Care setting overview
Community Mental Health & Recovery Services
BH-CMR- Care model
- Community-based, recovery-oriented psychiatric care
- Typical pace
- Longitudinal outreach, flexible follow-up, and team-based coordination
- Population
- People with serious mental illness, complex social needs, or barriers to traditional clinic-based care
- Location
- Mill District
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Common presentations
- Psychotic, bipolar, depressive, trauma-related, and substance-use conditions
- Housing instability, justice involvement, fragmented care, and limited access
- Frequent crisis use, medication interruption, and functional recovery needs
PMHNP priorities
- Build engagement around the patient’s goals and practical needs
- Coordinate medication, therapy, primary care, benefits, housing, and crisis planning
- Use outreach and shared team responsibility to reduce avoidable care gaps
Care team
PMHNPs, psychiatrists, nurses, therapists, case managers, peer specialists, social workers, housing partners, primary care, and mobile crisis teams