Community-Based

Care in Mental
Health Nursing
Hazel May N. Evangelista, RN
In the USA
 OUTPATIENT SERVICES

 Subacute Care
- when inpatient hospitalization is not
needed
- less expensive and less intensive
24-hours supervision
- allows individual autonomy and
independence
 OUTPATIENT SERVICES
 Outpatient programs
- traditionally, occurs in mental
health clinics and private offices
- number of visits varies according to
the individual’s needs
- assessment of needs is made to
determine if intense or different type
of service is needed
 PSYCHIATRIC HOME
CARE
- available for homebound clients
whose disabilities or illness inhibits
them from leaving their home
- often serves individuals with severe
and persistent mental illnesses and
those with a combination of
psychiatric and medical illness
 COMMUNITY OUTREACH
PROGRAMS
- developed to reach out individuals
in the rural areas, homeless or
transient groups
who lack traditional medical and
social services
RESIDENTIAL SERVICES

- provided to individuals who need

temporary or long-term housing
- length of stay: 3 to 6 months or
longer
 RESIDENTIAL SERVICES
 Extended care facilities (Nursing
homes)
- for individuals with severe
developmental disabilities, dementia,
or acute and chronic medical
illnesses
 RESIDENTIAL SERVICES
 Apartment living
- provide varying degrees of
supervision and programming
- staff may be on site on a daily basis
offering groups and activities, or
periodically to ensure medication
compliance
 RESIDENTIAL SERVICES
 Group Homes ( Halfway homes)
- may provide temporary or
permanent housing for individuals
with chronic mental disorders.
- some provide group therapy and
structured activities, while others just
meals, a bed or laundry facilities
 RESIDENTIAL SERVICES
 Foster care and boarding homes
- are generally staffed by
nonprofessionals but with
professional supervision offered on
an outpatient basis
- shelters for the homeless
- services for specific populations
 SELF-HELP GROUPS
 Addiction based Alcoholics Anonymous
 Survivor based Incest Survivors Anonymous
 Disorder based National Alliance for the
Mentally Ill
 Loss based Grief, divorce, bereavement
support group
 Medically based AIDS support group
 Prevention based Parenting, tough love
support groups
Here in the
Philippines
 Mental Health Programs
GOALS:
 Promotion of mental health
 Decrease health-related effects of
stressful lifestyle
 Reduction of prevalence of mental ill
health and disorders in the
Philippines
 National Objectives
 Health Status
- reduce by 1% ; prevalence
- reduce by 5% ; target: workforce
 National Objectives
Risk Reduction
proportion of high risk
individuals

INCREASE proportion of members of

the workforce

proportion of children
 National Objectives
 Services and Programs
- establish new and upgrade existing
mental health facilities
- upgrade existing competencies on
mental health, for mental professionals
and health care providers
 National Objectives
- increase the percentage of health
facilities, workplace and communities
that provide mental health services
- develop self-help and family care
programs
- increase the capability of health
facilities for psychosocial assessment
and screening of mental disorders
 Nursing Responsibilities and
Functions
 In Mental Health Promotion
- Participate in the promotion of
mental health
- Utilize opportunities
- Help people in the community
- Teach parents the importance of
providing emotional support to their
children
 Nursing Responsibilities and
Functions
 In Prevention and Control
- Recognize mental health hazards
and stress situations
- Recognize pathological deviations
from normal
- Be aware of the potential causes of
breakdown
Nursing Responsibilities and
Functions
- Help the family to understand and
accept the patient’s health status
and behavior
- Impart information and guidance
about the treatment scheme of the
patients
 Nursing Responsibilities and
Functions
 Rehabilitation
- Initiate patient participation in
occupational activities
- Encourage and initiate patients to
partake in activities
- Advise the family about the importance
of regular follow-up at the clinic
- Make regular home visits
 Nursing Responsibilities and
Functions
 In Research and Epidemiology
- Participate actively in
epidemiological survey to be aware
of the size and extent of mental
health problems of the community
and organize a program for better
preventive, curative and
rehabilitative measures
THANK YOU FOR
LISTENING