2. INTRODUCTION
• Psychiatric mental health nursing is a specialized area of nursing practice
committed to promising mental health through the assessment, diagnosis,
and treatment of human responses to mental health problems and
psychiatric disorders,
• Psychiatric nurses provide comprehensive, patient – centered mental
health and psychiatric care and outcome evaluation in a variety settings
across the entire continuum of care.
• Mental health nursing occurs at three levels.
3. SCOPE OF MENTAL HEALTH NURSING
Basic
Role
Expanded Role
Extended
Role
4. BASIC ROLE OF PSYCHIATRIC NURSE
• Assist clients to regain or improve their coping skill or abilities and
prevent their disability.
• Assist the clients with self – care activities.
• Administer psychological interventions
• Provide psychoeducation
• Promotion of mental health, physical health of patients
• Assist in overall health promotion
5. BASIC ROLE OF PSYCHIATRIC NURSE
(CONT)
• General health teaching
• Health screening and appropriate referral services for treatment
6. EXPANDED ROLE
• Expanded role of nursing means engagement of nurse role within the
boundaries of the profession. It is the responsibility assumed by a nurse
within the field of practice.
7. EXPANDED ROLE OF PSYCHIATRIC
NURSE
Expanded Role
of Psychiatric
Nurse
Nurse
Practitoner
Case
Management
Nurse
Researcher
Clinical
Supervision
Peer
Consultation
Nurse
Counselor
8. NURSE PRACTIONER
• Professionally qualified nurses with specialized training and educational
preparation assume autonomous responsibility for the clinical role
functions.
• They are accountable for their own practice and prepared to perform
services independent of other disciplines in the full range of delivery
settings.
• They prescribe pharmacologic agents, order diagnostic and laboratory
testings and provide independent psychological therapies in the patients.
9. CASE MANAGEMENT
• Case management involves advocating the rights of the patient, by
offering social and legal services related to mental health.
• Nurse act as a coordinator between patients, family and health care
system.
10. NURSE RESEARCHER
• Nurse conducts independent research and generate research evidences for
the best psychiatric nursing practices.
• The research activities carried by the nurse researcher will be disseminate
the research findings in field to enhance the research activities.
11. CLINICAL SUPERVISION
• The expanded role of a nurse include the clinical supervision of nurses,
students and other health professionals to further develop their clinical
practice skills.
12. PEER CONSULTATION
• This process is an education processthat focuses on professional growth
and development rather than staff performance evaluation.
• The nurse conducts ongoing peer consultation and peer supervision to
meet the standard requirement and improve quality.
13. NURSE COUNSELOR
• Identify psychological problems of individual or family, provide
appropriate counseling and help them to discover effective ways of dealing
with these,
14. PATIENT EDUCATOR
• Some settings hire nurses with responsibility assigned to them for patient
and family education.
• Nurse teach about disease management program in public sector
programs, this role could include prevention, education and outreach.
15. RISK MANAGER
• Nurses who work as risk managers are charged with the task of
decreasing the probability of adverse outcomes related to patient care.
• They engage in identifying risk factors, individual and system wise
problems, corrective actions and the implementation of strategies to
reduce risk and prevent loss.
16. EXTENDED ROLE OF PSYCHIATRIC
NURSE
• It is the responsibility assumed by a nurse beyond traditional functioning
of the nurse and it is the scope of nursing services outside the hospital.
• Nurse in extended roles work in a variety of areas like schools / colleges,
private practices, military, primary care center, prison / jail. Home health
agencies, behavior care companies and disaster management campus.
17. Extended Role
of Psychiatric
Nurse
Clinical Nurse
Specialist
Consultation
Liasion
Community
Psychiatric
Nurse
School health
nurse
Parish Nurse
Forensic
psychiatric
nurse
Nurse
Educators
Geriatric
Nurse
Occupational
Health Nurse
Rehabilitation
Nurse
18. CLINICAL NURSE SPECIALIST
• Psychiatric nurse who have a specialized training can provide services in
different sub – areas of psychiatric nursing such as child and adolescent,
adult, geriatric, consultation liaison, substance abuse, eating disorders etc.
19. CONSULTATION LIASION
• Consultation – liaison activities take place in general health care settings
such as rehabilitation centers, schools, nursing homes and outpatient
clinics.
• Their role is to focus on rendering psychological care to non – psychiatric
clients.
20. COMMUNITY PSYCHIATRIC NURSES
• They provide support to people through difficult periods of their illness
and see patients in their own homes, they also play a valuable role in
helping the patient’s family to understand and cope with the illness.
21. SCHOOL HEALTH NURSES
• Provide psychiatric mental health services to the children in school.
Services may include screening of children having behavioural disorder or
emotional or scholastic problems and providing counseling to those
required.
22. FORENSIC PSYCHIATRIC NURSE
• Psychiatric nursing includes the provision of successful health care and
security of patient rights. Nurse must proceed to strengthen the laws that
protect the patients rights and ensure their execution in practice.
• Forensic nurses provides help to the people having legal issues related to
their fundamental rights and criminal or civil responsibilities.
23. NURSE EDUCATORS
• Provide training and education to the peripheral health care professional
regarding management and treatment of patients with mental illness.
24. GERIATRIC NURSE
• They are trained to provide a comprehensive care for aging and elderly
individual.
25. OCCUPATIONAL HEALTH NURSE
• They practice in industrial settings to help and improve the mental health
and safety of workers and other community groups.
26. REHABILITATION NURSE
• They are specialized in helping peoples with disabilities and chronic
illness. They help them to attain optimal health functions, health and
adapt to an altered lifestyle.
• Rehabilitation nurse assist their patients in their move towards
independence by setting realistic goals and treatment plans.
27. PARISH NURSING
• It is the intentional integration of the practice of nursing with the beliefs
of areligious community.
• A parish nurse encourages physical and spiritual health and wholeness
among persons with psychiatric illness and their families.
