2011 APNA Institutes Report

Co-Chairs: Margaret Halter, PhD, APRN; Christine Tebaldi, MS, APRN, BC

The Institute for Mental Health Advocacy will be the conduit for monitoring legislative, regulatory and policy matters affecting mental health. The Institute will work to inform PMHN nurses about these issues and help coordinate organizational response.


  • Reviewed requests for APNA’s endorsement on health policy issues/letters of support
    • House Mark-Up Letter to House LHHS Appropriations Committee – Request increased funding for Nursing Workforce Development, National Institute of Nursing Research (NINR) and Managed Health Clinics (NMHCs) (Nursing Community)
    • Continue funding for National Child Traumatic Stress Network (NCTSN) (American Psychological Association)
    • Opposing Path to Prosperity Legislation (Mental Health Liaison Group [MHLG])
    • Continue funding for National Child Traumatic Stress Network (NCTSN) (American Psychological Association)
    • Continue funding for National Child Traumatic Stress Network (NCTSN) (American Psychological Association)
    • Opposing Path to Prosperity Legislation (Mental Health Liaison Group [MHLG])
    • Support reauthorization of Garret Lee Smith Memorial Act Suicide Prevention Program (MHLG)
    • Support the Medicare Mental Health Modernization Act of 2011 (MHLG)
    • Opposing Repeal of Healthcare Reform Law (MHLG)
    • Support Regulations for Healthcare Reform (American Psychological Association)
    • Support SSA Disability Determination Proposed Rule - Revised Medical Criteria for Evaluation Mental Disorders (MHLG)
  • Created and expanded Expert Panel and increased involvement via Member Bridge
  • Compiled Institute feedback for APNA reports to:
    • CMS on Conditions of Participation for Mental Health Centers
    • American Nurses Association feedback to the Joint Commission on Primary Care Home Accreditation Programs
    • Participated in White House Informational Conference Calls
    • Reviewed and interacted with Institute membership, Co-Chairs, President, and Executive Director

Projected Activity (during next six months):

  • Institute for Mental Health Advocacy Interactive Session at APNA Annual Conference
  • Continue to expand Steering Committee and Expert Panel membership and involvement
  • Re-evaluate agency monitoring strategy
  • Update website links and interactivity regarding advocacy issues
  • Partner with other Institutes and Councils on advocacy issues
  • Continue to review and make recommendations for signing on to health policy issues and coordinating organizational response
  • Submit proposal to JAPNA for Mental Health Advocacy issue of the journal
  • Expand advocacy strategy resources available to membership
  • Continue to utilize Member Bridge, including Steering Committee, Expert Panel and All Purpose-Discussion Forum, as communication tool with membership

Opportunities and Challenges:

  • Maximizing agency monitoring
  • Actively engage membership in specific initiatives
  • Gathering input from broad representation of the overall membership
  • Informing the membership of key updates related to Mental Health Advocacy
  • Expanding membership involvement in Legislative, Policy and Regulatory activities

Institute Feedback for APNA Strategic Plan:

  1. Advocate for Medicare and Medicaid Reform
  2. Support initiatives where CNS/NPs will be viewed as equal independent partners in healthcare
  3. Engage in Prevention initiatives
  4. Educate surrounding the efficacy of mental health home care and the importance of maintain funding

Expand accessibility of treatment by advocating related to the following areas:

  • Mental Health Parity
  • Limited funding in Health and Human Services
  • Limited accessibility of outpatient mental health and substance abuse treatment
  • Advocate for the efficacy of mental health home care
  • Increase the presence, funding, and legislative initiatives to support advanced practice psychiatric nurses as leaders in mental health care and integrative care
Margaret Halter, PhD, APRN; Christine Tebaldi, MS, APRN, BC
Steering Committee
Jeanne Clement, EdD, APRN, BC, FAAN
Emily Donelson, RN, APRN, PMHNP-BC
Elizabeth Fife, RN, MSN, CNS, CPN
Patricia Jacobowitz, DNP, PMHNP, RN
Matthew Lindquist, MSN, RN, PMHNP, BC
Mary Ann Nihart, APRN, BC
Leslie Oleck, MSN, PMHCNS-BC, LMFT
Maria Romana, PMHNP-BC
Debi Schuhow, CNS/NP
George Smith, ARNP, GNP-BC, MSN
Expert Consultant Panel
Elinor Abraham, PMHCNS-BC
Diane Allen, MN, RN-BC, NEA-BC
Betty Anderson, RNC, CPHQ
Tina Aown, MSN, RN-BC, CNML
Nan Arato, MS, BSN, RN
Romnee Auerbach , ANP, PMHNP-BC
D. Leslie Augustus, PMHNP-BC
Michael Barden, Sr., RN
Elaine Bawden, RN, CNS, BSN, MSN, PhD
Lora Beebe, PhD, PMHNP-BC
Mary Bollinger, RN, BS, MSED
Karen Bone, MSN, ARNP
Dolores Bray, CRNP
Arleen Briggs, MSN, RNC
Cynthia Bullard, RN, CNS-BC
Margaret Bushey, MS, APN, NP
Keri Cavallo
Rachel Clements, BSN, RN
Cheri Coe
Judith Collins, BSN, MA, ARNP, BC
Shaer May Comila, RN
Lois Corwin, MS, ARNP, BC
Maureen Craigmile, RN, MSN-BC
Sharon Crouse, ARNP, PMHCNS-BC
Patricia Cubilette, PMHNP-BC
Shirlee Davidson, RN, MSN
Susan Dawson, EdD, PMHCNS/NP-BC
Joanne Dedowicz
Sattaria Dilks, DNP, APRN, PMHNP-BC
John Dool, RN, MSN
Erin Ellington
Benjamin Evans, DD, DNP, RN, APN
Linda Evinger, RN, MSN, WHNP
Helen Farrar, MS, RN, BC
Roberta Feldhausen, PMHCNS, BC
Lillian Findlay, PhD (c), ARNP, CNS
Carol Finney, CNS, PMHCNS
Preston Fitzgerald, DC, PMHNP-BC
Joyce Fjelland, PhD, RN, CNS
Laura Flannelly
Kristyn Gall, PMHCNS-BC, NP
Lucille Gambardella, PhD, APN-BC, CNE, ANEF
Diane Gardner, EdD, PMHCNS-BC
Lisa Gillespie, BSN, RN
Judith Ginther, CNP, MSN, APRN
Elaine Greggo, PMHCNS, BC
Linda Hale, MSN, APN/CCNS
Margaret Halter, PhD, APRN
Jane Harmon, PMHNP-BC, CARN-AP
Natalie Hart, MS, RN, PMHNP-BC
Patricia Hefner, MSN, RN-BC
Iva Hernandez, RNC
Diane Hickman, PhD, APRN, PMHCNS-BC
Frances Hodgkins, RN, BC
Susan Hope, MSN, APRN
Judith Jarosinski, PhD, RN, CNE
Christine Johnsen, MPH, MS, ANP, PMHCNS, BC
Helen Karpilovsky, BSN, RN, MSN
Mary Kastner, PMHCNS, NP-BC
Sharon Katz, RN, PMH-CNS, BC
Gregory Kelley, ADN, RN
Sandra Kelley, NP, MSN, ARNP
Anne Kelly, RN
Dale Knode, RN, BS, HSAD
Andrea Lerma, MSN, RNCS
Linda Lewin, PhD, PMHCNS-BC
Perfecta Lewis
Melanie Lint, MSN, CNS, CARN-AP
Susan Mahnovski, RN, CNL
Pamela Marcus, RN, APRN, PMH-BC
Melissa Martyn-Ayala, RN, BSN
Margherite Matteis, PhD, PMHCNS-BC
Patricia McCoy, APRN, MS, ARNP, BC
Mary Meiselman, CNS, NP
Tammy Miller, RN-BC
Jerilyn Mitchell, PMHCNS-BC, MS, LP
Wanda Monroe, ARNP
Ann Murphy Harris, RNC, MSN, PMHNP-C
Marlene Nadler-Moodie, MSN, APRN, PMHCNS-BC
Janice Neal, RN
Pamela Nelson, PhD, CNS, RN
Evelyn Norton, RN, DNP, CNL, NEA-BC
Allen Novak, MSN, PMHCNS-BC
Deborah Oestreicher, APRN, PMHCNS-BC
Sudha Patel, BSN, MN, MA, DSN, RN
Deo Peppersack, PMHNP-BC, FNP-C
Donna Peterson, BSN, BA Psychology
Bethany Phoenix, PhD, RN, CNS
Eula Pines, PhD, PMHCNS, BC
Michael Polacek, RN, BS
Wendy Pomeroy, CFNP
Rosanne Radziewicz, MSN, PMHCNS-BC
Michael Rice, PhD, APRN, BC, FAAN
Donna Riemer, RN-Consultant, LNC, PMHN-BC
Charlene Roberson, RN, BC, Med
George Roets, RN, MS
Donna Rolin-Kenny, MSN, APRN, PMHCNSBC
Carla Rosler, PMH, CNS, BC
Linda Rossow, BSN, MS
Marjorie Ryan, MSN, CNS
Julie Ryder, APRN-PMH, BC
M. Joyce Sasse, DNP, APRN, NP, CNS, CARN
Russell Shapiro, MSN, PMHNP
Bonita Shaw, RN, BC
Joyce Shea, DNSc, APRN, BC
Melissa Smith, RN
Shirley Smoyak, RN, PhD, FAAN
Vicki Spitzer, MSN, ARNP, CS
Susan Steffel, BSN, RN,C
Gail Stern, MSN, PMHCNS-BC
Linda Stone, PhD, BNC, APNP
Mary Sturdy-Martin, RN
Michelle Tavares, BN, RN
Christine Tebaldi, MS, APRN, BC
Burton Thelander, PMHCNS, BC
Janet Thelen, BSN
Debbie Thomas, EdD, APRN, PMHCNS-BC
Matthew Tierney, RN, NP, CNS
Dan Titieni, RN-BC
Marlene Tocher, PMHNP-BC
Claire Trauth, NCSP, RN-BC
Michele Valentino, MSN, CNS, BC, NP
Judith Van Cleef, MS, RN-BC, CARN
Debra Van Dyke, BSN, RN
Wendy Waddell
E. Monica Ward-Murray, EdD
Nanette Watson, DNP, PMHCNS-BC
Babette Wieland, MSN
Patricia Witte, RN, MS
Judith Anne Zdziera, MSHA, RN, C

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Chair: Amy Rushton, MSN, APRN, BC


  1. Develop a collaborative project with APA to develop a white paper and consider practice guidelines for chemical restraint. Consider involving NAPHS, in light of their prior involvement with APNA and APA on the document “Learning From Each Other”.
  2. Develop white papers that address special considerations for children and adolescents, older adults, individuals with frail or compromised health status, and the forensic population.
  3. Develop a white paper that describes the risk factors and special considerations required to avoid deaths associated with positional asphyxiation and excited delirium.
  4. Develop an accessible on line resource of best practice alternatives which incorporates the concepts of recovery and trauma informed care.
  5. Develop a standardized curriculum to train nurses to competently perform the one hour face to face assessment.

Highlights of the group’s activities in the last year:
Activity this past year has been limited. However, there have been several educational
programs added to the APNA eLearning Center:

  • A webinar “Key Elements of a Face to Face Assessment” was completed in the spring, 2011.
  • “Case studies and An Interactive Assessment Guide for Key Elements in the One Hour Face to Face Assessment” will be the next program to be added this fall.

The next year will call for the ISE to update the APN position statement and Standards of Practice for Seclusion Restraint. APNA will place a great focus on suicide reduction and the ISE will be tasked with this endeavor.

Amy Rushton, MSN, APRN, BC
Steering Committee
Andrea Bostrom, PhD, PMHCNS-BC
Kathleen Delaney, PhD, PMH-NP, RN
Valerie Glass, PMHNP, BC
Nancy Hanrahan, PhD, RN, FAAN
Frances Hodgkins, RN, BC
Cynthia Kane Hyman, RN, MS, CNS
Kathleen McCann, PhD, RN
Charlene Moore, RN, MS, CNML
Marlene Nadler-Moodie, MSN, APRN, PMHCNS-BC
David Sharp, PhD, RN
Babette Wieland, MSN
Diane Wieland, PhD, MSN, RN, PMHCNS-BC
Expert Panel
Janice Adam, RN
Maripat Alger Cottone
Diane Allen, MN, RN-BC, NEA-BC
Nan Arato, MS, BSN, RN
Joellyn Arce, RN
D. Leslie Augustus, PMHNP-BC
Elizabeth Balota, BSN, MSN, RN, CEN
Lauren Barber, RN, NE, BC, MHSA
Sandra Barton, MS, RN-BC
Nicole Beer, BSN, RN, MSN, CNS
Barbarajo Bockenhauer, ARNP, PMHCNSBC
Mary Bollinger, RN, BS, MSED
Peggy Boullier, MSN, RN
Noreen Brady, PhD, APRN-B-SC, LPCC
Nancy Brauhn, PhD, RN, BSN, MA
Donna Brazel, MN, ARNP
Jennifer Cain
Jessica Camp, RN, MSN
Kelly Carlson, RN, BSN
Kirste Carlson
Denise Carson, BSN, RN, BC
Cheri Coe
Marcie Coffman, RN, MS, BC
Judith Collins, BSN, MA, ARNP, BC
Shaer May Comila, RN
Kayla Cross, RN, BSN
Joanne Dedowicz
Valerie Devereaux
Nancy Diacon, DNP, RN
John Dool, RN, MSN
Donna Drader, MSN
Stephanie Dutch, RN
Elizabeth Easley, APRN, BC
Benjamin Evans, DD, DNP, RN, APN
Carole Farley-Toombs, MS, RN, NEA, BC
A. Maria Fisk, MSN, APRN, BC
Linda Flaherty
Chantal Flanagan, RN, MS, CNS, FPMHNP
Laura Flannelly
Lisa Gillespie, BSN, RN
Suzanne Goetz, RN, MSN, CCS-P
Jolie Gordon-Browar, MSN, RN-BC, PMH
Jerilyn Hagan, JD, MSN, CNS
Paula Harrison, RN, BSN, MSN
Kimberly Hemphill, APRN, BC
Susan Johnson, BSN, RNC, MA
Barbara Jones, CNS, RN
Ruth Jordan, MS, APRN, BC, NE, BC
Gregory Kelley, ADN, RN
Rose Kutlenios, PhD, CRNP
Andrea Lerma, MSN, RNCS
Carolynn Lindsey, BNS, RN
Donna Linette, MS, RN, CNA
Katherine Lucatorto, RN, MSN
Melissa Martyn-Ayala, RN, BSN
Joanne Matthew, MS, RN, PMHCNS-BC
Cindy Michael, MSN, PMHAPN-BC
Linda Nagy, MSN, CNS
Joan Neave , RN, MSN
Sandra Nelson, PhD, APRN-BC
Marilyn Nendza, MSN, PMHCNS-BC, CPRP
Mary Ann Nihart, APRN, BC
Pamela Nold, MSN, RN
Jay Norwood, MSN, RN
Theodora Nwosu, RN,MSN,APRN, PMHNP-BC
Heather O'Brien, CNS
Terese Olszewski, PMHCNS, BC
Catherine Osborn O'Reilly, RN
Lynn Outlaw, MSN, APRN, PMHNP, BC
Sudha Patel, BSN, MN, MA, DSN, RN
Kathleen Patusky, PhD
Lourdes (Lori) Pineda, MSN, RN-BC, CCM
Eula Pines, PhD, PMHCNS, BC
Cheryl Puntil, MN, APRN, PMHCNS, BC
Rita Ray-Mihm, DNP, RN, CNS
R. John Repique, MS, RN, NEA-BC
Donna Riemer, RN-Consultant, LNC, PMHN-BC
Patricia Roberts, RN
Luanne Sadowsky, ARNP, BC
Darlene Santi-Rogers, PMHCNS-BC
Theresa Searls, APRN
Laura Sebera, RN, BSN
Russell Shapiro, MSN, PMHNP
Margaret Sherlock, MA, APRN, BC
Judith Shindul-Rothschild, PhD, RNPC
Bette Sindzinski, RN, MN, NCACII
Virginia Singer
Dianna Sorenson, PhD, RN, CNS
Janet Stagg, MS, RN, APN
Naomi Suhler, PMHNP
Michelle Tavares, BN, RN
Karen Taylor, MSN, PMHNP-BC, ARNP
Christine Tebaldi, MS, APRN, BC
Janet Thelen, BSN
Maggie Tolbert, RN
Judith Van Cleef, MS, RN-BC, CARN
Anu Vazhappilly
Karen Vergano, PMHCNS-BC
Wendy Waddell
Naomi Walker
Cornelia Walsh, RN BC, BSN, MSHS
E. Monica Ward-Murray, EdD
Barbara Warren, PhD, PMHCNS-BC
Cindy Williams, RN

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The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.