Hi marilynmom, I really like psych home health, sometimes it is kinda strange or scary but most of my patients are in an assisted living center and so always someone is around. At their homes its strange at first but then you get used their quirks and know what to expect. And yes some are strange but if you ever feel like you don't need to be there you can leave. I have never felt threatened or anything, most of them know their meds help them. Most schizophrenics are honest but the ones with paranoia until they get to know you are very wary. Usually you have your patients for awhile because they are on long term injections or you draw blood for CBC for Clozaril therapy. Most live alone or have no caregivers to take them to DR. And alot of them chain smoke. Some are short term and just need teaching, not many though. The skills needed are what most nurses have, a lot of patience and a sense of humor. I would love this job as a NP, and do med management, guess I'll have to wait and see what happens. So have you applied to USA yet? UAMS is online except for the first day of each class. But I would still rather go to USA because it's a shorter time commitment. So I guess we'll see. Good Luck!