Tate is a 30-year-old client. When he was 16, he was in foster care and began to show signs of the prodromal symptoms of schizophrenia. At 17, he began to experience hallucinations and delusions. He was hospitalized for treatment where he was diagnosed with schizophrenia and treated with risperidone which was effective in managing his symptoms. At 18, he graduated from high school and aged out of foster care leaving him with no support system. He did not have consistent housing and frequently stayed with friends and acquaintances. Over the next few years, he was hospitalized with several acute psychotic episodes. Following the most recent episode, he was prescribed olanzapine 15 mg

. He adheres to his treatment regimen when he can find transportation to the community clinic, but he sometimes runs out of medication. He selfmedicates with alcohol to “make the voices be quiet.” Tate has no college or vocational training. He occasionally works odd jobs but lacked steady employment. He receives a small amount of supplemental security income, food assistance, and his health care is provided via Medicaid. He lacks the social and cognitive skills to obtain consistent employment and housing without assistance. a. Discuss how the psychiatric mental health nurse practitioner could assist the client in the creation of a more viable medication management plan. The caring of a patient should not only involve the disease process but assessing the issues such as social determinant of health and the way they affects patient treatment on compliance. As a Psychiatric health nurse practitioner, it is important to provide care for patient base on individual base. For this patient, it is apparent that the social determinant of health is a key issues in patient medication compliance and social wellbeing. To prevent relapses in treatment and foster compliance the psychiatric NP should collaborate with the patient and social worker to secure housing and resources for food allocation and transportation vouchers.. For individuals with chronic conditions, medication compliance is necessary to curtail their impact, improve health outcomes, prevent progression in diagnosis and decrease healthcare costs. According to (Fernandez-Lazaro et al., 2019), compliance with treatment, and the ability for patient to adhere to the planned treatment is a vital part of chronic disease management. Hence, to foster this patient medication compliance the Psychiatry NP should change to patient medication from medication by mouth to injectable medication once monthly