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.
/* Style Definitions */
mso-bidi-"Times New Roman";}
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.
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
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.*
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.
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.
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.
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.
Competency-Based Training for PMH Nurse Generalists: Inpatient Intervention and Prevention of Suicide
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
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.
View all tags