This article introduces and defines the concept of primary mental health care, a model for the delivery of community-based, comprehensive psychiatric-mental health nurs ing care. The primary mental health care model incorporates professional role re sponsibilities, role functions, and intervention activities for psychiatric-mental health nurses at the basic and advanced levels of practice. Use of this model will enable psychiatric nurses to articulate a nursing perspective about primary mental health care to colleagues, to policymakers, and to consumers. (J Am PSYCHIATR NURSES Assoc [1995]. 1, 154-163)
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References
1.
Aiken, L.H., & Sage, W.M. (1993). Staffing national health care reform: A role for advanced practice nurses. Akron Law Review, 26, 1-30.
2.
American Nurses Association (1991). Nursing's agenda for health care reform. Washington, DC : Author.
3.
American Nurses Association (1994). A statement on psychiatric-mental health nursing practice and standards of psychiatric-mental health nursing practice. Washington, DC: Author.
4.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
5.
Baradell, J.G. (1995). Clinical outcomes and satisfaction of patients of clinical nurse specialists in psychiatric-mental health nursing. Archives of Psychiatric Nursing, 9, 240-250.
6.
Baradell, J. (1994). Cost-effectiveness and quality of care provided by clinical nurse specialists. Journal of Psychosocial Nursing , 32(3), 21-24.
7.
Billings, C.V. (1993, February). The possible dream of mental health reform. The American Nurse, 5-9.
8.
Boyd, M. (1994). Integration of psychosocial rehabilitation into psychiatric nursing practice. Issues in Mental Health Nursing , 15, 13-26.
9.
Campinha-Bacote, J. (1994). Transcultural psychiatric nursing: Diagnostic and treatment issues. Journal of Psychosocial Nursing, 32(8), 41-46.
10.
Chambers, J.K., Dangel, R.B., Tripodi, V., & Jaeger, C. (1987). Clinical nurse specialist collaboration: Development of a generic job description and standards of performance. Clinical Nurse Specialist, 1, 124-127.
11.
Donaldson, M., Yordy, K., & Vanselow, N. (1994). Defining primary care: An interim report. Washington, DC: National Academy Press.
12.
Fawcett, J. (1994). Psychiatry isn't a primary care specialty? Psychiatric Annals, 24, 517-518.
13.
Francis, P., Merwin, E., Fox, J., & Shelton, D. (1995). Relationship of clinical case management to hospitalization and service delivery for seriously mentally ill clients. Issues in Mental Health Nursing, 16, 257-274.
14.
Freeman, M.A., & Trabin, T. (1994). Managed behavioral healthcare.-History, models, key issues and future course. Washington, DC: U.S. Center for Mental Health Services.
15.
Haber, J. (1994). Washington update: Health care reform. Perspectives in Psychiatric Care, 30(1), 5-6.
16.
Haber, J., & Billings, C.V. (1993) Primary mental health care: A vision for the future of psychiatric-mental health nursing. ANA Council Perspectives, 2(2), 1-2.
17.
Harris, M.R., & Warren, J.J. (1995). Patient outcomes: Assessment issues for the CNS . Clinical Nurse Specialist, 9, 82-86.
18.
Hellwig, K. (1993). Psychiatric home care nursing: Managing patients in the community. Journal of Psychosocial Nursing, 31(12), 21-24.
19.
Holmes, H., Ziemba, J., Evans, T., & Williams, C.A. (1994). Nursing model of psychoeducation for the seriously mentally ill. Issues in Mental Health Nursing , 15, 85-104.
20.
Keefler, J., & Koritar, E. (1994). Essential elements of a family psychoeducation program in the aftercare of schizophrenia. Journal of Marriage and Family Therapy, 20, 369-380.
21.
Koldjeski, D. (1984). Community mental health nursing: New directions in theory and practice. New York: Wiley.
22.
Kovner, A.R. (1995). Futures. In A. R. Kovner (Ed.), Jonas's health care delivery in the United States (5th ed.). New York: Springer Publishing.
23.
Krauss, J.B. (1993). Health care reform: Essential mental health services . Washington, DC: American Nurses Publishing.
24.
Loomis, C.J. (1994, July). The real action in health care. Fortune, 149-156.
25.
Mann, N.A., Tandon, R., Butler, J., Boyd, M., Eiwner, W., & Lewis, M. (1993). Psychosocial rehabilitation in schizophrenia: Beginnings in acute hospitalization. Archives of Psychiatric Nursing, 7, 154-162.
26.
Marion, L.N. (in press). Primary care: Nursing's vision and plan. Washington, DC: American Nurses Publishing.
27.
Maynard, C. (1994). A psychoeducational approach to depression in women. Journal of Psychosocial Nursing, 31(12), 9-14.
28.
McClowry, S.G. (1995). The prevention of mental disorders in children . Capsules and Comments in Pediatric Nursing, 1 (1), 13-19.
29.
Mellon, S.K. (1994). Mental health clinical nurse specialist in home care for the 90's. Issues in Mental Health Nursing, 15, 229-238.
30.
Merritt-Ryan, M.V., Mitchell, C.A., & Pagel, I. (1988). Clinical nurse specialist role definition and operationalization. Clinical Nurse Specialist, 2, 132-137.
31.
Miller, M.P., & Duffy, J. (1993). Planning and program development for psychiatric home care. Journal of Nursing Administration, 23(11), 35-41.
32.
Miller, C.A., Moore, K.S., Richards, T.B., & Monk, J.D. (1994). A proposed method for assessin the performance of local public health functions and practices. American Journal of Public Health, 84, 743-1749.
33.
Moller, M.D. (1994, October). The Three R's Program: Relapse, recovery, and rehabilitationPaper presented at the 8th Annual American Psychiatric Nurses Association Meeting, San Antonio, TX.
34.
Montgomery, C.L., & Webster, D. (1994). Caring, curing, and brief therapy: A model for nurse psychotherapy. Archives of Psychiatric Nursing, 8, 291-297.
35.
Mrazek, P.J., & Haggerty, R.J. (1994). Reducing risks for mental disorders. Washington, DC: National Academy Press.
36.
Murphy, M.F., & Moller, M.D. (1993). Relapse management in neurobiological disorders. The Moller-Murphy Symptom Management Assessment Tool. Archives of Psychiatric Nursing, 7, 226-235.
37.
National Institute of Mental Health (1993). Health care reform for Americans with severe mental illness: Report of the National Advisory Mental Health Council. Rockville, MD : Author.
38.
Nehls, N. (1994). Brief hospital treatment plans: Innovations in practice and research. Issues in Mental Health Nursing, 15.- 1-12.
39.
Pessin, N., Lindy, D., Stricoff, D.J., Lieberman, L.A., Parkin, R., Goralewicz, R., Holahan, L., McHarry, L., & Hyer, K. (1993, May). Integrating mental health and home care services for AIDS patients. Caring Magazine, 30-34.
40.
Pew Health Professions Commission (1991). HealthyAmerica: Practitioners for 2005Durham, NC: Author.
41.
Seaburn, D., Gawinski, B., Harp, J., McDaniel, S., Waxman, D., & Shields, C. (1993). Family systems therapy in a primary care medical setting: The Rochester experience. Journal of Marriage and Family Therapy, 19, 177-190.
42.
Sharfstein, S.S., Stoline, A.M., & Koran, L. (1995). Mental health services (pp. 232-266). In A. R. Kovner (Ed.), Jonas's health care delivery in the United States. New York: Springer Publishing.
43.
Society for Education and Research in Psychiatric-Mental Health Nursing (1994). Position statement. Pensacola, FL: Author.
44.
Trigoboff, E. (1995). Psychopharmacological nursing: Psychiatric nursing and medications. Capsules and Comments in Psychiatric Nursing , 2(1), 11-14.
45.
United States Public Health Service. (1990 ). Healthy people 2000: National health promotion and disease prevention objectives. Washington, DC: U.S. Government Printing Office.
46.
van Servellen, G., Poster, E.C., Ryan, J., Allen, J., & Randell, B.P. (1992). Methodological concerns in evaluating psychiatric nursing care modalities and a proposed standard group protocol for nurse-led groups. Archives of Psychiatric Nursing, 6, 117-124.
