Patient transition from hospital to home can be a devastating experience. A change in environment requires time for adjusting appropriately; the amount of time differs for each individual. This transition can be more stressful for psychiatric patients readjusting to their environment. Home health psychiatric nursing is a unique and intriguing specialty. For patients requiring in-home care management, it is essential to focus on the home health environment and create programs that will benefit the specific needs of these patients. The psychiatric patient must be included as health care changes take place. As the need for home health continues to rise, addressing psychiatric patient care concerns is of primary importance and the establishment of psychiatric home health programs is imperative.