Nurseladyt: Yes, my last couple of "gigs" were intermittent home health care. Yes, the driving in between visits is enjoyable! For me, though, home health care became untenable. Although it's been decades since I worked for an agency that pays hourly, @ least one hospital based agency in my area still does. The idea of having to perform 5.5 "points" per day, average (1.5 = start of care, 1 = revisit), that is all inclusive, i.e., assessment, documentation, "skilled intervention(s), phone calls, scheduling, driving, care plans
and on and on is too much. Too many 14+ hour days. I didn't even mention case management duties for the LVNs.
Now, back to psych. I agree with Davey Do; if I were to go back & work psych (I would expect to be 5150's if I ever considered it, though!), geriatric population would be my choice. Unfortunately, the 2 facilities I worked in mixed adult and geriatric which necessitated protecting the later from the former.
Adolescent psych, as Davey Do explained and as SwampCat elaborated on, takes a personality that I don't have. In my limited adolescent experience, the Axis II in most cases overshadowed the (somewhat) treatable Axis I diagnoses. I found it similar to the Middle East, the only time they quit fighting or trying to have sex was when they conspired to cause chaos and "mess" with the staff and, as I stated previously, they tended to do this when you could least afford to deal with it (some staff @ lunch/break while you're in the middle of an admission, etc.). Unlike the occasional adult cases, and as SwampCat points out, I never really felt like, nor saw significant improvement/outcomes in adolescent psych population.