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Community-BasedCommunity-BasedCare in MentalCare in Mental
Health NursingHealth Nursing
Hazel May N. Evangelista, RNHazel May N. Evangelista, RN
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In the USAIn the USA
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Subacute CareSubacute Care
- when inpatient hospitalization is not- when inpatient hospitalization is notneededneeded
- less expensive and less intensive- less expensive and less intensive
24-hours supervision24-hours supervision- allows individual autonomy and- allows individual autonomy and
independenceindependence
OUTPATIENT SERVICESOUTPATIENT SERVICES
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OUTPATIENT SERVICESOUTPATIENT SERVICES
Outpatient programsOutpatient programs- traditionally, occurs in mental- traditionally, occurs in mentalhealth clinics and private officeshealth clinics and private offices
- number of visits varies according to- number of visits varies according tothe individuals needsthe individuals needs
- assessment of needs is made to- assessment of needs is made todetermine if intense or different typedetermine if intense or different typeof service is neededof service is needed
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PSYCHIATRIC HOMEPSYCHIATRIC HOME
CARECARE- available for homebound clients- available for homebound clients
whose disabilities or illness inhibitswhose disabilities or illness inhibits
them from leaving their homethem from leaving their home- often serves individuals with severe- often serves individuals with severe
and persistent mental illnesses andand persistent mental illnesses and
those with a combination ofthose with a combination ofpsychiatric and medical illnesspsychiatric and medical illness
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COMMUNITY OUTREACHCOMMUNITY OUTREACH
PROGRAMSPROGRAMS- developed to reach out individuals- developed to reach out individuals
in the rural areas, homeless orin the rural areas, homeless or
transient groupstransient groupswho lack traditional medical andwho lack traditional medical and
social servicessocial services
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RESIDENTIAL SERVICESRESIDENTIAL SERVICES
- provided to individuals who need- provided to individuals who need
temporary or long-term housingtemporary or long-term housing
- length of stay: 3 to 6 months or- length of stay: 3 to 6 months orlongerlonger
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RESIDENTIAL SERVICESRESIDENTIAL SERVICES
Extended care facilitiesExtended care facilities(Nursing(Nursing
homes)homes)
- for individuals with severe- for individuals with severedevelopmental disabilities, dementia,developmental disabilities, dementia,
or acute and chronic medicalor acute and chronic medical
illnessesillnesses
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RESIDENTIAL SERVICESRESIDENTIAL SERVICES
Apartment livingApartment living
- provide varying degrees of- provide varying degrees of
supervision and programmingsupervision and programming
- staff may be on site on a daily basis- staff may be on site on a daily basis
offering groups and activities, oroffering groups and activities, or
periodically to ensure medicationperiodically to ensure medicationcompliancecompliance
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RESIDENTIAL SERVICESRESIDENTIAL SERVICES
Group HomesGroup Homes( Halfway homes)( Halfway homes)
- may provide temporary or- may provide temporary or
permanent housing for individualspermanent housing for individualswith chronic mental disorders.with chronic mental disorders.
- some provide group therapy and- some provide group therapy and
structured activities, while others juststructured activities, while others justmeals, a bed or laundry facilitiesmeals, a bed or laundry facilities
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RESIDENTIAL SERVICESRESIDENTIAL SERVICES
Foster care and boarding homesFoster care and boarding homes
- are generally staffed by- are generally staffed by
nonprofessionals but withnonprofessionals but withprofessional supervision offered onprofessional supervision offered on
an outpatient basisan outpatient basis
- shelters for the homeless- shelters for the homeless
- services for specific populations- services for specific populations
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SELF-HELP GROUPSSELF-HELP GROUPS
Addiction basedAddiction based Alcoholics AnonymousAlcoholics Anonymous
Survivor basedSurvivor based Incest Survivors AnonymousIncest Survivors Anonymous
Disorder basedDisorder based National Alliance for theNational Alliance for theMentally IllMentally Ill
Loss basedLoss based Grief, divorce, bereavementGrief, divorce, bereavement
support groupsupport group
Medically basedMedically based AIDS support groupAIDS support group Prevention basedPrevention based Parenting, tough loveParenting, tough love
supportsupport groupsgroups
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Here in theHere in the
PhilippinesPhilippines
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Mental Health ProgramsMental Health Programs
GOALS:GOALS: Promotion of mental healthPromotion of mental health
Decrease health-related effects ofDecrease health-related effects of
stressful lifestylestressful lifestyle Reduction of prevalence of mental illReduction of prevalence of mental ill
health and disorders in thehealth and disorders in the
PhilippinesPhilippines
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National ObjectivesNational Objectives
Health StatusHealth Status
- reduce by- reduce by
1%1% ; prevalence; prevalence
- reduce by- reduce by 5%5% ; target: workforce; target: workforce
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National ObjectivesNational Objectives
Risk ReductionRisk Reduction
INCREASEINCREASE
proportion of high riskproportion of high risk
individualsindividuals
proportion of members ofproportion of members ofthe workforcethe workforce
proportion of childrenproportion of children
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Services and ProgramsServices and Programs
- establish new and upgrade existing- establish new and upgrade existing
mental health facilitiesmental health facilities- upgrade existing competencies on- upgrade existing competencies onmental health, for mental professionalsmental health, for mental professionalsand health care providersand health care providers
National ObjectivesNational Objectives
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- increase the percentage of health- increase the percentage of healthfacilities, workplace and communitiesfacilities, workplace and communities
that provide mental health servicesthat provide mental health services- develop self-help and family care- develop self-help and family careprogramsprograms
- increase the capability of health- increase the capability of healthfacilities for psychosocial assessmentfacilities for psychosocial assessmentand screening of mental disordersand screening of mental disorders
National ObjectivesNational Objectives
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Nursing Responsibilities andNursing Responsibilities and
FunctionsFunctions In Mental Health PromotionIn Mental Health Promotion
- Participate in the promotion of- Participate in the promotion of
mental healthmental health- Utilize opportunities- Utilize opportunities
- Help people in the community- Help people in the community
- Teach parents the importance of- Teach parents the importance ofproviding emotional support to theirproviding emotional support to theirchildrenchildren
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In Prevention and ControlIn Prevention and Control
- Recognize mental health hazards- Recognize mental health hazards
and stress situationsand stress situations
- Recognize pathological deviations- Recognize pathological deviations
from normalfrom normal
- Be aware of the potential causes of- Be aware of the potential causes of
breakdownbreakdown
Nursing Responsibilities andNursing Responsibilities and
FunctionsFunctions
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- Help the family to understand and- Help the family to understand and
accept the patients health statusaccept the patients health status
and behaviorand behavior- Impart information and guidance- Impart information and guidance
about the treatment scheme of theabout the treatment scheme of the
patientspatients
Nursing Responsibilities andNursing Responsibilities and
FunctionsFunctions
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RehabilitationRehabilitation
- Initiate patient participation in- Initiate patient participation in
occupational activitiesoccupational activities- Encourage and initiate patients to- Encourage and initiate patients topartake in activitiespartake in activities
- Advise the family about the importance- Advise the family about the importance
of regular follow-up at the clinicof regular follow-up at the clinic- Make regular home visits- Make regular home visits
Nursing Responsibilities andNursing Responsibilities and
FunctionsFunctions
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In Research and EpidemiologyIn Research and Epidemiology
- Participate actively in- Participate actively in
epidemiological survey to be awareepidemiological survey to be awareof the size and extent of mentalof the size and extent of mental
health problems of the communityhealth problems of the community
and organize a program for betterand organize a program for betterpreventive, curative andpreventive, curative and
rehabilitative measuresrehabilitative measures
Nursing Responsibilities andNursing Responsibilities and
FunctionsFunctions
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THANK YOU FORTHANK YOU FOR
LISTENINGLISTENING