Psychiatric News 1-16-1998
JKajikawa at hrsa.dhhs.gov
Fri Jan 23 04:37:14 PST 1998
Hi everyone. I am forwarding a message that I received fyi.
I have also been asked to see what your thoughts are about
Pscyhologist prescribing (the Am. Psychology Assn is working on this -
not to be confused with the Psychiatric Assn and below topic). Any
comments are welcomed.
(Hi Kathy Carson!)
Sr. Public Health Advisor
Office of Pacific Health & Human Services
Box 50166, 300 Ala Moana Blvd.
Honolulu, Hawaii 96850
email: jkajikawa at hrsa.dhhs.gov
______________________________ Forward Header __________________________________
Subject: Psychiatric News 1-16-1998
Author: Pat DeLeon <deleon1 at erols.com> at INTERNET
Date: 1/22/98 10:18 PM
>X-Sender: deleon1 at pop.erols.com
>Date: Thu, 22 Jan 1998 22:17:55 -0500
>To: deleon1 at erols.com
>From: Pat DeLeon <deleon1 at erols.com>
>Subject: Psychiatric News 1-16-1998
>APA Opposes Expansion of Nurse Prescribing Privileges --
> "At the same time the issue of psychologist prescribing has been the
>of intense concentration in American psychiatry, nurse practitioners have
>quietly gained prescribing privileges in at least 35 states." [Actually, 49
> "Now, nurse psychotherapists and psychiatric clinical nurses are pushing
>to gain prescriptive authority. The issue is emerging as a major challenge
>to those concerned about scope of practice and its potential adverse impact
>on quality of patient care, and will share a forum with psychologist
>prescribing at APA's State Legislative and Public Affairs Joint Institute
>in Fort Lauderdale, Fla. next month."
> "The specifics vary from state to state. For psychiatry, however, the
>underlying issue is the impact of expanded scope of practice on patients
>who may be denied insurance coverage for visits to a psychiatrist but will
>be reimbursed for visits to a nurse, or who may believe that they are
>receiving a comparable level of care from a nurse practitioner authorized
>to prescribe psychiatric drugs."
> "....Unlike psychologists, nurse practitioners have substantial medical
>education and may be required by state boards of nursing to augment that
>education with pharmacology course work...."
> "Our position is that if they are going to prescribe, they should do so
>only in collaboration with a psychiatrist or physician with substantial
>experience in treating mental illness....lobbyist for the Maryland
> "The expansion of nursing practice to include broad prescriptive
>authority, particularly among psychiatric nurses and nurse
>psychotherapists, represents 'a significant threat to quality of patient
>care'.... Prescribing bills enacted by nurses are often used as a
>legislative gateway for psychologists' prescribing initiatives in the
> "This is not solely a turf issue, but also a health and safety issue for
>patients.... We hope psychiatrists will work with physician colleagues for
>the protection of patients...."
> "Psychiatrists stand side by side with psychiatric nurses in advocating
>for the full range of care that patients with mental illness need.... At
>the same time, the.... Psychiatric Society must object to opening the door
>that may remove the patient from the treatment team."
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