Implementation of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education
APNA has endorsed the Consensus Model (CM) for APRN Regulation, which outlines a future plan for all of advanced practice nursing. The advantage of the CM is that it will provide greater consistency in licensure, accreditation, certification and education (LACE). We believe that this consistency will benefit advanced practice registered nurses in psychiatric-mental health (APRN-PMH) and, ultimately, the people whom we serve. Since access to care continues to be a major issue in mental health, and the mental health needs of the public continue to change, PMH nursing must change to meet these needs more effectively. Access to quality care for all people with mental health needs is the underlying principle behind our endorsement of the CM.
The CM presents us with a great opportunity to envision the future of the APRN-PMH. However, getting from the present conceptualization to the future realities of implementation presents questions and challenges that need to be addressed before the proposed 2015 implementation date can occur. The creation of a LACE Implementation Task Force was approved by the Board of Directors to determine the APNA vision for the future of psychiatric nursing.
Highlights of the group’s activities in the last year:
After 9 conference calls, discussions on Member Bridge, review of the literature, and survey of the Expert Panel the Steering Committee reached consensus on a series of recommendations for implementation of the Consensus Model. The co-chairs and Presidents of APNA & ISPN will meet with representatives of ANCC and CCNE to explore implications of the recommendations. We will also be presenting our report to the membership during an Interactive Session at the APNA conference. Our report and documentation, the meeting with ANCC and CCNE, and feedback from APNA membership during the conference will serve to inform the APNA BOD deliberation about Consensus Model implementation.
|Lora Beebe, PhD, PMHNP-BC
*Margaret Brackley, PhD, PHMNP-BC
Janiece DeSocio, PhD, PMHNP-BC, PMHCNS-BC
Sattaria Dilks, DNP, PMHNP-BC
Nancy Dillon, PhD, RN, CNS
Carole Farley-Toombs, MS, RN, CNAA, BC
Judith Haber, PhD, APRN, BC, FAAN
Edna Hamera, PhD, ARNP
Sharon Katz, RN, MSN, CNS-BC
Laura Leahy, MSN, PMH-CNS/FNP-BC
Teena McGuinness, PhD, CRNP, FAAN
*Eris Perese, APRN
|Richard Pessagno, MSN, PMHNP/CNS-BC
Bethany Phoenix, PhD, RN
Michael Rice, PhD, APRN, BC, FANN
Ruth Staten, PhD, ARNP-CS
Gail Stern, MSN, RNCS
Gail Stuart, PhD, RN, CS, FAAN
Matthew Tierney, RN, NP, CNS
Barbara Warren, PhD, PMHCNS-BC
Mary Weber, PhD, APRN, BC, PMHNP
Diane Wieland, PhD, MSN, RN, PMHCNS-BC
*International Society of Psychiatric Mental Health Nurses (ISPN) Participants
The final report of The President’s New Freedom Commission on Mental Health—Achieving the Promise: Transforming Mental Health Care in America provided six goals to transform the nation’s mental health system with an overall goal of recovery and a vision to improve the quality of mental health services and access to care.
According to the Commission, successful transformation of the mental health system rests on two principles:
- Services and treatment must be consumer and family centered giving consumers real choices about their providers and treatment options
- Care focused on facilitating recovery, building resilience and not just managing symptoms
APNA has been chosen as one of five national participants in a SAMHSA initiative to transform the concepts of recovery from a set of beliefs to recovery-oriented nursing practices. As part of this five-year project, psychiatric nurses, psychiatrists, psychologists, social workers and peer specialists will research current activities in recovery-oriented care and develop strategies on how best to implement recovery components into mental health provider education and practice.
APNA will collaborate with consumers and psychiatric mental health nursing leaders to promote recovery and to develop curriculum and training materials to increase nursing knowledge of recovery-oriented care and how it translates into nursing practice.
APNA Recovery to Practice Task Force Goals for Year 1
- Determine the extent of the use of recovery principles in PMH nursing practice and education.
- Identify the barriers in implementing recovery-oriented practices and education/training.
- Specify the opportunities in practice and education that support the shift from an illness-centered paradigm to a person-centered approach.
- Identify learning needs and strategies that will guide the development of curricular materials.
- Review other public domain curricula focused on recovery-oriented workforce development such as developed by the National Association of Mental Health Program Directors (NASMHPD) and Western Interstate Commission for Higher Education (WICHE).
- Develop a plan for curriculum development for Years 02 and 03.
Highlights of the group’s activities in the last year:
The RTP task force has participated in the development and implementation of the SAMHSA approved Recovery to Practice award to APNA, one of five national behavioral healthcare provider association awardees. APNA will receive funding for the next 5 years to develop, disseminate, and evaluate recovery-oriented educational materials to hasten awareness, acceptance, and adoption of recovery-based practices in the delivery of mental health services. The recovery-based training materials will be based on the 10 components of the National Consensus Statement on Mental Health Recovery. Year One task force activities have included preparation of a situational assessment and analysis of current recovery practices among psychiatric nursing providers, systems, and training institutions including: Collaboration with APNA councils (Education; Administrative; Research Councils) and APNA state chapters to gather data via facilitated discussions on the state of recovery practice, administration, education, and research. Facilitated discussions have also been completed with nursing groups outside APNA. The Recovery to Practice Task Force has solicited the membership through several different avenues for key informant interview suggestions. Suggestions were also solicited from the APNA Consumer Advisory Panel for additional key informants outside of APNA. The literature review was reviewed and approved for forwarding to DSG. There has been active participation from consumers, both in the Recovery to Practice Task Force Steering Committee and through a facilitated discussion of the Consumer Advisory Panel. APNA staff has been working with RTP Task Force members and consumers to plan recovery activities at the APNA Annual Conference. Consumer providers will present an overview of recovery in practice to conference attendees in a general session, “Paving New Ground: Peer Providers Working in Inpatient Settings.” They will also participate in the Recovery to Practice interactive panel and the Recovery to Practice exhibit booth. Consumer presenters will have an opportunity to engage conference participants in a Q & A session and discussion of recovery.
Cynthia Archer-Gift, PhD, ED, RN
Moe Armstrong, MBA, MA
Genevieve Chandler, RN, PhD
Lynn DeLacy, PhD, RN, CNAA
|Nancy Dillon, PhD, RN, CNS
Kris McLoughlin, DNP, APRN, PMHCNS- BC, CADC-ll
Mary Moller, DNP, ARNP, APRN, PMHCNS BC, CPRP, FAAN
Daryl Sharp, PhD, RN, CS, NPP
Karen Stein, PhD, RN, FAAN