Professional Documents
Culture Documents
Community Mental Health Nursing
Community Mental Health Nursing
MENTAL HEALTH
NURSING
Presented by:
Merin solomon
M.Sc.Nursing 1st yr
INTRODUCTION
• The methods of treating mental illness have
changed dramatically in the past century.
• The overall goal of community mental health as
outlined by Mrs. Indira Gandhi in may 1981 while
addressing the world health assembly is as :
DEFINITION
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
PRIMARY PREVENTION
• Services aim at reducing the incidence of mental
disorders within the population. Primary
prevention targets both individuals and the
environment. Emphasis is twofold:
• Examples include:
Example:
Examples include:
• inpatient hospitalization
• day or partial hospitalization
• group home or halfway house
• shelters, home health-care & nursing homes
• community mental health centers.
THE COMMUNITY AS
CLIENT
PRIMARY
&
SECONDARY
PREVENTION
Lancaster (1980) states:
1. Adolescence
2. Marriage
3. Midlife
4. Retirement
{1}. ADOLESCENTS
• It is a transition into young adulthood and is a
volatile time in most families.
• Commonly there is conflict over issues of control.
• It seems that the adolescent is 25 yrs old one day
and 5 yrs old the next.
• An often –quoted definition of an adolescent, by
an anonymous author, is “A toddler with
hormones and wheels”.
• Most frequent precipitant to adolescent suicide is
loss, or threat of loss, or abandonment by parents
or closest peer relationship.
PRIMARY LEVEL
• It focused on providing support and accurate
information to ease the difficult transition
they are undergoing.
• Positive reinforcement.
• Classes on menopause.
• Public attitudes
• Fragmented systems
• Poverty and race
• Private insurance
• Public findings.
ESSENTAIL SERVICES
REQUIRED
• Primary care mental health services
• Long-term care
• Managed care
HEALTH SERVICES AVAILABLE
AT COMMUNITY LEVEL
• Group homes
• Half-way homes
• Boarding homes
• Mobile outreach clinics: outreach
programmes literally reach out to the
homeless individuals in their own
environment in an effort to provide health
care.
HEALTH SERVICES AVAILABLE
AT COMMUNITY LEVEL
• Store-front clinics: these operate under poor
working conditions under budgetary
constraints with inadequate staffing,
supplies & equipments. Administering
medicines, vital signs, screening for
communicable diseases, health education &
supportive counseling.
• Foster homes
• Day care centers
HEALTH SERVICES AVAILABLE
AT COMMUNITY LEVEL
• Sheltered care facilities: provide a safe and
supportive environment
• Transitional housing
• Social-rehabilitation centers
POPULATION REQUIRING
TERTIARY PREVENTION
• The elderly