities.
Assist teachers to provide needed
instructional strategies and classroom
accommodations.
- Provide acknowledgment for positive
classroom contributions and performance,
(e.g., acknowledge when one part is
successfully completed and the student is
ready to move on to the next part).
- Provide classroom accommodations:
preferential seating, assistance needed
with assignments, quiet or alternate
work/study/test-taking area, breaking
large projects into smaller parts.
- Assist student to get and complete
assignments missed due to absences for
health-related appointments or illness.
Collaborate with student,
parents/guardians, teachers, and other
school staff to develop a plan for
maintaining academic progress and
achievement:
- Modification of course assignments or
requirements, as needed
- School schedule modification, as needed
- Appropriate behavior
reinforcement/reward system
- Task/assignment completion
reinforcement/reward system
BY WHOM/WHEN
School Nurse/Counselor/Classroom
teacher - as needed.
EXPECTED OUTCOMES
The student will demonstrate increase in
effective response to stress [e.g., improved
conflict mediation skills] talks with
teacher/school counselor/school nurse
when feeling stress at school]).
The student will demonstrate an
appropriate, realistic self-view [e.g.,
describes strengths and successes and
limitations, accepts compliments from
others, describes realistic goals].
The student will demonstrate respectful
behavior toward peers in the school
setting.
The student will complete classroom and
homework assignments (on time, _80_ %)
of the time.
The student will actively participate in
classroom activities with peers, as reported
by teachers.
The student will demonstrate a good
school attendance pattern, (misses less
than _3__ days per
year/quarter/semester)..
Depression Health Care Plan
NURSING DIAGNOSIS
2. Risk for Hopelessness related to
emotional features of depressed mood
STUDENT GOALS
1. The student will demonstrate
developmentally appropriate mood and
affect.
PLAN OF ACTION
Assist student and parents/guardians in
accessing mental health services.
BY WHOM/WHEN
School Nurse, staff, office personnel ongoing
EXPECTED OUTCOMES
The student will demonstrate decrease in
depressed mood.
Assist student, staff and parents/guardians
in monitoring student mood, stress level
and self-regulation skills.
Participate in school planning team to
identify students at risk for depression
and/or self-injury or suicide and to develop
and implement an educational plan to
address these concerns.
School Nurse/Counselor – as needed
If ordered, develop plan for psychotropic
medication administration at school:
- Obtain medication authorization from
healthcare provider and parents/guardians
- Assist student, parents/guardians,
healthcare provider, and staff in
monitoring medication benefits and side
effects
Participate on school crisis response team
to develop plan for and provide physical
and emotional care and safety for students
who attempt or threaten suicide or other
self-injury.
Assist the student to identify school staff
members he/she would feel comfortable
talking with if he/she needed assistance
coping with a problem or issue at school.
3 Risk for Social isolation related to
dysfunctional social relatedness
The student will develop and maintain
social relationships with peers.
Assist the student to identify their
strengths and abilities.
The student will develop sense of safety
and respect from peers and staff.
With student and parents/guardians,
teachers, and administrators, identify
student perceptions regarding sense of
safety and respect in school and if needed
work to develop plan to address these
concerns.
The student will participate in school and
classroom activities.
Assist the student to identify school staff
members he/she would feel comfortable
talking with if he/she needed assistance
coping with a problem or issue at school.
School Nurse/Counselor/Teacher –
ongoing
The student will demonstrate ability to
create and maintain social relationships
with peers and adults.
The student will report feeling safe and
respected at school, to school staff and
family members.
The student will actively participate in
classroom activities with peers, as reported
by teachers.