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Tasks and activities of community mental health nurses: integrative review and thematic analysis / Aufgaben und Tätigkeiten der ambulanten psychiatrischen Pflege: Integratives Review und thematische Analyse Cover

Tasks and activities of community mental health nurses: integrative review and thematic analysis / Aufgaben und Tätigkeiten der ambulanten psychiatrischen Pflege: Integratives Review und thematische Analyse

Open Access
|Dec 2025

Figures & Tables

Figure 1:

Flow diagram of study selection
Flow diagram of study selection

Characteristics of the included studies on CMHN

Author (year)CountryDesign/MethodsPatient population
Ameel et al. (2020)FinlandDelphi studyNot specified
Begum & Riordan (2016)UKQualitative studyPersons experiencing mental health crises
Bury et al. (2022)USACase reportPersons with mental health problems
Carson & Yambor (2012)USACase reportPersons with mental health problems
Ciftci et al. (2022)TurkeyQuasi-experimental studyPersons with schizophrenia
Coffey & Hewitt (2008)UKQualitative studyPersons experiencing auditory hallucinations
Elsom et al. (2009)AustraliaCross-sectional studyNot specified
Fernández Guijarro et al. (2019)SpainRandomized controlled trialPersons with SMI taking antipsychotic medication and at risk for a metabolic syndrome
Gardner (2010)AustraliaQualitative studyPersons with multiple needs, post discharge from an inpatient service
Giménez-Díez et al. (2021)SpainCase studyPersons experiencing mental health crises
Haines et al. (2024)AustraliaScoping ReviewNot specified
Hannigan et al. (2011)UKCase studyPersons with mental health problems
Happell et al. (2012)AustraliaLiterature reviewNot specified
Herinckx et al. (2024)USAOccupational analysis and curriculum developmentPersons with SMI
Hernando-Merino et al. (2023)SpainNon-experimental, longitudinal descriptive study with a pre/post designPersons with mental illness
Heslop et al. (2016)AustraliaMixed-methods quality improvement studyPersons with mental illness
Jansson & Hällgren Graneheim (2018)SwedenQualitative, descriptive studyPersons with mental illness
Koekkoek et al. (2012)The NetherlandsMixed-methods quasi-experimental studyPersons with chronic non-psychotic illnesses
Malik et al. (2009)UKRandomized controlled trialPersons with schizophrenia
Matsuoka (2021)JapanQualitative descriptionPersons with mental health issues
Mousavizadeh & Jandaghian Bidgoli (2023)IranSystematic ReviewPersons with chronic mental illnesses
Richter et al. (2009)SwitzerlandMeta-SynthesisNot specified
van der Voort et al. (2024)The NetherlandsQualitative StudyPersons with SMI
Walsh et al. (2012)IrelandReportNot specified
Ward et al. (2018)AustraliaCase file auditPersons taking antipsychotic medications
White et al. (2011)UKCluster randomised controlled trialPersons with schizophrenia, schizoaffective or bipolar disorder

Inclusion and exclusion criteria

Inclusion criteriaExclusion criteria
  • -

    Psychiatric or mental health nurses from basic to advanced level working in the community or outpatient setting

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    Tasks or activities of the nurses are explicitly described

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    All study designs

  • -

    Publications in English or German

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    Published from 2008 onwards

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    Studies conducted in OECD countries

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    Evaluation of training programs

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    Nurses in training

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    Child or adolescent psychiatric services or forensic institutions

  • -

    Description of future roles or roles that do not exist yet

  • -

    Publication where tasks or activities of interdisciplinary teams are described

  • -

    Textbooks

Characteristics of the included studies on CMH-APN

Author (year)CountryDesign/MethodsPatient population
Allen et al. (2009)AustraliaQuantitative evaluation studyPersons living with HIV/AIDS and a mental health or substance use diagnosis
Baker et al. (2018)USACase reportPersons with several mental Illness at risk for homelessness
Brinkman et al. (2009)CanadaQuantitative evaluation studyPersons with mental health problems
Davies et al. (2008)USACase studyPersons with bipolar disorder
Furness et al. (2020)AustraliaProof-of-concept study with a mixed methods designPersons with mental illness and a high risk of cardiovascular diseases
Hamilton-West et al. (2017)UKMixed-method formative evaluationPersons with stable long-term mental health illness
Judge-Ellis & Buckwalter (2024)USACase examplePersons within a housing first setting, who are frequent users of high-cost services
Schroeder (2018)USACase descriptionPersons with serious mental illness
Swenson et al. (2008)CanadaMixed-methods implementation evaluationPersons of family medicine practices with mental health problems
Tamaki (2008)JapanRandomized controlled trialWomen with post-partum depression
Turi et al. (2023)USASystematic ReviewPersons with anxiety, depression, or substance use disorders in primary care settings

Overview of reported task areas and activities for community mental health nurses (CMHNs) and community mental health advanced practice nurses (CMH-APNs)

Main task areaSpecific activitiesReported for CMHNReported for CMH-APN
Direct nursing careBuilding therapeutic relationship and partnership with patientsyesyes
Screening and Assessmentyesyes
Screeningyesyes
Risk assessmentyesno
Mental health assessment and monitoringyesyes
Physical health assessment and monitoringyesyes
Treatment planning and documentationyesyes
Psychosocial therapy and disease managementyesyes
Self-care and coping assistanceyesyes
Counselling and support of patientsyesyes
Crisis interventionyesyes
Therapeutic interventionsyesyes
Medication Management and administrationyesyes
Prescribingyesyes
Medication Management, reconciliation and administrationyesyes
Family support and therapyyesyes
Coercive interventionsyesno
Care coordination and case managementCollaboration with other professionalsyesyes
Coordinate health care systemyesyes
Follow upyesyes
Health promotionHealth education and promotionyesyes
Consulting and educationConsulting and education of other professionalsyesyes
Patient educationyesyes
Education of patients next of kinyesno
Leadership and managementStaff development and project managementyesyes
Research and practice developmentResearch, role implementation and practice developmentyesyes
Language: English, German
Page range: 135 - 147
Submitted on: Aug 19, 2025
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Accepted on: Oct 27, 2025
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Published on: Dec 31, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Anna Hegedüs, Melina Hasler, Stefan Scheydt, published by ZHAW Zurich University of Applied Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.