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.
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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.
Click on a link below to view the presentation.
Practical Skills for Working with Your Patients Who Smoke, Daryl Sharp, PhD, APRN, BC, FNAP
2008 APNA Presentation of Best Practices in the Treatment of Schizophrenia and Bipolar Disorder in a Community Setting - URSON Tobacco Dependence Intervention Program
2008 APNA Presentation of Best Practices in the Treatment of Schizophrenia and Bipolar Disorder in an Inpatient Setting - Johns Hopkins Hospital Inpatient Program
2008 APNA Presentation of Best Practices in the Treatment of Schizophrenia and Bipolar Disorder in an Outpatient Setting - RAINBOW Therapy Program for Pediatric Bipolar Disorder
All presentations that appear on this site are copyrighted by APNA. If you wish to reprint any portion of a presentation please contact APNA at 855-863-APNA (2762).
Failure to Act Equals Harm: The time to act is now.
Smoking Cessation Position Statement
Approved by APNA Board of Directors October 14, 2008, provides the rationale for the American Psychiatric Nurses~ Association position that Failure to Act on Tobacco Dependence Equals Harm.
Clinical Practice Guideline
Treating Tobacco Use and Dependence: 2008 Update, sponsored by the Public Health Service, includes new, effective clinical treatments for tobacco dependence.
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
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
PMH-APRNs apply the nursing process to assess, diagnose, and treat individuals and families with psychiatric disorders or the potential for such disorders using their full scope of therapeutic skills, including the prescription of medication and administration of psychotherapy. They also contribute to policy development, quality improvement, practice evaluation, and healthcare reform. PMH-APRNs often own private practices and corporations as well as consult with groups, communities, legislators, and corporations.
1. What is an Advanced Practice Psychiatric Nurse?
2. How did the Advanced Practice Psychiatric Nurse role begin?
CDC National Hospital Care Survey - APNA encourages your health facility to participate!
The National Hospital Care Survey provides nationally representative data on utilization of inpatient hospital care, as well as care delivered in emergency departments, outpatient departments, and hospital-based ambulatory surgery locations.
Webinar: “The _____ (Doctor/Nurse/Other) Will See You Now”: Rethinking Scope of Practice
Alliance for Health Reform
Archived webinar which was held Wednesday, July 17, 2013. Covers the latest state legislation to allow nurses, nurse practitioners and other medical providers to do more to care for patients.
APNA/ISPN Task Force on Implementation of the Consensus Model for APRN Regulation: LACE Recommendations
The Joint APNA/ISPN Task Force on Implementation of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (LACE) presented recommendations to each organization's Board of Directors. Each Board approved the recommendations in February of 2011.
Full APRN Consensus Model Draft Recommendations
APNA/ISPN LACE Task Force Draft Recommendations Q & A
Click here to provide your feedback or email Nick Croce at ncroce@apna.
A quick introduction to licensure, accreditation, certification and education in psychiatric-mental health nursing.
APRN Consensus Model
Learn about the implementation of the Advanced Practice Registered Nurse Consensus Model as it applies to psychiatric-mental health nursing.
Resources specific to the education component of LACE, including competencies, programs, and continuing education for educators.
Find information about programs and initiatives associated with advancing recovery concepts and practices. Programs such as:
SAMHSA Recovery to Practice Initiative & APNA's Involvement
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 by reading an introduction and FAQs prepared by the APNA Board of Directors. Then, learn more by watching the Institute for Mental Health Advocacy's video on the policy implications of integrated care.
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.
APNA & Joining Forces
Joining Forces is First Lady Michele Obama's initiative which works with organizations such as APNA to ensure that service members, veterans, and their families have the tools they need to succeed throughout their lives.
Find guides, tips and other resources for civilian mental health professionals and military consumers on:
Working with patients in the military
Navigating the VA's mental health system
Finding support when transferring to a new location
Treating servicemen returning from deployment
Resources from various organizations, including fact sheets, reports, clinical guidelines and more. Topics covered include:
Therapies and pharmacological approaches for treating PTSD
Current PTSD research
US military's guidelines and policies regarding PTSD
Traumatic Brain Injury Resources
Includes resources from the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury and others on topics such as:
Treating patients with lingering symptoms of mild TBI
Associated long-term health effects
Find announcements about upcoming and current educational opportunities on military mental health, post-traumatic stress disorder, and traumatic brain injury from sources such as
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury
APNA Continuing Education
Presentations from past APNA Conferences in webinar and podcast format available in the APNA eLearning Center.
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 *
Sleep Disorders and Comorbid Medical & Mental Health Conditions *
Links to organizations and resource centers whose main focus is on the prevention and treatment of substance use.
Guides & Reports
Extensive list of guides, toolkits, research reports and statistics and more from organizations such as NIH, SAMHSA, and ONDCP.
Screening Tools & Resources
Several screening tools and resources that clinicians can use to determine substance use, discuss results, and refer to treatment, if necessary.
Here you will find important information for psychiatric mental health nursing. From position papers to graduate school listings to a wealth of links to other relevant websites, the resource center is your first access point for information on your nursing specialty.
Not sure if what you're looking for is in one of these sections? Search the Site
PMHN Specialty Areas & Topics
Includes: child and adolescent, emergency, geropsych, military and PTSD, multiple chronic conditions, recovery, and substance use.
The therapeutic management of psychiatric patients in the emergency department is an important and complicated issue.
Emergency Nurses Association (ENA) - Psychiatric Patients in the Emergency Department
ENA & APNA Collaborations
Joint Consensus Statement on Suicide in Emergency Care Settings
Emergency Care Psychiatric Clinical Framework
ENA Position Statements
Medical Evaluation of Psychiatric Patients
Substance Abuse (Alcohol/Drug) and the Emergency Care Setting
ENA Connection Articles
Agitation - The Chest Pain of Behavioral Emergencies
Development of Emergency Care Psychiatric Clinical Framework
Psychiatric Care, Our Nation in Crisis
Psychiatric Patients in the Emergency Department: The Dilemma of Extended Lengths of Stay
The SAMHSA Suicide Prevention Resource Center: Suicide Prevention Tips for Emergency Medical Services and the Workplace
The Suicide Prevention Resource Center has just enhanced its Customized Information Sheets series by developing new resources that provide basic information on how to identify and respond to individuals who may be suicidal or at high risk for suicide.
Suicide Prevention Center Webinar: Advancing Suicide Prevention Practice in the Emergency Department Setting
Suicide attempts constitute an increasing proportion of emergency department (ED) visits and hospitalizations.
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