APNA Board of Directors Endorses
APNA / ISPN Joint Task Force Recommendations on the Implementation of the
“Consensus Model for APRN Regulation:
Licensure, Accreditation, Certification & Education”
The American Psychiatric Nurses Association (APNA) and the International Society of Psychiatric Nurses (ISPN) convened a Joint Task Force to review the “Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education” and make recommendations on changes needed to position psychiatric-mental health nursing (PMHN) to be in compliance with the new model. This resulted in a presentation at the 24th Annual Conference to the membership in October 2010 and subsequently distribution of the recommendations to the entire membership for comment. The APNA Board of Directors adopted the report as the official position of the APNA.
The burgeoning mental health needs of the population demand access to highly qualified providers. Psychiatric Mental Health Advanced Practice Nurses (PMH-APRN) include both the Clinical Nurse Specialist and Nurse Practitioner. Both are prepared at the graduate level in research, systems, and direct patient care to provide psychiatric evaluations and treatment, including psychopharmacological interventions and individual, family and group therapy, as well as primary, secondary and tertiary levels of prevention across the lifespan.
An Introduction to LACE
Most of the questions that come to the APNA Board and staff center on one or more aspects of licensing, accreditation, certification or education, or LACE. Curiosity is good; action would be even better. To say that LACE is confusing and inconsistent is an understatement.
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APNA Position Paper: Staffing Inpatient Psychiatric Units
A Call for New Staffing Models
Ensuring proper Registered Nurse (RN) staffing levels on inpatient psychiatric-mental health units is vital given the increasing severity of illness of hospitalized mental health patients and the mounting evidence that nurse staffing levels influence outcomes.
CNS Prescriptive Privileges by State (pdf) - From NCSBN, a January 2012 table detailing clinical nurse specialist prescriptive privileges by state.
APRN Maps - From NCSBN, a series of maps that show which states use which titles to represent APRNs, which roles each state recognizes, what education is required for an APRN role by state, as well as where APRNs can practice independently and where they have prescriptive privileges.
Regulations of APRN-PMH Practice Affecting Employment
This manual contains:
Information regarding Regulatory Structure and Authority, Title and Practice Protection
A listing of State Boards of Nursing with web links, statute links, and contact information for each
A listing of state laws and regulations, with links to applications
Information on Scope of Practice, Prescriptive Authority, DEA Registration, and Collaboration/Supervision
Advanced Practice Psychiatric Nurses Legislative Update: State of the States, 2010
Child and Adolescent Resources - Resources covering topics such as child and adolescent trauma, depression, suicide, anxiety, learning disabilities, and more
Emergency Nurse Resources - Resources from the Emergency Nurses Association, an Emergency Care Psychiatric Clinical Framework, webcasts, and more
Geropsych Nursing Resources - Resources from the Geropsychiatric Nursing Collaborative and a list of helpful links
Integrated Physical and Mental Health Care Resources - FAQs and a general background on the topic, tools, examples of initiatives and best practices, and continuing education
Military and PTSD Resources - Resources regarding Traumatic Brain Injury, PTSD treatment options, and tips for civilian health care professionals
Multiple Chronic Conditions Resources - Resources include a framework issued by the HHS Initiative on Multiple Chronic Conditions
Recovery Resources - Information on free webinars, links to guidebooks, brochures, kits, fact sheets, and more
Substance Use Resources - Guides, FAQs, continuing education and more from organizations such as SAMHSA, NIDA, and APNA
APNA is not responsible for the content of external websites.
Find information about programs and initiatives associated with advancing recovery concepts and practices. Programs such as:
SAMHSA Recovery to Practice Initiative
Resource Center to Promote Acceptance, Dignity and Social Inclusion Associated with Mental Health
SAMHSA Center for Mental Health Services
The Annapolis Coalition
Guides, Kits & Tools
Resources for implementing recovery-based best practices from organizations such as SAMHSA and the Annapolis Coalition. Resources include:
A guide to promoting quality improvement in behavioral health services
A kit for developing illness-management and recovery mental health programs
A tool for improving patient-provider communication
Reports that offer current resources, statistics and facts related to recovery and mental illness from such organizations as:
The Campaign for Mental Health Recovery
The Joint Commission
Upcoming Educational Opportunities
A listing of upcoming educational opportunities pertaining to recovery from organizations like:
SAMHSA Recovery to Practice Initiative
SAMHSA 10x10 Wellness Campaign
Recovery to Practice Archived Webinars
Free webinars offered by the SAMHSA Recovery to Practice Initiative.
The Integration of Mental Health Care into Primary Care and Specialty Health Care
Integration has arrived! Psychiatric Mental Health Nurses must be ready to plan and implement the integration of mental health care into primary and specialty healthcare and participate in these settings!
Why does the integration of mental health care into primary and specialty health care matter? Find out why and learn more by reading this introduction and FAQs prepared by the APNA Board of Directors.
Find the most recent information and resources pertinent to integrated physical and mental health care, such as upcoming educational events, reports, initiatives, and more.
A listing of websites that offer extensive content related to integrated physical and mental health care, such as:
University of Washington AIMS Center
Guides, Reports, and Tools
A variety of resources specifically for implementing an integrated care model, such as:
Various models of integrated care
Forms and patient tracking tools
Roadmaps and operational advice
Webinar presentations providing introductions to integrated care and information on related topics such as:
How to finance integrated health care
Person-centered health homes
Addressing substance use issues in primary care
Best Practice Approaches & Initiatives
Learn more about the various approaches to integrated care and initiatives that have been implemented throughout the country.
Learn more about Advanced Practice Psychiatric Nurses with FAQs, workforce statistics, and information about the roles of APPNs.
Frequently Asked Questions about APPNs
Workforce Statistics (coming soon!)
• Psychiatric & Mental Health CNS and NP Enrollment Statistics 03-07
• Demographic Characteristics of Psychiatric Nurses
• Trends in ANCC exams/Testing
• Psychiatric Nurse Employment Statistics
• Psychiatric Nurse Workplace Settings Statistics
• Positions/Titles held by Psychiatric Nurses
• Psychiatric Nurse Job Satisfaction Statistics
• Patient Encounters Data
• Psychiatric Nurse Education Statistics
Roles of Advanced Practice Psychiatric Nurses
The following articles provide information about the role of the advanced practice psychiatric nurse organized by topic, workplace setting, and/or specialty. Please contact us if you are interested in accessing any of these documents.
The role of the nurse practitioner in psychiatric/mental health nursing: Exploring consumer satisfaction
Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century
Download Geropsychiatric Nursing Practice in the United States: Present Trends and Future Directions1
Child & Adolescent APPN
Addressing Children’s Mental Health Needs: Educational Preparation of Advanced Practice Nurses
Download Human Trafficking: Implications for the Role of the Advanced Practice Forensic Nurse2
Substance Abuse and Mental Health Services Administration:
Treatment Improvement Protocol: Managing Chronic Pain in Adults With or in Recovery From Substance Use Disorders (pdf)
Provides clinicians with practical guidance and tools for treating chronic pain and SAMHSA's best-practice guidelines for prevention and treatment of substance use and mental disorders—encourages cooperation and communication between health care professionals who specialize in pain management and those who focus on addiction.
APNA Continuing Education in the APNA eLearning Center:
Metabolic Syndrome: Understanding and Addressing the Metabolic Pathophysiology in Psychiatric Disorders *The content of this CNE pertains to pharmacology.*
Geropsychiatric Nursing Collaborative
Video: Discover Mental Health - The Forgotten Piece in Elder Care
A 9.5 minute video that shares the expertise of key geropsychiatric nursing leaders - including 2010 APNA Nurse of the Year Kathleen Buckwalter PhD, RN, FAAN - providing inspiration to nursing students as they incorporate mental health care of older adults in their nursing careers.
View the video on the American Academy of Nursing’s website.
APNA Supports Joining Forces!
The American Psychiatric Nurses Association is proud to pledge our support to the national Joining Forces campaign. We have partnered with other organizations in the nursing community such as ANA and NLN to collectively champion and further this valuable endeavor. Joining Forces is First Lady Michelle Obama’s comprehensive national initiative which calls upon us as a nation to take action in providing the support and treatment our service members and their families need as they reconnect with their communities, particularly when it comes to employment, education, and wellness.
Adoption of Screening, Brief Intervention, and Referral and Treatment (SBIRT)
Staffing Inpatient Units
Position on LACE Recommendations
Psychiatric Mental Health Advanced Practice Nurses
Seclusion & Restraint
2000, Revised May 2007
Please note that these papers are for archival purposes only and do not necessarily represent APNA's current positions.
Determining Staffing Needs of Inpatient Psychiatric Units
Mandatory Outpatient Treatment (MOT)
PMH Nurse Roles Outcomes Evaluation and Management
Prescriptive Authority for Advanced Practice Psychiatric Nurses
Professional Titling & Credentialing for PMH APRNs
Roles of Psychiatric Mental Health Nurses in Managed Care
Nursing Information from the Health Resources and Services Administration
US Department of Health and Human Services
Visit this page to find reports, data, and other documents from HRSA regarding the nursing workforce and health care legislation.
Nursing Info from HRSA
Behavioral Health Care: 2012 National Patient Safety Goals
The Joint Commission
National Patient Safety Goals effective January 1, 2012.
2012 National Patient Safety Goals
Title VII Nursing Workforce Development Programs
This brochure provides statistics regarding the rising demand for nursing care, nursing student demographics, monetary support levels for nursing students, Title VII funding programs by state, and a wealth of additional information.
International Psychiatric Nursing Organizations
Mental Health Associations
Mental Health Conferences
Research, Foundations & Scholarship
Behavioral Practice Guidelines
International Psychiatric Nursing Organizations
Australian College of Mental Health Nurses
Canadian Federation of Mental Health Nurses
International Association of Forensic Nurses
International Nurses Society on Addictions
International Society of Psychiatric-Mental Health Nurses
College of Registered Psychiatric Nurses of British Columbia
College of Registered Psychiatric Nurses of Alberta
College of Registered Psychiatric Nurses of Manitoba
Registered Psychiatric Nurses Association of Saskatchewan
Turkish Psychiatric Nurses Association
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Americans with Disabilities Act
Centers for Disease Control and Prevention
Chronic Disease Prevention and Health Promotion
National Center for Health Statistics
National Science Foundation
Thomas, the Online Service of the Library of Congress
U.S. Department of Health and Human Services
Administration on Aging
Agency for Healthcare Research and Quality (AHRQ)
AHRQ - Mental Health
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