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.
APNA & Joining Forces
Joining Forces is First Lady Michelle 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.
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.
Buprenorphine and naloxone
Chantix and Zyban
Fentanyl and Opioids
Opioids and Benzodiazepines
Treatment for Alcohol Use Disorder
DEA Pharmacists' Manual
FDA Medication Updates
NIMH Mental Health Medications Guide
FDA revises risk of mental health side effects of Chantix and Zyban
After a large clinical trial, the revised risk of mental health side effects with Chantix (varenicline) and Zyban (bupropion) was found to be lower than previously throught.
FDA issues strongest warning of risks when combining opioid pain or cough medicines with benzodiazepines
The review found that combined use of these drugs results in serious side effects, including difficulty breathing and death.
Counterfeit pills fueling fentanyl and opioid crisis, DEA reports
Counterfeit prescription pills containing deadly amounts of fentanyl (a synthetic opioid) have entered the US drug market.
Failure to Act on Tobacco Dependence Equals Harm
APNA recognizes the devastating effects of smoking, especially among the clients served by nurses employed in mental health settings. SAMHSA reports that, compared with the general population, people with mental or substance use disorders are more likely to smoke, buy cigarettes, and get sick or die of tobacco-related causes.Through these expert-vetted resources and education, we seek to empower psychiatric-mental health nurses to increase their individual provider knowledge and skills, educate students and fellow practitioners, and implement change in employing institutions.
CVS "Together We Care" Nurse Practitioner Scholarship Program
The CVS MinuteClinic® and Johnson & Johnson Family of Consumer Companies have created the Together We Care® Nurse Practitioner Scholarship Program that will provide up to 40 nurse practitioner scholarships, 40 Masters of Science in Nursing scholarships, and 20 Doctor of Nursing Practice scholarships.
Application Deadline: March 16, 2017
Dell Scholars Program
The Dell Scholars program recognizes students who have overcome significant obstacles to pursue their educations. The Dell Scholars Program emphasizes a student’s determination to succeed beyond academic record and test scores.
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
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.
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.
Geropsychiatric Nursing Collaborative
Video: Discover Mental Health - The Forgotten Piece in Elder Care
APNA Continuing Education in the APNA eLearning Center:
Co-morbidities of Diabetes and Hypertension in Adult Patients with Bipolar Illness and Schizophrenia: Medical Considerations. Using Motivational Interviewing to Help these Patients
Nightmares and Suicide: What is the Link?
This page of the site is your resource concerning RN level psychiatric mental health nursing. Visit each section to find resources tailored to your needs.
Learn about the role of the psychiatric-mental health registered nurse and find videos, profiles of RN-PMHs and more.
Mental Health Policy
Psychiatric-Mental Health Nurses’ Role in Care of Detainees & Prisoners
Competencies for Nurse-Assessment and Management of Inpatient Suicide Risk
Scope & Standards of Psychiatric-Mental Health Nursing
Seclusion & Restraint
2000, Revised May 2007, Revised April 2014
Standards of Practice
Competency-Based Training for PMH Nurse Generalists: Inpatient Intervention and Prevention of Suicide
Expansion of APRN Presciptive Authority to Include Prescription of Buprenorphine & Buprenorphine/Naloxone (Suboxone)
Adoption of Screening, Brief Intervention, and Referral and Treatment (SBIRT)
Staffing Inpatient Units
Position on LACE Recommendations
Psychiatric Mental Health Advanced Practice Nurses
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
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
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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