Section 2.  Rationale for Study
	The problem is there are currently not enough healthcare and human services personnel employed at CARV to effectively serve clients in need of behavioral and mental healthcare. Many clients have been turned away for services which the agency is unable to accommodate, such as psychiatric services which is a collaborative component (Hayes, 2017) within the structural foundation of providing counseling, treatment, and therapeutic services. This project will analyze the barriers, facilitators, and strategies to optimize interprofessional collaboration to produce a serviced delivery change management plan to guide comprehensive collaborative expansion of CARV and a restructuring of service modules to improve the behavioral and mental health of clients. Specifically, this project focuses on a practical evidence-based service delivery change management plan to expand CARV by creating a larger office that would broaden its scope of mental health services and professional practitioners, such as a psychiatrist, nurse, social workers, and more counselors.   Literature Review Limited resources in the provision of mental health care highlight the need for interprofessional collaboration in mental health and healthcare settings. To aid this dilemma, the care provision environment should be holistic and optimally working to provide comprehensive, sustainable, and idealistic services to clients. Through interprofessional collaboration, a solo practice can be positioned to modify or better the general environment, with the goal of expanding to an interprofessional, larger practice with more options in treatment available to clients (Bruns et al., 2016).   Support for Interprofessional Collaboration in Mental Health Care Treatment   There is an abundance of literature to support the need for interprofessional collaboration, particularly in mental and behavioral health care. Bruns et al. (2016) explore the pros and cons of private practitioners who seek to promote their business and themselves for service improvement and professional development. One of the cons identified was practitioners “in private settings are rarely represented” in interprofessional collaboration. Findings showed, rather, that multi-tier frameworks such as collaboration, stable management hierarchy, and a consistent organizational culture are essential in promoting effectiveness and access to services associated with mental health in schools (Bruns et al., 2016). The study offers ten recommendations applicable to the goals of this study revolving around productive collaboration and integration of the infrastructure, structural efficiencies, and human resources as prerequisites for a sustainable and effective change management plan, including a holistic combination of evidence and research, and multi-tier frameworks are necessary in implementation of a service delivery change management plan.             In another study, Annamalai et al. (2018) investigated the procedure of creating an on-site intervention center to integrate primary care for improving social and mental health in a school setting. Findings indicate that there are many integration models that would be helpful and that interprofessional collaboration is significant in the context of decision-making for these models. Specifically, when collaboration networks were improved in the case study schools, there was a general improvement in quality of services and cooperation among the stakeholders. However, the researchers noted that collaborative partnerships have not been effective in certain instances, such as, between federally qualified health centers (FQHC) and local wellness centers. The study proposed collaborative engagement between agencies and mental health service providers to make the process of integrating care sustainable and effective. Likewise, Lenz, Dell’Aquila and Balkin (2018) conducted a meta-analysis on decreasing mental health symptoms in clients. The findings indicated that mental health practitioners enhanced the care of mental health clients when they were integrated into interprofessional behavioral and mental health care settings. The study also addressed integrated mental and behavioral healthcare, confirming that there was robust evidence to support integrated primary and behavioral care (Lenz et al., 2018, p. 252). The researchers concluded that it is important to achieve a seamless and safe transition using interprofessional collaboration when expanding practices to ensure sustainability of any intervention plan.   Support for a Change Management Plan to Guide Practice Expansion             Regarding the same transition type of model, an early study by Gilbody et al. (2006) aimed to identify the components of an ideal functional intervention plan established that it should internalize shared goals, skills to perform tasks independently, relevance of each task, and comprehending responsibilities and roles of the stakeholders. The researcher further identified the prerequisite for effectiveness of any intervention plan is to include minimizing internal conflicts, building trust, and expanding the safety mechanisms. Later, Panagioti et al. (2016) identified the chronic care model (CCM) as an innovative strategy to integrate evidence-based and user involvement guidelines. The CCM consists of an organizational population-based health system which includes clinical information systems; community resources; self-management and decision support elements (Panagioti et al., 2016, p. 48). Expanding on the same findings, another study by Solberg et al. (2013) noted that healthcare professionals (HCPs) should focus on transitioning into a collaborative and person-first approach before service-oriented architecture. As a result, the person-centered or collaborative approach will ensure that an integrative coordinated individualized support system is preferable (Solberg et al., 2013, p. 39). Summary               The findings indicate that collaborative engagement is instrumental towards implementation of a service delivery change management plan, especially within mental health settings and institutions. Moreover, the findings of these research studies illustrate that expansion and diversification of service provision environments have a positive impact to improve mental health of clients. None of these studies, however, have associated infrastructural and human resource improvement as correlating to better service provision in the mental health and healthcare environment. Therefore, the proposed service delivery change management plan deliverable in this project will address this gap by focusing on interprofessional collaboration related to the expansion of infrastructural and human resources in the change from a solo practice to an interprofessional larger practice as essential towards improved mental wellness to clients. Specifically, the purpose of this project is to identify barriers, facilitators, and change management strategies for using inter-professional collaboration to expand a solo counseling practice’s capacity to provide a wider range of treatment and providers and options in a larger, convenient location for an increasing number of clients seeking mental health services.             Since the proposed change management plan aims at providing proficient professional services in the arena of mental and behavioral health care counseling, the theorized interprofessional collaboration approach will be integrated to influence better outcomes in mental health care. The practical significance of the research is to enhance ways of expanding the clinical environment with other healthcare professionals. Interprofessional collaboration between healthcare professionals in a primary service setting serves to benefit both client and professional.  The primary focus for this change management plan weighs on the production of creating a viable recruitment and organizational structuring plan for the sole purpose of expanding CARV mental and behavioral health care. The essential services ofintegrated professional healthcare providers serve as a foundational support system for maximizing the benefits of patient care.
2.2 Need for the Project and Evidence to Make Change Provide a rationale supported by current information regarding the need for this Capstone Project.   This section should include:        The results of a needs assessment or an analysis for the project.        A description of issues identified in the workplace, project, or community.        Any relevant population and organizational demographics and statistics related to the proposed Capstone Project. A description of why the study is important.A description of whom the study will benefit.   Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.
	Needs Assessment, Description of Issues, and Population The problem is there are currently not enough healthcare and human services personnel employed at CARV to effectively serve clients in need of behavioral and mental healthcare. Many clients have been turned away for services which the agency is unable to accommodate, such as psychiatric services which is a collaborative component (Hayes, 2017) within the structural foundation of providing counseling, treatment, and therapeutic services. Specifically, the agency is currently functioning with limited healthcare professionals, and thus, is unable to provide certain services that should meet the need of those who seek mental healthcare. In Michigan, more than 1.3 million adults suffer from mental illness and 38% do not receive care according to the National Alliance on Mental Illness (Michling, 2020). The organization is suffering from understaffing, which has compromised timely and quality service delivery to help serve this population. Through the proposed service delivery change management plan, decreased staffing will be addressed through a structured interprofessional collaboration model which will include strategies for expansion, human resource improvement and ongoing evaluation (Gilbody et al., 2006). In terms of infrastructural adjustment as a supportive platform for collaborative engagement, the plan intends to expand to improve on client outreach and offerings. Many clients do not get timely counseling services due to the underdeveloped capacity at CARV. By expanding to create a new, larger office to include a broader scope of professional practitioners, such as a psychiatrist, nurse, social workers, and more counselors, this need will be addressed. To increase service productivity and professional healthcare providers, CARV has identified the need to expand its service location by adding another office in addition to improving the organizational structural efficiencies. The vision of the office expansion is to open an office large enough to accommodate the increase for multiple healthcare practitioners to provide counseling, and include the care of a psychiatrist, social workers, a nurse practitioner, more counselors, and even students who may opt to seek counseling internships. The vision of the new location is to have enough offices and space for one-stop consumer services which will provide optimal care and convenience for every person seeking mental and behavioral health care. Moreover, the organizational management structures will also be modified to support collaborative and holistic engagement, in the short and long term (Eiraldi et al., 2014). As a result, the proposed service delivery change management plan will serve as a guide to create a holistic and effective environment for management and treatment of mental wellness needs.   Why the Study is Important             The significance of this study revolves around evidence that interprofessional collaboration in the provision of care serves a significant and positive purpose in patient health care outcomes and intervention (Yaugher et a., 2020). From a strategic perspective, the proposed service delivery change management plan would address the gap of generalization since it will focus on the specifics of human resources and structural adjustments and link them to an interprofessional collaborative wellness management surrounding. The proposed service delivery change management plan will be packaged and presented as a deliverable that integrates the soft and hard skills to build this multifaceted environment. Although several improvement management models like IPBH and CCM already exist (Panagioti et al., 2016; Lenz et al., 2018; Annamalai et al., 2018), this proposed plan will implicitly focus on specific areas of adjustment, which are human resource and organizational infrastructure. This proposed development of the change management plan will address the current research gap by illustrating the specifics of how improved human resource and organization infrastructure will create a holistic collaborative mental wellness management. As a policy and procedural framework, the inference of the proposed study will be instrumental to mental health service providers by presenting a specific guideline for a high-quality expansion of service provision. At the same time, government agencies and public or private mental health service providers may use the findings of this plan to adjust current challenges in line with the 21st century best practices.   Beneficiaries of the Study             Since this project intends to create a comprehensive interprofessional collaborative expansion of CARV  and restructuring service plan with the aim of improving behavioral and mental health care, the proposed service delivery change management plan will be designed to be as specific as possible, in terms of the analytics. This plan intends to focus on CARV  to increase its current office by creating a new location. Therefore, through a strategic expansion approach, the plan intends to address these shortages by enacting a replicable organization policy that serves as an evaluation module. The main beneficiary of this study will be the organization itself, through empowerment to improve current deficiencies while optimizing efficiencies. It means the service environment will greatly improve. As a result, client and provider satisfaction may be improved. Other beneficiaries of this study are government agencies and private or public institutions that deal with mental health programs. In addition, the findings of the study will contribute to existing literature by presenting updated best practices that are multifaceted.
2.3 Theoretical Foundations Briefly describe the primary theoretical framework or model to be used for the study that will serve as the lens through which you will view the research problem and research questions.    NOTE:  The theoretical foundation should be a theory from your discipline that supports the topic and should reflect on how you understand the topic and constructs in the study. To select the theory of model for the study, review the DHS Programs of Professional Practice.      This section should include: A review or discussion of the theory that will guide the project.An explanation of how the theory or model defines the variables or constructs of the study.  An explanation of how the theory or model will guide the study.A list and explanation of any study assumptions.     Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.
	The theory corresponding to this topic is system theory. The origin of the system theory was proposed by Ludwig Von Bertalanffy in 1950. System theory approach has, since then, been subjoined by other social scientists such as J.G. Miller and Niklas Luhmann. The system theory perspective views the whole system instead of the separate pieces that make a whole system, interconnecting each element into holism (Lyon et al., 2019). However, the conduct of social systems is the lens through which the research problem and question for the specific study will be examined. The social systems aspect of system theory determines the sub-parts that make up the whole (Taylor et al., 2019; Cook et al. 2019). If a part of the element moves, it is expected for other components to adapt, establishing order, bridging gaps, and maintaining connectedness (Netting, Kettner et al., 2017).           Evidence has revealed that interprofessional collaboration in health care serves a significant and positive purpose in patient health care outcomes and intervention (Yaugher et al., 2020). The system theory approach supports better and higher quality health of patients via the colocation of a full-service healthcare setting with multi-professional mental and behavioral healthcare staff compared to a service limited private practice office setting for mental and behavioral healthcare (Lenz et al., 2018; Boege et al., 2018). A full-service office setting allows the opportunity for more clients to be seen and cared by the appropriate healthcare professionals (Atkins et al., 2017).             In relation to the service delivery change management plan, the system theory model will enable the researcher to explore research variables of interprofessional collaboration, quality of healthcare, infrastructure, and human resource as aspects of a holistic intervention mechanism (Netting, Kettner et al., 2017). As illustrated by the system theory, these elements would be necessary towards building each block of the plan while observing their connectedness and bridging any gaps in their association (Cook et al. 2019). For instance, the researcher will use the system theory to connect each section of the plan to address the primary goal.               The concept map represented above gives a depiction of the system change that the proposed service delivery change management plan encompasses and supports. This map summarizes the characteristics of a system theory flow. Practitioners, human resource aspects, location environment, scope of services, and policy are aspects of the inter-professional collaboration amongst stakeholders and facilitators and are variables that are affected in this change with the outcome being practice expansion. The study will analyze facilitators and barriers to interprofessional collaboration, and produce strategies to create the change capacity for mental and behavioral health care community within CARV to render appropriate and satisfactory services and opportunities for continuing education and optional internships.            A synopsis of the change that each entity linked through interprofessional collaboration piece includes the goal of an expanded practice capacity specifically, scope of practice and location. A new location will serve to accommodate the increase in recruiting multi-practitioners; practitioners are to include a psychiatrist, a nurse practitioner, social workers, and counselors; the human resource aspects will include staff as well to implement and direct agency policy; finally, the scope of services can be created within each practitioner’s professional function to offer mental health services. Interprofessional collaboration relates to each aspect and is important in creating and facilitating specific outcomes.   Assumptions of the Study             Currently, the center cannot meet demand because of the limited scope of professional practitioners. Through expansion, there is a general assumption that the plan will widen the center’s professional scope to include a psychiatrist, nurse, social workers, and more counselors. Another assumption is that the researcher will get the permission from relevant authorities, such as the school reviewer and the Institutional Review Board to access relevant material and participants and begin the study. It is assumed that the agency and participants will proactively cooperate to make the process of developing the plan smooth. Lastly, it is assumed that the targeted participants have necessary skills and experience to meet the primary goals of the plan.
2.4 Researchers Positionality In this section, you will define your role, position, and how positionality will impact your research study.   This section should include: The title of your role or position in the organization, program, or community in your site.A description of your job duties at the site.A description of how your position will impact the research project.A statement that identifies if you are an insider (work or volunteer with the organization) or outsider, or a collaborator with insiders (no affiliation, but working with stakeholders within the organization).   Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.
This researcher’s role is that of an insider at CARV is a Licensed Professional Counselor providing mental health services to those who seek counseling and therapy. This career path embodies every necessary quality of character as a human being, to help and see others do and become the capable functioning persons they aspire to become. The unique skill of this profession advocates, informs, and educates. The personality character traits are established in showing trust, congruence, unconditional positive regard, and empathy; but not without demonstrating, educating, and engaging in ways to assist individual stakeholders who need such help. Duties are to conduct preliminary assessments to guide and set up a specific route of care with each client. As a specialist counselor in substance abuse, coupled with national accreditation as certified counselor by the National Board of Certified Counselors immediately after becoming fully licensed in 2016, the researcher is well positioned to undertake the assignment. The researcher also has a workforce history of a registered social service technician and counselor in non-profit settings, mostly with community homeless programs. As an insider in private practice, the researcher has shared a partnership with a colleague, from the beginning of the agency’s business development in 2013. The agency opened with four para-professional counselors. Two of whom opted out of the business early on. The acronym, CARV is the initials of the four professional counselors, which started the business.
2.5 Practical Implications Please describe the specific practical implications of your findings that can be used by the stakeholders.   This section should include: A minimum of two (2) paragraphs.  Every statement must be supported by the literature.A description of the specific practical implications (who may benefit) from the research that can be used by any or all of the following stakeholders: the population being studied, practitioners, clinicians, or medical practitioners, community-based service providers or health organizations, educators, colleges/universities or the wider community itself.      Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.   REMEMBER   NOTE: Be cognizant of the limitations and scope of the proposed research.  Do not promise practical implications that are beyond the scope of the research.
The target population of underserved and unserved mental health clients and potential clients for whom these services are rendered are the key stakeholders who will benefit from this service type and care. In Michigan, more than 1.3 million adults suffer from mental illness and 38% do not receive care according to the National Alliance on Mental Illness (Michling, 2020).         The professional practitioners and other community-based providers become beneficiaries too. Collaboration between each professional practitioner becomes essential in learning and knowing each other’s designated route to care. A referral-based network can also benefit all relevant agencies to bridge the gap in customer service and support services. Another option in the creation of expanding the agency will be for a student internship (Glowiak et al., 2018) which allows a gateway to more multi-faceted health care practitioners within the community.
Section 3.  Research Theory
3.1 Purpose of the Study State the purpose of the study. The purpose of the study is to answer the research question or provide practical answers to a problem or weaknesses of the current practice, service, or process, policy.   This section should include:   A summary of the intended outcomes of the study. An identification of who can benefit from this research and how they might benefit.  A statement of the purpose of the study and the need that it addresses. A statement about the outcomes or findings of the Capstone Project and how they will be sustained.      Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.
The longer-term intended outcomes of the study include an expanded capacity to offer specialized, competitive, and holistic counseling services to clients with mental health needs. Therefore, the proposed improvement plan intends to expand CARV ’s capacity by opening a new office, recruiting more practitioners, and restructuring the current service delivery infrastructure.             The primary beneficiaries of this research will include different categories of stakeholders. The first category is through increase capacity to offer comprehensive counseling practices to clients. The proposed change management plan intends to improve capacity building for the organization to meet its efficiency needs in service delivery to clients. At the same time, the proposal will empower CARV to be more practical, multifaceted, and proactive in offering services as more practitioners are brought on board (Annamalai et al., 2018). The second category of beneficiaries of this change management plan are clients in need of mental health services. Since the plan proposes expanding practitioners’ capacity, clients will be able to access timely services under one roof. Moreover, the new office to be opened will allow practitioners and clients to enjoy mutual interaction (Panagioti, Panagopoulou, & Bower, 2017). Lastly, the practitioners will benefit from the proposed plan since their work environment will be more holistic and accommodative to different counseling specializations following the expanded capacity (Cook et al., 2019; Lenz, Dell’Aquila, & Balkin, 2018).             The purpose of this project is to identify barriers, facilitators, and change management strategies for using inter-professional collaboration to expand a solo counseling practice’s capacity to provide a wider range of treatment providers and options in a larger, convenient location for an increasing number of clients seeking mental health services. Thus, qualitative data and information will be collected on barriers, facilitators, and change management strategies. The project aims to identify specific intervention mechanisms and strategies that are necessary for the change management plan to be effective in expanding the capacity of counseling practice at CARV from the perspectives of human resources, physical office location, and treatment approach to reach an optimal number of clients in need of mental health services.             The outcomes of this Capstone Project are improved capacity at human resource level, physical office space, and liberalization of the service charter to improve effectiveness of mental health services to clients. These specific longer-term outcomes will not be measured within this study, but the service delivery change management plan will outline how to measure them for their future effectiveness by comparing current and future performance of CARV in service delivery to clients. Specifically, the outcomes will be tracked using a predetermined monitory and evaluation system that is adjustable and flexible to each organizational service (Taylor, Goldberg, & Tran, 2019). This means that the process of monitoring and evaluation will have key performance indicators modeled within the service delivery change management plan, along with the identification of facilitators, barriers and strategies related to interprofessional collaboration (Solberg, Crain, & Jaeckels, 2013).
3.2 Research Question(s) List the primary research question and any sub-questions that the proposed study will address.  The research question(s) should be correctly formed.   This section should include a research question(s) or sub-questions that:   Align with the research problem, the research topic, and the Capstone title.Identify the intended analysis.Is phrased in a way that will be answered by the intended methodology and analyses. Identify the specific variables to be explored, use language consistent with the research design or approach, and clearly identify the population being studied.   Qualitative Example: How can DHS caseworkers help the homeless population become self-sufficient?   Quantitative Example: How does employee morale in millennial research analysts affect creativity?     Use current (within 5-7 years), scholarly, PRIMARY resources to support statements. Textbooks are not primary resources. Theses and dissertations are not considered peer-reviewed published articles. Use APA style in citing all resources.
	Research question How can inter-professional collaboration help to expand a practice’s capacity to provide mental health treatment and management for the target population?   Sub-questions: How is inter-professional collaboration related to a practice’s capacity to provide mental health service delivery?What barriers to inter-professional collaboration to expand a practice’s capacity do practitioners experience?What facilitators for inter-professional collaboration to expand a practice’s capacity do practitioners experience?How do practitioners describe strategies to manage change and facilitate and address barriers to inter-professional collaboration to expand a practice’s capacity?
3.3 Capstone Project Title The  Capstone Project Title should be correctly formed:   The title should be aligned with the  Research Problem (1.2) and Research Question (2.2), (use the same terminology for all).The title should reflect the key variables or constructs to be studied.The title should reflect the method to be employed in the research.The title should be concise (12 words or less).
	Title: Practitioner-perceived barriers, facilitators, and strategies in inter-professional collaboration to expand mental health counseling practice capacity             The Capstone Project will focus on exploring mental health practitioners’ perceptions of the barriers, facilitators, and change management strategies for using inter-professional collaboration to expand a solo counseling practice’s capacity to provide a wider range of treatment, providers, and options in a larger, convenient location for an increasing number of clients seeking mental health services.
Section 4. Research Methodology
4.1 Summary of methodology Briefly describe the Capstone Project research design.   This section should include: A description of the methodology (qualitative or quantitative).A description of the design (case study, generic qualitative, correlation, etc.).A description of the type of action research (participatory action, critical action research, action science research, or appreciative inquiry).   A description of what data will be collected (validated instruments, interviews, archival data, organization policies, and procedures, etc.).A description of data analysis that will be used (thematic analysis, descriptive statistics, inferential statistics).
	This study is phenomenological in nature, focused on the phenomenon of interprofessional collaboration. The researcher has adopted a qualitative research design in order to establish specific answers to the research questions, especially the how’s and why’s (Bevan, 2014). This subjective research design was selected because of the need to capture personal perspective among practitioner respondents on how interprofessional collaborative change management strategies would effectively increase capacity for offering mental health counseling services. The only quantitative numerical aspect of the data will be unique demographic variables in the sample space (Elo et al., 2014).             The researcher has selected phenomenological design to be able to identify and focus on phenomena in terms of subjective understandings and experiences of the respondents or participants in the study (Creswell, 2014). This design will enable the researcher to collect data and in-depth descriptions to establish emerging themes or common characteristics reoccurring.             The researcher will employ both open and close-ended questions through a brief questionnaire to collect data on perceived barriers, facilitators, and change management strategies for inter-professional collaboration in expanding mental health counseling practice in mental health care (Aarikka-Stenroos, 2010). Specifically, the questionnaire will collect demographics data and direct interviews will focus on capturing individual perspective as well as standardized professional practices surrounding inter-professional collaboration in the field of mental health care counseling.             The researcher will use both thematic and descriptive statistics analysis. The descriptive statistics part will analyze the responses to closed-ended questions to establish graphical trends (Elo et al., 2014). For the open-ended questions, thematic analysis will be used to establish existing themes and relate them to the development of a service delivery change management plan for expanding mental health counseling capacity at the CARV.
4.2a Quantitative Measures and Instruments List and describe each variable and the data collection instrument or measurement tool you will use to collect these data. These should include standardized questionnaires, demographic data, and surveys, etc.  See Appendix A for an example of a completed chart. Only standardized instruments can be used in quantitative studies.   Attach a copy of each instrument you plan to use as an appendix to the Capstone research form.
Variable Type Variable Name Survey/Questions/ Calculations Variable Level of Measurement Instrument Name Reliability Estimates   Demographics Gender Q1 Nominal Survey Not applicable     Age Q2 Interval Survey Not applicable     Ethnicity Q3 Nominal Survey Not applicable     Type of neighborhood for practice location Q4 Nominal Survey Not applicable Independent variable Professional Skill set Years of experience Area of specialization competency Q5 Multiple choice 1= Totally unprepared 2= Somewhat unprepared 3= Prepared but need practice 4= Ready to practice 5= Competent     Nominal  Survey Not applicable[A1]    Archival Documents CARV  background information to include organizational statistics such as number of clients served, each service provided, demographics of the clients.   Current trends in counseling services for the mental healthcare at CARV    Nominal Spreadsheet These will be organized in distribution and frequency charts.
4.2b Qualitative Constructs – Open Ended Survey Questions List and describe each qualitative construct and the data collection method you will use to collect these data. Include the alignment of the data collection source with the concept. See Appendix B for an example of a completed chart.   Attach a copy of the interview guide you plan to use as an appendix to the Research Plan.
Rationale for Each Interview Question (See interview guide in Appendix B) Question Rationale Q10 Exploring perceptions of applying inter-professional collaboration to expand a practice’s capacity to provide mental health service delivery Q11 Identifying practitioners’ perceptions of barriers to inter-professional collaboration to expand a practice’s capacity Q12 Identifying practitioners’ perceptions of facilitators for inter-professional collaboration to expand a practice’s capacity Q13 Exploring practitioners’ perceptions of change management strategies to manage change, facilitate, and address barriers to inter-professional collaboration to expand a practice’s capacity
4.4 Data Analysis Detail the actual data analyses to be conducted to address each research question.   For each research question and sub-question provide the following: A description of the data source.A description of how raw data will be analyzed (transcription, calculation of scaled variables, etc.).A description of how data will be managed, processed, and prepared.  The method of qualitative analysis or statistical analysis.A description of how data will be stored and protected.
	Data Analysis             Q1 to Q9: Questions 1 through 9 will be formatted using multiple choice or Likert scale-type choices using survey (Appendix B). So, for example, the age question will allow the participant to choose their age group. The demographic data will be generated from questionnaires. The data will be tabulated, and a pie chart generated to calculate the scale of how age, gender, ethnicity, and neighborhood are distributed in the sample space. The data will be stored and protected in an encrypted file (Cope, 2014). This process allows scrambling of the data into an incomprehensive and unreadable format to avoid access by unauthorized third party. The file will then be stored in a hard disk and cloud account.               Q10 to Q13: The researcher intends to use thematic analysis to process this data. The process begins with assigning preliminary codes for the data followed by searching for repeating themes and patterns for each view expressed (Guerrero-Castañeda, Menezes, & Ojeda-Vargas, 2017). The identified themes will then be subjected to a review to draw an inference. This data will also be protected in a similar way as other data sets described above.
4.5 Sample Size For each data source, describe the sample size, and provide references to support sample size decisions.
	Data Source Sample size Rationale Demographics 16 participants The goal is to recruit at least 16 participants and screen for those who hold licenses to participate in the interviews. Archival Documents 2 years report Two years reports are adequate to grasp the current state of mental healthcare service charter at the organization Researcher Observation 16 participants To capture observations that are not incorporated in the interview questions Individual Interviews 16 participants This sample is adequate in drawing a scientific inference since it is representational of the general population within the area of study (Hokimoto, 2017). Scientific and scholarly research 20 journal articles 20 journals are adequate in capturing existing literature and findings that are relevant to the elements of the proposed improvement plan.
4.6 Assumptions Identify the key (A) theoretical, (B) topical, and (C) methodological assumptions of the Capstone Project.   This section should include: A description of the theoretical assumptions which will include the fundamental constructs of the theoretical foundation that you selected in Section 2.3.A description of the topical assumptions which will include the assumptions revealed from previous research, the literature on the topic, and assumptions made by researchers in the field.A description of the methodological assumptions which will include an explanation of the epistemological, ontological, and axiological philosophical assumptions that support the research methodology.
	Assumptions             Theoretical: The conduct of social systems is the lens through which the research problem and question for the specific study will be examined. The social systems of system theory determine the sub-parts that make up the whole (Taylor et al., 2019; Cook et al. 2019). Therefore, it is assumed that interprofessional collaboration influences the social systems in provision of mental health services in an organization. These variables are dependent on each other.              Topical: Findings from previous research indicated that collaborative engagement is instrumental towards implementation of a change management plan, especially within the mental health agencies. Moreover, the findings of these research studies illustrate that improvement of service provision environments have a positive impact to improve mental health of clients (Panagioti, Panagopoulou, & Bower, 2017). However, none of these studies have associated infrastructural and human resource improvement as correlating to better service provision in the healthcare environment. Therefore, it is assumed that improving a mental healthcare service provision environment will have an effect of improving the general wellness of the clients. This is the foundation and assumption made in selecting this research topic.             Methodological: From the theoretical and topical assumptions correlating collaboration between infrastructural and human resources as essential towards improved mental health to clients, the research assumes that examining the barriers, facilitators, and change management strategies for using inter-professional collaboration will facilitate the expansion of a solo counseling practice’s capacity (Taylor et al., 2019). This is necessary to provide a wider range of treatment, providers, and options in a larger, convenient location for an increasing number of clients seeking mental health services (Panagioti, Panagopoulou, & Bower, 2017). In relation to the service delivery change management plan, the system theory model has enabled the researcher to derive research variables of interprofessional collaboration, quality of healthcare, and human resource as aspects of a holistic intervention mechanism.
4.7 Limitations Evaluate the weaknesses of the Capstone Project at this time.   This section should include: The areas that need to be improved before starting the Capstone Project.The areas that cannot be improved. The reasons for not redesigning to address any of the limitations identified.
The area that should be improved before starting this Capstone Project is expanding the search for data to draw strong inference. It would be ideal expanding the sample size, if it is possible, to be more representational (Jawlik, 2016). By expanding the sample space, the researcher will be able to capture a more representational picture of the phenomenal of the study However, this may not be feasible or possible, so the sample size of 16 is the goal. The literature review has provided adequate information from which the research problem, question, and rationale were derived.
Section 5 Sample and Design (Approach)
5.1 Sampling and Recruitment For each data source, describe the sampling plan. Describe how you plan to select the sample. Include the steps you will take to recruit participants.   This section should include: A brief description of the data source, the sampling plan, and inclusion and exclusion criteria.The recruitment strategies (where applicable).
The primary data will be collected through questionnaires for 16 practitioners working as licensed mental health providers. The researcher will begin the sample plan by focusing on and recruiting at least 26 mental health practitioners from which 16 will be identified for the actual research. The proposed sample unit consisting of 26 potential respondents will enable selection of a sample size of 16 participants with the application of exclusion criteria. The inclusion criteria will include level of experience; licensees who are fully licensed and are in good standing, residing and/or working in the state of Michigan to ensure that the final sample space is representation of the entire population. All the potential respondents will be recruited from within the State of Michigan. The exclusion criteria will be those with no license, limited licensees and licensees who are not in good standing.           The researcher will anonymously recruit volunteers in the field of mental health care, such as counselors, social workers, psychiatrists, nurses, and psychologists, from the Michigan Department of Licensing and Regulatory Affairs. Under the provisions of the Freedom of Information Act (FOIA), there is a public list of healthcare professionals from the Bureau of Professional Licensing (BPL), which will be obtained from LARA-BLP- LicenseLists@michigan.gov. The list includes name, occupation name, occupation type, status, expiration date, address, release date, profession, and email address (Michigan.gov, n.d.). Emails will be used to send out a recruitment flyer, as shown in Appendix A. An electronic link to a brief survey will be include in the email for those who are interested in participating. It will be conducted anonymously through Surveymonkey.com. The Survey Monkey site uses security features and encryption to ensure data confidentiality.
5.2 Expected Site Describe the organization or site(s) from which you expect to draw the sample.   This section should include: The name of the agency.The type of agency (profit, nonprofit, government).The population served.The agency’s mission and/or human services they provide.
The researcher will draw the sample from practitioners in the State of Michigan and CARV. This is an organization that provides services to people with mental health needs in Southfield, Michigan, and surrounding cities. The agency’s mission is to provide holistic therapy counseling that promotes the healing of patients with respect and dignity (Remler & Van Ryzin, 2013). The mission of the agency is to provide services and provide satisfactory counselling services for people with mental health problems.
5.3 Site Permission This section should include: The name of the authorized individual allowing the use of the organization or site. A statement of whether the site has an IRB.The process to obtain permission to access the stakeholders, population, or data source.
Approval for the site of interest, CARV, was given by Capella University’s, Dr. Dinah Manns, EdD, Academic Research Director for Counseling, Human Behavior, Human Services, Nursing, and Social Work. CARV does not have an IRB board. This researcher is the solo practitioner in this practice and gives permission as well. The researcher will recruit volunteers in the field of mental health care, such as counselors, social workers, psychiatrists, nurses, and psychologists, from the Michigan Department of Licensing and Regulatory Affairs, using a public list of professionals from the Bureau of Professional Licensing (BPL), which will be obtained from LARA-BLP-LicenseLists@michigan.gov.
5.4 Participant Contact How will potential participants first be contacted? How will participants be contacted following the study?
Potential participants will be contacted via e-mail, asking for their help and participation in the research, and informing them of voluntary participation, describing the research, methods, and potential risks (minimum). A public listing of Michigan’s department of LARA for mental health providers are available under the FOIA and will be utilized. A research flyer was developed (Appendix A) to recruit potential research participants for the study. Tentatively, the research flyer is purposed for permission for posting to mental health care associations as well.
5.5 Action Plan and Time Frame Describe the steps and time it will take to complete the Capstone Project. Provide a quarter-by-quarter listing of activities from start to finish. Describe the exact procedures that will be needed to carry out this study.  This should read like a recipe for conducting the study. Be sure to include all the necessary details so that someone else would be able to follow this to replicate the study. (See Appendix C for an example of a completed chart.)   This section should include: A step-by-step description of exactly how the research will be conducted.
Quarter Activity Estimated time Recruitment:                    Emailing recruitment flyers                                              1 week       Aggregate Data:              Collecting and combining data                                          2 weeks     Analyzing Data:              Interpreting context analysis via tables and charts            1 week                      Findings & Results:        Writing conclusions, findings, and results                         1 week
5.6 Action Research Feedback Loop and Dissemination Plan Describe the plan for providing feedback to stakeholders and the dissemination of the Capstone Project findings.   This section should include: The specific type of meeting (focus group, board meeting, community meeting, presentation meeting, etc.).The specific audience (executive administrators, directors, board members, stakeholders, etc.).The type of information that will be disseminated (written executive summary, verbal presentation of results, etc.). The key messages based on stakeholder feedback.The timeline for the feedback.
Research Feedback and Dissemination               The researcher intends to provide feedback and study results once research is completed, and participant’s informed consent is obtained for sharing the results of the study. The specific type of feedback will be disseminated via written executive summary form during a tentative community presentation. This feedback will be opened to study participants and others such as focus groups and community presentation meetings pending consent for a period of 120 days. The key message will be the stakeholder’s perspectives in the implementation strategy of expanding mental health care facilitators and services to co-location; providing a one-stop mental and behavioral health care facility to meet the needs of those who seek these services.
5.7 Action That Will Result from This Project Describe the action sought by the project and how the action plan will be implemented.   For example, the development of a task force that will be implemented by the organization with community members.
The project intends to develop a service delivery change management plan to be implemented by a taskforce with an intention of expanding capacity for interprofessional collaboration in offering mental health counseling services. The action plan is designed around a holistic modification of current practices at departmental level. Therefore, for the plan to succeed, a special taskforce will be appointed to implement, monitor, and evaluate the effectiveness of the proposed change management plan. Evaluation will be done after every three months for a period of two years.
Section 6. Ethics
6.1 Ethical Considerations Describe any ethical considerations given the sample and/or topic.   This section should include:
A predominant document used to guide research to ensure that ethical practices are followed is the Belmont Report (Department of Health Education and Welfare [DHEW], 1979). The principles of ethics discussed in the Belmont Report can be divided into three basic categories, beneficence, respect, and justice (DHEW, 1979). Beneficence refers to the assurance that the research being conducted will be beneficial (DHEW, 1979). Respect refers to the assurance that the participants in the research will be accorded with the basic respect owed to a living thing (DHEW, 1979). Justice refers to the assurance that the participants will receive treatment that is fair and that any potential risks associated with the completion of the research will be distributed in a fair and equal manner across all participant groups (DHEW, 1979). The researcher will adhere to the principals of respect for persons, beneficence, and justice as well as the utilization of informed consent.             Informed consent will be explained to each participant of the study. Participants will receive details and expectations on the screening and questionnaire process.  Study participants will also be given the right to withdraw from the study at any given time for any reason.           Research ethics is a fundamental component of scientific study. The researcher will protect participants through inclusion of the anonymity clause that does not reveal the true identity of the respondents. Data collected will be coded and encrypted from end to end to avoid access by a third party (Vagle, 2018). During data analysis, the researcher will observe privacy of the data source by only using the collected data for primary intention for a period of five years. According to CITI standards, the data will be encrypted, kept and stored for five years (Longaray, n.d.).  The primary ethical concern is privacy and confidentiality of data collected (Zikmund, Carr, & Griffin, 2013).           A researcher must be sincere in covering intellectual property rights and consciousness through the multiple parts of the research. This ensures trade secrets, patents, copyrights, and trademarks are given exclusive rights and a competitive advantage in the marketplace. To address this ethical concern, the research intends to follow the rules highlighted in the informed consent and observe scholarly integrity in the use of secondary source of information (Almazan, 2017). The researcher will follow all appropriate procedures and adopt only formal methods of accessing such information. Recruitment, data collection, as well as the analysis of the data will be protected by anonymity of participant recruitment and attainment of informed consent by each participant. Data analysis will be analyzed using the same measures of anonymity. This study observes minimal risk to participants byway of collection and non-analyzation of personal information. The ethical concerns of the research will be addressed by a detailed explanation and understanding of the study and assurance to participants that personal information will not be accepted in the study. Any concerns from participants will be immediately addressed and participants will be made aware that their participation is voluntary and can be withdrawn at any time or reason. Every participant will be notified that coercion is prohibited and will be given adequate time to consider the study details and information for voluntary participation. Participants will be informed that their participation will, by no means, be linked to their relationship with employers. The study will include a statement listing no conflicts of interest, ethical approval, and funding. The research will also detail that its fundamental purpose is specifically to attain participant perspective in developing a change management plan for the expansion of mental health care and facilitators.
6.2 Risk Assessment Describe any risk to the participants and/or the organization. Reference the CITIT course for more information about minimal risk studies.   This section should include: A statement of whether the study is more than minimal risk. A statement of whether the study collects data from a vulnerable population.A description of any special steps will be taken to protect participants.
The study does not collect data from any vulnerable populations. There will be no personal participant information being collected in the study. Emails used to distribute the survey will not be linked to any data collected. The risk of the research does not exceed the minimum risk. The study will not collect data from any disadvantaged groups, but perspectives from practitioners who provide counseling services to people with mental health problems. The researcher will abide by ethical research guidelines and the utilization of informed consent to protect the privacy of participants.
Section 7. References
List all references used in proper APA Style. You should include a minimum of 30 for the research plan but will need at least 50 for the Final Capstone Project.
	References             Aarikka-Stenroos, L. (2010). The contribution and challenges of narrative data in interorganizational research. In Proceedings of the 26th International IMP Conference, Budapest, Hungary.           Annamalai, A., Staeheli, M., Cole, A., & Steiner, L. (2018). Establishing an integrated health care clinic in a community mental health center: lessons learned. Psychiatry Q, 89(1), 169-181.           Atkins, M. S., Cappella, E., Shernoff, E. S., Mehta, T. G., & Gustafson, E. L. (2017). Schooling and children’s mental health: realigning resources to reduce disparities and advance public health. Annual Review of Clinical Psychology, 8(13), 123-147.           Bevan, M. T. (2014). A method of phenomenological interviewing. Qualitative health research, 24(1), 136-144. https://doi.org/10.1177/1049732313519710.          Boege, I., Herrmann, J., Wolff, J. K., Hoffmann, U., Koelch, M., Kurepkat, M., Lütte, S., Naumann, A., Nolting, H. D., & Fegert, J. M. (2018).           CCSchool: a multicentre, prospective study on improving continuum of care in children and adolescents with mental health problems associated with school problems in Germany. BMC Health             Survey Res, 18(1), 947-956.          Bruns, E. J., Duong, M. T., Lyon, A. R., Pullmann, M. D., Cook, C. R., Cheney, D., McCauley, E. (2016). Fostering SMART partnerships to develop an effective continuum of    behavioral health services and supports in schools. American Journal of Orthopsychiatry, 86(2), 156-70.          Cook, C. R., Lyon, A. R., Locke, J., Waltz, T., Powell, B. J. (2019). Adapting a compilation of implementation strategies to advance school-based implementation research and   practice. Preview Science, 20(6), 914-935.          Cope, D. G. (2014). Methods and meanings: Credibility and trustworthiness of qualitative research. In Oncology nursing forum (Vol. 41, No. 1, pp. 89-91).          Creswell, J. (2014). Research design: Qualitative, quantitative and mixed methods approaches. Sage, 1-215.           Department of Health, Education, and Welfare (DHEW). (1979). The Belmont report. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (pp. 1-10). https://www.hhs.gov/ohrp/sites/default/files/the-belmont-report-508c_FINAL.pdf          Eiraldi, R., McCurdy, B., Khanna, M., Mautone, J., Jawad, A. F., Power, T., Cidav, Z., Cacia, J., & Sugai, G. (2014). A cluster randomized trial to evaluate external support for the implementation of positive behavioral interventions and supports by school personnel. Implement Science, 15, 9-12.           Elo, S., Kääriäinen, M., Kanste, O., Pölkki, T., Utriainen, K., & Kyngäs, H. (2014). Qualitative content analysis: A focus on trustworthiness. SAGE open, 4 (1), 1-10.            Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Archive of Internal Medicine, 166(21), 2314-21.           Glasper, A. (2014). Closing the gaps in mental health care. British Journal of Nursing, 23(4), 230–231.          Glowiak, M., Stargell, N. A., & Romero, D. E. (2018, November 5). key considerations for counselor community engagement. Counseling Today. ct.counseling.org           Guerrero-Castañeda, R. F., Menezes, T. M. O., & Ojeda-Vargas, M. G. (2017). Characteristics of the phenomenological interview in nursing research. Rev Gaúcha Enferm, 38(2), e67458.           Hayes, E. (2017). Integrating mental health care. Kai Tiaki : Nursing New Zealand, 23(8), 2.             Hill, J. K. (2013). Partnering with a purpose: Psychologists as advocates in organizations. Professional Psychology: Research and Practice, 44(4), 187–192.           Hokimoto, T. (2017). Advances in statistical methodologies and their applications to real problems. New York, NY: Wiley and Sons.          Jawlik, A. (2016). Statistics from A to Z: Confusing concepts clarified. New York, NY: John Wiley and Sons.          Kazdin, A. E. (2019). Annual Research Review: Expanding mental health services through novel models of intervention delivery. Journal of Child Psychology & Psychiatry, 60(4), 455–472. https://doi.org/10.1111/jcpp.12937           Lenz, S., Dell’Aquila, J., & Balkin, R. (2018). Effectiveness of integrated primary and             behavioral healthcare. Journal of Mental Health Counseling, 40 (3), 249–265.           Longaray, R. (n.d.). Research, Ethics, and Compliance Training. CITI Program. https://about.citiprogram.org/en/homepage/.           Lyon, A. R., Cook, C. R., Locke, J., Davis, C., Powell, B. J., & Waltz, T. J. (2019). Importance and feasibility of an adapted set of implementation strategies in schools. Journal of Psychology, 76, 66-77.           McLeigh, J. D., & Kilmer, R. P. (2017). Changing norms, strategies, and systems to support behavioral health and social justice: A call to action and introduction to the special section. American Journal of Orthopsychiatry, 87(5), 505–509.           Michling, T. (2020, August 13). Michigan Falls Short on Mental Health Services. Citizens Research Council of Michigan. https://crcmich.org/michigan-falls-short-on-mental-health-services.           Netting, F. E., Peter Kettner, Steve McMurtry, M. Thomas. Social Work Macro Practice, 6thEdition. Pearson Learning Solutions, 04/2017.           Panagioti, M., Panagopoulou, E., & Bower, P. (2017). Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Internal Medicine, 177(2), 195–205. Public records Center. Service Request Login Page. (n.d.). https://michiganlara.govqa.us/WEBAPP/_rs/(S(ou2g431rszbnqi4n3yh40tai))/RequestOpen.aspx?sSessionID=69136135101OMPDOTTPHFVCPYMTFYODRTWR%5BHZNE&rqst=1. Remler, D., & Van Ryzin, G. G. (2013). Cause and Effect [Video]. SAGE Research MethodsVideo. https://www.doi.org/10.4135/9781506358345.           Solberg, L.I., Crain, A.L., & Jaeckels, N. (2013). The DIAMOND initiative: implementing             collaborative care for depression in 75 primary care clinics. Implementation Science, 8(135), 33-56.             Taylor, L. K., Goldberg, M. G., & Tran, M. D. (2019). Promoting student success: how do we best support child and youth survivors of catastrophic events? Current Psychiatry Rep, 21(9), 82-94.             Wener, P., & Woodgate, R. L. (2016). Collaborating in the context of co-location: a grounded theory study. BMC Family Practice, 17(1). https://doi.org/10.1186/s12875-016-0427-x                 Wilson, D. K., Christensen, A., Jacobsen, P. B., & Kaplan, R. M. (2019). Standards for economic analyses of interventions for the field of health psychology and behavioral medicine. Health Psychology, 38(8), 669–671.           Vagle, M. D. (2018). Crafting phenomenological research. Rutledge.           Yaugher, A. C., Bench, S. W., Meyers, K. J., & Voss, M. W. (2020). How psychologists can impact the opioid epidemic. Professional Psychology: Research and Practice, 51(1),        85–93.           Zikmund, W. G., Carr, J. C., & Griffin, M. (2013). Business research methods (9th ed.).             Cengage Learning.
First DPP Review
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Second DPP Review
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Third DPP Review
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APPENDICES

APPENDIX A:  Recruitment Flyer

Study ID: HMSV9971   IRB: School of SBS Counseling DHS   Date Approved:  8/6/2021

Invitation to Participate in a Research Study

for

MENTAL HEALTH PRACTITIONERS

This study is part of the researcher’s doctoral education program

Hello!

My name is Cynthia Greene, and I am doctoral candidate in Capella University’s human services professional doctoral program. I am conducting research to explore providers’ perspectives on how interprofessional collaboration will help expand the options and services for those who seek mental healthcare services with the availability of appropriate mental healthcare services being offered in one location as opposed to a private practice that provides limited mental healthcare services and limited mental health care practitioners.

Research Purpose

The purpose of the research is to gather perceptions of interpersonal collaboration to expand a private practice’s capacity to provide a wider scope of services all in one location to underserved clients seeking mental healthcare. Your input is important and needed in understanding the transition of limited mental healthcare to one that is robust and able to meet the needs of those who seek care. The study seeks perspectives from fully licensed mental health practitioners such as Counselors, Nurses, Psychiatrist, Psychologist, and Social Workers who work in the State of Michigan.

Participation is voluntary and participants may withdraw at any time for any reason.

Research Procedure

You are invited to participate in this study which includes a brief 13 anonymous questionnaire.

The questionnaire includes 13 multiple-choice, Likert-scale, yes/no and 4 open ended type questions.

The survey will be accessed via a link to Survey Monkey, which is an online survey software system and will

take 8-to-10 minutes. No personal identifiable data will be collected.

If you would like to participate, please click on the link below.  [A2] All email contacts were requested via the Freedom of Information Act and accessed through the State of Michigan, Licensing and Regulatory Affairs (LARA) health and licensing division.  If you have any questions regarding this matter, please feel free to contact me at the email and or phone number listed below.  Thank you for your willingness to participate in the research study.  Kind regards.

Cynthia Greene, 

MA LPC, NCC, MSA

Telephone:     (586) 344-3176  anytime

Email:            Counselorcg@yahoo.com

APPENDIX B:  Survey Draft

Below are 13 participant survey questions. The question types are demographic, competency, and individual perspectives.  

Questions 1-9 are multiple choice questions. Circle which applies to you.

Questions 10-13 are short open-ended questions. Please give a brief detailed description.

APPENDIX C:  Open-Ended Questions

 [A1]I noticed not all of your 13 questions are listed here and they need to be

 [A2]And then put it right there. The flyer can be in the body of the email.

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