MAAPPN will  re-file the bill seeking supervisory independence by January 15, 2015.  The bill will act to eliminate mandated, career-long, physician supervisory requirements placed on seasoned, advanced practice psychiatric nurses.

With the law as it stands now, nurses practices are dependent on the physician supervisory arrangement. Should the physician re-locate out of state, become ill or otherwise disabled, the nurse would legally be required to close his/her practice.  MAAPPN believes that this bill will eliminate those risks and barriers.  The Practice Committee, will issue a document of educational points to refer to when educating supporters of the bill.

The next steps involve seeking co-sponsors by the end of January. Following that the Speaker with assign the bill to a committee for review, debate and hearings where eventually it will be voted on.  There will be key points along the way where MAAPPN members will be asked to contact their legislators. Additionally,  MAAPPN will  continue to concentrate efforts on finding common ground with the Board of Registration in Medicine and the Mass Psychiatric Society.

Other states in New England and across the nation continue to change their legislative statutes giving independent practice to Psych CNSs and Psych NPs, though some states require a set number of hours or years of practice before independence is achieved. When we have the bill information, we will be notifying you to get in touch with your legislators to request their co-signing onto the bill.  

Transform Deep Brain Stimulation – Mass General Hospital

The Psychiatric CNS and Psychiatric NP working in Massachusetts have opportunities to inform and refer our most challenging clients with severe lifelong depression to those who are on the cutting edge of treatment.  The Psychiatric CNS and Psychiatric NP will be encountering clients with implants in the near future. We have a role in continuing therapy and conventional treatment in those with implants who can now expect a higher quality of life.   Psychiatric APRN’s will have opportunities to help clients form new life goals that they might have not imagined and use their capabilities to live the life they always intended to live.  Novel treatments provide the opportunity to reduce the burden of illness. Psych APRN’s will be key in giving therapy and care  to those emerging from a painful past and reducing the impact of depressive habits that could  interfere with achieving optimum outcomes.

TED Talk: Mental Health for All by Involving All

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Psych APRN‘s (CNS and Psych NP’s)  play larger roles in global mental health more often then you think.  Psychiatric CNS’s and Psychiatric Nurse Practitioners teach in diverse universities, take  global service trips to war torn countries and guest lecture at schools of nursing in remote areas.  But how do we take our skills to reach the mentally ill in those places –  including the mentally ill within our own state – when when we can’t always be there?   Vikram Patel describes a way to improve mental health at the local levels by training others to the “SUNDAR” model, an empowering, “dare to care” way to involve those affected by mental illness and their caregivers.   As part of that, The Movement for Global Mental Health established as a platform where mental health providers and those with mental illness can stand together.

Education: Nursing Theories and Nursing Practice

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Psychiatric Advanced Practice Nurses are trained in nursing theory that informs our practice.  This text book (inits entirety) offers the perspective that nursing theory is eventually connected with nursing practice. Great resource for those mid-career Psychiatric CNSs and Psychiatric Nurse Practitioners who want to compare clinical and practical knowledge with how it was originally predicted by the nurses who wrote theoretically about what we do to guide our thought and actions as nurses.