Abstract
The revolutionary upheaval in this nation's health care system may cause many psychiatric nurses in traditional settings to be concerned about their future role. According to the United States Department of Health and Human Services (1990), there were 66,142 psychiatric registered nurses employed in inpatient hospital settings as of 1988. The advent of managed care, decrease in entitlements, and overburdening of the health care system has again led to less accessibility to inpatient psychiatric hospitalization, and briefer stays once hospitalized. As treatment once again moves into the community, nurses may wonder what types of new programs will follow, and if they will employ psychiatric nurses. One type of community based program uses the principles of psychosocial rehabilitation. The Village Integrated Services Agency is such an organization, allowing nurses to fully use their nursing skills, but without the focus on illness and the constraints on autonomy typically experienced in hospital settings.
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