I have done psych home health for 2 yrs now and love it. I do medication mgmt, safety checks, education and a lot of therapeutic communication. The majority of the time I do feel safe but if I did not I would not enter a home without some form of backup, such as another nurse or a supervisor. It is very challenging but rewarding as you truly impact their lives and are often the only person they may come into contact with in the entire day. Unfortunately many times the home environments are less than ideal but this is often the result of the disease and/or economics and the difficulty in finding appropriate housing. If you want any more feedback or info feel free to let me know and I will help if I can!!!