APRN Consensus Model
APNA/ISPN Task Force on Implementation of the Consensus Model for APRN Regulation:  LACE Draft Recommendations
During October 2010, at the APNA 24th Annual Conference, the Joint APNA/ISPN Task Force on Implementation of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (LACE) presented DRAFT recommendations that were submitted to each organization's Board of Directors.  These recommendations were then approved by each Board of Directors in February of 2011.

Briefly, the recommendations are:

  1. That there will be one entry educational focus for the future: Psychiatric Mental Health Nurse Practitioner with preparation across the lifespan, addressing mental health promotion and mental illness diagnosis and treatment.
     
  2. That currently licensed and certified PMH Advanced Practice Psychiatric Registered Nurses who demonstrate their competency by continuing re-certification will be permitted to continue practicing under their current license and certification.
     
  3. That didactic curriculum content address the assessment and diagnosis, age-specific interventions, and mental health needs and issues across the lifespan. This includes the three P’s (advanced pharmocology, physical assessment, physiology/pathophysiology) and the PMH specific content, including psychotherapeutic modalities (the fourth P).
     
  4. That during supervised practica, students will provide psychiatric mental health services across the lifespan.
    • An essential outcome of educational preparation is demonstration of entry level competence in psychotherapeutic modalities.
    • In addition to prescriptive practice, PMH APRNs must be prepared in multiple psychotherapy modalities to meet the needs of individuals and families, including group therapy.
       
  5. That in addition to traditional mental health settings, clinical experience in various settings is encouraged for the purpose of promoting integrated and collaborative healthcare.
     
  6. The minimum number of clinical hours will need to be sufficient for entry level competence across the lifespan.
     
  7. That graduates be eligible for the certification examination through the role of APRN-PMH NP. After certification and appropriate state credentialing, graduates will be able to provide psychiatric mental health services across the lifespan.
     
  8. That in recognition of the substantial changes that the implementation of the Consensus Model will have on psychiatric mental health nursing, a reasonable amount of time to successfully initiate and complete the transition is required.
     
  9. That APNA and ISPN convene a coalition on advanced practice education.


Consensus Model for APRN Regulation for Licensure, Accreditation, Certification and Education
For more information regarding the APRN Consensus Work Group of the National Council of State Boards of Nursing APRN Advisory Committee's July 2008 Consensus Model for APRN Regulation for Licensure, Accreditation, Certification and Education please: