Community Mental Health Journal

, Volume 41, Issue 4, pp 481–496

What do Nurses do When they Taketo the Streets? An Analysis ofPsychiatric and Mental Health Nursing Interventions in theCommunity

  • Thérèse Wallace
  • Shelley O’Connell
  • Sara R. Frisch
Community Psychiatric Practice

DOI: 10.1007/s10597-005-5086-7

Cite this article as:
Wallace, T., O’Connell, S. & Frisch, S.R. Community Ment Health J (2005) 41: 481. doi:10.1007/s10597-005-5086-7


Little research can be found on nursing practice for populations needing non-traditional mental health care. A descriptive study was done with the nurses on the Community Link Service (CLS), an intensive psychiatric community follow-up program, to identify nursing interventions and the types of situations encountered. These nurses use the guiding principles of two current treatment modalities, Assertive Community Treatment and Clinical Case Management. The Nursing Interventions Classification System (NIC, McCloskey & Bulecheck, 2000) was used to code nursing interventions reported through interviews and critical incidents. The nursing interventions represented 93 interventions and included 400 different activities. The analysis showed that Case Management (79%) and Complex Relationship Building (71%) were their most common interventions followed by Medication Management (64%) and Surveillance (60%). Systems such as the NIC are useful tools, but they may not give a complete description of nursing practice in this setting.

Key words

community mental health nursing case management nursing intervention classification Assertive Community Treatment. 

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Thérèse Wallace
    • 2
  • Shelley O’Connell
    • 3
  • Sara R. Frisch
    • 1
  1. 1.former Director of Nursing Research, Montreal General Hospital siteMcGill University Health CentreCanada
  2. 2.Nurse Manager, Psychiatry Out-Patient DepartmentMcGill University Health CentreCanada
  3. 3.Nurse Case Manager on the Community Link Service, Psychiatry Outpatient Department, Montreal General Hospital siteMcGill University Health CentreCanada