Chapter 27 Psychiatric Care and Mental Health in the Community

The Unique Role and Perspective of Psychiatric–Mental Health Engages in therapeutic use of self Presence Self-reflection

Nursing in Caring for the Public’s Health Demographic changes Patterns of disease Methods of control and prevention of health problems Wellness focus

Definition of Mental Health Mental health involves connection of body, mind, and spirit, in mental and physical wholesomeness.

History of Mental Health in the Community Early humanitarian reform in mental health Community mental health reform in the 1960s

History and Spirit of Psychiatric–Mental Health Nursing in the Community State of the science of psychiatric–mental health nursing Levels of psychiatric–mental health nursing practice Basic-level function Advanced-level function

Individuals and Population Groups Needing Psychiatric–Mental Health Services Loss, death, separation Crisis Anxiety Depression Illness—acute and chronic Stress and coping Teens

Individuals and Population Groups Needing Psychiatric–Mental Health Services (cont.) Victims of violence American families Elderly population

Models for Psychiatric–Mental Health Nursing Practice Public health model Primary care model Primary mental health care model Using reflection in nursing education and practice Using a phenomenological perspective: Understanding the public’s mental health lived experience, one person at a time