Deinstitutionalization and Chronic Mental Illness
This term refers to moving many clients with serious mental illness out of large psychiatric hospitals and into community care.
Deinstitutionalization
Shame, stigma, loneliness, frustration, and fear of relapse may describe the illness from this viewpoint.
The client's viewpoint
School problems, peer rejection, bullying, low self-esteem, and family stress may affect this group with chronic mental health problems.
Children and adolescents
Schizophrenia with substance use disorder is an example of care involving this.
Multiple mental health problems or dual diagnosis
Ineffective coping, self-care deficit, social isolation, and risk for relapse are examples of these.
Nursing problem statements or nursing diagnoses
Homelessness, repeated hospitalization, incarceration, and fragmented care occurred when this was inadequate.
Community support or community mental health services
Hopelessness, low self-esteem, anxiety, suspiciousness, poor insight, and impaired thinking are examples of these.
Psychological characteristics of chronic mental illness
Depression, anxiety, trauma, substance use, and self-harm risk may complicate chronic mental illness in this developmental group.
Adolescents
This approach treats mental illness and substance use together rather than ignoring one.
Integrated care
Teaching medication purpose, side effects, reminders, and follow-up appointments supports this intervention.
Promoting medication adherence
A mental health condition that lasts over time and often affects daily functioning is described this way.
Chronic
Social withdrawal, poor self-care, and repeated hospitalizations are examples of these.
Behavioral characteristics of chronic mental illness
Impaired judgment, substance use, homelessness, exploitation, and poor access to care may increase risk for this infection.
HIV
Hope, strengths, dignity, client goals, and self-determination are part of this psychiatric rehabilitation principle.
Recovery-oriented care
Identifying triggers, early warning signs, coping skills, and crisis contacts supports this intervention.
Relapse prevention
Patient rights, less restrictive care, and community living were positive goals of this movement.
Deinstitutionalization
The repeated cycle of relapse, hospitalization, discharge, and relapse again is sometimes described this way.
Depression, anxiety, stigma, grief, cognitive changes, and medication fatigue may occur after diagnosis with this illness.
HIV/AIDs
Medication management, budgeting, hygiene, cooking, social skills, and job skills are examples of this rehab principle.
Skill building
Hygiene, nutrition, clean clothing, sleep routine, and appointment attendance are examples of supporting these.
Activities of daily living or ADLs
This phrase summarizes the meaning of chronic mental illness without hopelessness.
Chronic does not mean hopeless
Trouble with memory, concentration, judgment, planning, and problem-solving may contribute to this treatment problem.
Medication nonadherence or poor follow-through
HIV/AIDS and mental illness both require support with appointments, medications, stigma, safety, and this long-term behavior.
Treatment adherence
Supported housing, supported employment, peer support, case management, and clubhouse programs support this rehab principle.
Community integration
A client with chronic schizophrenia has had repeated hospitalizations, difficulty taking medication, poor hygiene, and no stable housing. The nurse helps arrange case management, medication support, housing resources, ADL goals, and relapse-prevention planning.
Nursing care using psychiatric rehabilitation principles for chronic mental illness