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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” Summary 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.

Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-style-parent:""; font-size:10.0pt;"Calibri","sans-serif"; mso-bidi-"Times New Roman";} APNA Position Paper: Staffing Inpatient Psychiatric Units A Call for New Staffing Models Position Statement Introduction 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).

Click on the links below to view the psychiatric mental health nursing graduate programs available in each state.  Contact us at 855-863-APNA (2762) to add your current program to the list.                                   Alabama - Hawaii Illinois - Minnesota Mississippi - Pennsylvania Rhode Island - Wyoming             APNA is not responsible for the content of external websites.

General Mental Health General resources regarding child and adolescent mental health. APNA Continuing Education Webinars in the APNA eLearning Center that deal with child and adolescent mental health.       Trauma An assortment of materials, fact sheets, and guides for professionals and the public.

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.

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. More Information   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.

Competency-Based Training for PMH Nurse Generalists: Inpatient Intervention and Prevention of Suicide August 2013   Position Paper       Adoption of Screening, Brief Intervention, and Referral and Treatment (SBIRT) September 2012   Position Paper       Staffing Inpatient Units September 2011   Position Paper       Position on LACE Recommendations February 2011   Position Paper       Electroconvulsive Therapy January 2011   Position Paper       Psychiatric Mental Health Advanced Practice Nurses October 2010   Position Paper       Seclusion & Restraint 2000, Revised May 2007   Position Paper       Smoking Cessation October 2008   Position Paper       Workplace Violence October 2008   Position Paper       Archived Papers 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   Position Paper       Mandatory Outpatient Treatment (MOT) January 2003   Position Paper       PMH Nurse Roles Outcomes Evaluation and Management August 1998   Position Paper       Prescriptive Authority for Advanced Practice Psychiatric Nurses September 1995   Position Paper       Professional Titling & Credentialing for PMH APRNs April 2003   Position Paper       Roles of Psychiatric Mental Health Nurses in Managed Care August 1998   Position Paper        

APNA & Joining Forces Explore the links below to learn more about this initiative to support our Service Members and Veterans:   Updates  |  2012 Joining Forces Leadership Summit  |  Press Release   General Resources 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 PTSD Resources 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 Patient education Cognitive rehabilitation Associated long-term health effects Upcoming Educational Opportunities Find announcements about upcoming 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 SAMHSA APNA     Military Mental Health & Resiliency Discussion Group Join the Military Mental Health & Resiliency Community on Member Bridge to discuss this important topic and swap info with your APNA colleagues. Share resources, ask questions, weigh in on issues important to military mental health.

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. General       The role of the nurse practitioner in psychiatric/mental health nursing: Exploring consumer satisfaction APPN Psychotherapist       Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Geriatric APPN       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 Forensic APPN       Download Human Trafficking: Implications for the Role of the Advanced Practice Forensic Nurse2 1.

Recovery Programs 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 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.

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 Leslie G.

The therapeutic management of psychiatric patients in the emergency department is an important  and complicated issue.  For a comprehensive listing of resources designed to aid emergency departments in improving clinical service to psychiatric patients, please visit: Emergency Nurses Association - Psychiatric Patients in the Emergency Department Emergency Nurse Association 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.

General Resources 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.

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!   An Introduction 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.     General Resources A listing of websites that offer extensive content related to integrated physical and mental health care, such as: HRSA SAMSHA 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     Webinars 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.



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