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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).

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.

About LACE 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. Education Resources specific to the education component of LACE, including competencies, programs, and continuing education for educators.

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.

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. Furthermore, nurses maintain 24-hour accountability for all aspects of inpatient care. Abundant evidence exists that the risk for adverse outcomes rises as the ratio of patients to nursing staff increases.

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.

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 Briefly, the recommendations are: That there will be one entry educational focus for the future: Psychiatric Mental Health Nurse Practitioner with preparation across the lifespan, addressing mental health promotion and mental illness diagnosis and treatment.

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 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 Resource Center Guide:  Caring for Adult Patients with Suicide Risk: A Consensus Guide for Emergency Departments The Suicide Prevention Resource Center has released a guide to assist health care professionals in emergency departments with decisions about the care and discharge of patients with suicide risk.

Helpful Links Administration on Aging Ageworks Alzheimer's Association Alzheimer's Disease Education and Referral (ADEAR) Center American Association for Geriatric Psychiatry American Geriatrics Society GeronurseOnline.Org Geropsychiatric Nursing Collaborative Hartford Institute for Geriatric Nursing National Institute on Aging (NIA)   Partnership to Improve Dementia Care in Nursing Homes Antipsychotic Drug use in Nursing Homes Trend Update (pdf) - October 2013: CMS is tracking the progress of the Partnership by reviewing publicly reported measures. The official measure of the Partnership is a the percent of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome.

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.

Click on the map below to view the psychiatric-mental health nursing graduate programs available in each state.  Contact us at 855-863-APNA (2762) or inform@apna.org to add your current program to the list.

Consensus Model for APRN Regulation Frequently Asked Questions from the American Nurses Credentialing Center (ANCC) 1. Why was the Consensus Model for APRN Regulation developed? The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education (APRN Consensus Model) is a uniform model of regulation for the future of advanced practice nursing that is designed to align the interrelationships among licensure, accreditation, certification, and education (LACE). ANCC anticipates that the consistency—and clarity—that results from the new regulatory model will benefit individual nurses and enhance patient care.

General Information 1. What is an Advanced Practice Psychiatric Nurse? 2. How did the Advanced Practice Psychiatric Nurse role begin? APRN Education 3.

PMH-APRN Scope of Practice Map (members only) - State by state guide to PMH-APRN scope of practice. Includes information pulled from each state's nurse practice act and more. CNS Prescriptive Privileges by State (pdf) - From NCSBN, a January 2012 table detailing clinical nurse specialist prescriptive privileges by state.

Resources vetted and recommended by the APNA Recovery Council. 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.

Advanced Practice Psychiatric-Mental Health Nurse Resources This area of the site is your resource concerning advanced practice psychiatric-mental health nursing education, practice, licensing, certification, etc. Here you will find a wealth of manuals, articles, links, and other relevant and important information for and about advanced practice psychiatric-mental health nurses (APPNs). About APRN-PMHs Learn more about the role of the advanced practice psychiatric-mental health nurse with FAQs, brochures to download and more.

Year: Medication:  Abilify (aripiprazole) Addyi Antipsychotics Aripiprazole Aristada Belsomra Brintellix Buprenorphine and naloxone Probuphine Clozapine Clozapine REMS Chantix and Zyban Cymbalta Daytrana Diazepam Effexor Farxiga Fentanyl and Opioids Geodon Hysingla ER Ingrezza Ketamine Lamictal (lamotrigine) Lorazepam Lucemyra (lofexidine hydrochloride) Lunesta Methylphenidate Naloxone Naloxone/Evzio Naltrexone Olanzapine Olanzapine/Zyprexa Opana ER Opioids UPDATE: Opioids Opioids and Benzodiazepines UPDATE: Opioids and Benzodiazepines Rexulti Spravato (Esketamine) Strattera Sublocade Tanzeum Targiniq ER Tramadol Treatment for Alcohol Use Disorder Vraylar Vynase Ziprasidone Zolpidem Zyprexa   General Resources:   DEA Pharmacists' Manual FDA Medication Updates NIMH Mental Health Medications Guide     2019   Ketamine Infusion Therapy Resource This checklist provides considerations for prescribing or providing care to persons undergoing ketamine infusion therapy. FDA releases updated Drug Safety Communication about Opioids The update reinforces that individuals who are physically dependent on opioids may experience serious harm if their medications are suddenly discontinued or their dose is rapidly decreased.   Clozapine Risk Evaluation and Mitigation Strategy (REMS) Program Modified The FDA has approved a modification to the REMS program that implements new requirements for prescribers in February 2019.

APNA Continuing Education in the APNA eLearning Center   Browse sessions on multiple chronic conditions using the keyword search feature in the APNA eLearning Center. *The content of this CNE activity pertains to pharmacology. Because states' requirements may vary, contact your Board of Nursing for more information.