Trends and issues in the health care system affect the role of the psychiatric mental health nurse.

Although psychiatric nurses have traditionally worked on inpatient psychiatric units, they have continued to expand their role into the community

The psychiatrist mental health generalist nurse is a licensed registered nurse for delivering primary mental health care. She perform in prevention programmes, community and day care centers and psychiatric rehabilitation centers.

Psychiatrist clinical nurse specialist holds a master degree in mental health nursing. CNS is an advanced practice nurse who is usually a primary health care provider. Function autonomously. Often work in a semi isolated situation. can prescribe the medication depending on the state laws. Manage the overall care of people with emotional and psychiatric problem.

Community mental health nursing is the application of knowledge of psychiatric nursing in the preventing mental illness, promoting and maintaining mental health. It includes early diagnosis, appropriate referrals, care and rehabilitation of mentally ill people.

Home health care is one of the aspect of community health care. Nurses provide holistic psychiatric nursing care on a visiting basis. These nurses provide comprehensive care including psychiatric and physical assessment Behavioural mgt crisis intervention. Psychoeducation, in-home detoxification Medication management.

Its a growing specialty in other countries around the globe. The nurses work with the individuals who have mental health needs and who have entered the legal system.

They are being consultant Recognition of the importance of psychophysiological interrelationship and their impact on physical illness, recovery and wellness. May provide assessment and supportive therapy to the patients who are in the anxious, depressed and psychological problems.

Nurse case manager act as advocates for patients and their families by coordinating care and linking the patient with the physician, other members in the health team, resources and the payers.

Its an expanding the psychiatric nursing practice to the aged people who have been affected by the emotional and behavioural disorders. Eg: dementia and schizophrenia.

Parish nursing as a specialty focusing on disease prevention and health promotion. Its a non invasive type of nursing in which no hands on nursing care is provided. Rather they are providing health information, support and social services. And physical and mental health screenings, outreach education and visits to the home.

Telenursing practice use techonologies such as internet, computers, telephones, digital assessment tool ect to deliver the nursing care. In india around 10 hospitals are having telemedicine.

The nurses who seek to find the answer to the questions through the experimentation. Conducting research and disseminate findings.

She works in the educational institution, patient education department. (educating the mentally ill patients and their families ) Another functions is planning and changing the curriculum planning according to the need of the society.

A nurse manager works less with the patients. He has the responsibility of leadership to maintain the therapeutic milieu. Nurse manager play a important role in negotiating and allocating the nursing resources.

Collaboration implies a commitment to common goals. Here the psychiatric nurses bring their own specialized knowledge for the treatment process. (co-operation, co-ordination)

One of the latest role in the nursing. The new opportunity for the psychiatric nurses to demonstrate their flexibility, accountability and self direction. Chance to give a primary, secondary and tertiary preventive functions.

Inpatient psychiatric wards. Outpatient dept ECT treatment setting Psychotherapy unit (establish therapeutic relationship) Day care centers Family therapy units Child psychiatric ward.

Home setting. Community mental health centers Hospice care centers Emergency departments. Medical inpatient wards Industrial medical centers hospital for criminal insane, jail and prisons.