Partial report, quantity=quality, of action-reserch developed in the ward tesambulatory of a University Hospital, extensive to home; integrating students, teachers and nursing team. Objective: to establish standards to integrate hospital/community, seeking the man in the home circle, oppose the recovery/rehabilitation and the integration to work/society, considering the problems in the home/work and put into practice the proposition of the SUDS with extension to the hospital/ community actions. Home visits raising the home conditions, family and/or community, consolidating the participation of them in the process. During the interm, the nursing care oriented to conduct to the participation and realization of the caresame in the ambulatory probation