community nursing


Question Description

Psychiatric Care and Mental Health in the Community

Read chapter 24 of the class textbook and review the attached PowerPoint presentation. Once done answer the following questions;

  1. Explain and give some examples of the concepts of community mental health and discuss the importance of community mental health promotion in special populations.
  2. Describe the biological, social, and political factors associated with mental illness.
  1. Describe different types of evidence-based treatment for mental disorders, including the use of psychotropic medication management, community case management, and crisis intervention. Give at least one example

4. Describe the role of mental health nurses in the community.

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Chapter 24 Vulnerability in Community Populations: An Overview Basic Concepts • Risk • Vulnerability • Special needs – At risk • Vulnerable populations – Vulnerable families Web of Causation • Schematic model – Shows interrelationship among multiple factors that contribute to choices made by individuals, families, and communities that affect their health status – Factors commonly associated with vulnerability: • • • • • Disadvantaged socioeconomic status Lifestyle behaviors Low self-esteem Feelings of powerlessness Disenfranchisement Poverty and Historical Perspectives • Society’s attitude • Two common themes – Strong work ethic – Religious/moral beliefs • Industrial Revolution • Public assistance programs • Shift from federal government to state to private sector Cultural and Policy Perspectives • Cultural perspectives – Meaning of poverty • • • • Impoverished Persistent poverty Neighborhood poverty Underclass poverty • Policy perspectives – Poverty index – Near poor Health-Related Perspectives • • • • High rate of infant mortality High morbidity and mortality Complex health problems Physical limitations secondary to chronic illness • Trauma-induced injuries • Death by violence Community Perspectives • High proportion of underrepresented ethnic groups • Single mothers • High rate of unemployment • Low level of education • Low wages • Violence • Discrimination • Communicable diseases • Premature death Vulnerable Populations with Special Needs • Disenfranchised • Uninsured and underinsured – Medically indigent/working poor • • • • Children and adolescents Elders Underrepresented ethnic groups Women Nursing Considerations • Access to care • Acceptable services for vulnerable patients in diverse settings – Know the community – Schedule clinic visits at convenient times – Have bilingual nurses available – Staff members who reflect cultural, racial, ethnic background of persons who use the facility – Sensitivity – Nonjudgmental attitude Considerations • Ethical and legal • Patients’ strengths and resources – Hardiness – Support networks • Nursing roles – Advocate and activist – Case manager – Educator and counselor – Collaborator and partner – Researcher ...
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School: University of Maryland



Psychiatric Care and Mental Health in The Community
Student name


This paper examines psychiatric care and mental health in the Community. It
starts by giving basic concepts of community mental health. Three concepts are
discussed; social determinants of health, risk, and vulnerability. It proceeds to give
biological, social and political factors that affect mental health. It also describes the
types of evidence-based treatment for mental disorders. Lastly, the paper ends by
looking at the roles of nurses in community mental health.




Concepts of Community Mental Health
The term Mental health has three connotations in epidemiology. The term is used
positively to refer to a state of psychological wellbeing. Psychological wellbeing is
viewed as the ability of an individual to harmoniously interact with others in a community
set up, and constructively contribute or participate in positive changes in his/her social
or physical environment (Pilgrim, 2017, p. 3). Second, mental health is used as a prefix
of mental health services. Pilgrim (2017) notes that before World War II, the term
psychiatric services was mostly used to refer to mental health services (p. 4). Mental
health services/facilities included hospitals, clinics, and asylum. Presently, the
community mental healthcare as a service is considered part of the wider system of
providing mental healthcare. The third connotation of mental health is the negative
prefix to imply mental problem/illness. The term is euphemistically used to soften the
use of stigmatizing terms such as bipolar disorder or schizophrenia (Pilgrim, 2017, p. 4).
Karen and Janes in the book ‘Community Health Nursing: Caring f...

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