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Mental Health Advocacy, Awareness and News
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May, 2015

Members' Corner
APNA Member Info

Online Continuing Education
Featured Free Session: Partnerships, Possibilities, and Healing

Hot Topic on Member Bridge:
Visitation Guidelines for Inpatient Units

APNA Newsfeed
Keep up-to-date on APNA happenings!

Chapters
Find out about APNA events in your area.

APNA Resource Center

APNA Member Benefits: Learn More

President's Message
Originally sent to APNA members on May 6th in honor of Nurses Week. When posed the question, “Why are you proud to be a psychiatric nurse?” I initially paused, feeling uncomfortable to identify anything that reflected on my professional accomplishments. Upon further reflection, what I feel proudest of is my sense of gratitude for being in a profession that offers hope to individuals at their most vulnerable moments. (Cont'd)

In Your Own Words: Psych Nurses' Stories
This month Sarah Katula, APN, PhD shares an important moment of connection she experienced as a nursing student: When I was in nursing school (many years ago), there was a student at the college who demonstrated odd behaviors in different classes we shared together. For the sake of the story let me call her Maria. As a freshman, Maria was in my religious studies class...(Cont'd)

Member News
Nancy Hanrahan appointed Dean of Northeastern University School of Nursing; Blog by Angela Matsson, "What does Integrated Care actually look like?", posted by Care for Your Mind; Bernadette Melnyk part of expert panel for a workshop exploring how health care reform can promote children’s behavioral health; Murlene Osburn featured in New York Times article, "Doctoring, without Doctors"; Blog by Mona Shattell, "Why Nurses Need Twitter", posted on HuffPost's The Blog. (Learn More)

Focus On: Mentorship with APNA Mentor Match
In 1977, while working as a staff nurse on an inpatient unit, Kathryn Johnson, NP first encountered a psychiatric Clinical Nurse Specialist. “That person became my first mentor, and influenced me to go to graduate school,” says Johnson. “I have been lucky enough to find excellent mentors in every job I’ve held. My mentors have been APRNs, psychiatrists and therapists of various clinical backgrounds. As with that first clinical nurse specialist, they have all played a significant role in shaping the kind of clinician I am today.” (Cont'd)

Continuing Education
Free CE for Mental Health Month
Ends 5/31 | 0.75 contact hours
Celebrate Mental Health Month with the podcast Possibilities, Partnerships, and Healing - it's free for APNA Members through 5/31!

Clinical Psychopharmacology Institute
Pre-Registration ends 6/5 | Up to 23.5 contact hours
There's still time to register and join us June 11-14 in Baltimore for a conference which delivers cutting-edge updates in psychopharmacology specifically for psychiatric-mental health nurses! Just Announced - Attendees are eligible for a 10% discount on their professional liability premium.

Competency-Based Training for Suicide Prevention
Registration ends 6/5 | Up to 6.25 contact hours
Learn to interpret and systematically apply the APNA Psychiatric Nurse Essential Competencies for Assessment and Management of Individuals at Risk for Suicide to inpatient practice in this interactive training on June 11th in Baltimore, MD.

Opportunities to Get Involved
Vote for Psych Nurse Leaders: The APNA elections will open soon! Look for an announcement coming to your email inbox in the next day or so.

Apply for a Research Grant: The American Psychiatric Nursing Foundation (APNF) is looking to provide grants of up to $10,000 each to up to two new nurse researchers. Application Deadline: Wednesday, June 17, 2015.

Resource Roundup
  • Substance Use Resources: Updated Federal Guidelines for Opioid Treatment Programs from SAMHSA
  • Institute for Safe Environments: OSHA's update on their Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers
  • Medication Updates: FDA approves first generic Abilify (aripiprazole); New SAMHSA Guide on Medication-Assisted Treatment for Alcohol Use Disorder; FDA reviews Zyprexa Relprevv
  • Graduate Programs: University of South Carolina program info now available
  •  APNA Advocacy: Mental Health Liaison Group letter supporting the Garrett Lee Smith Act Reauthorization; Congratulatory letter to Mary Wakefield on her appointment as Acting Deputy Secretary of HHS; Nursing Community Testimony for Fiscal Year 2016 to the Senate Appropriations Subcommittee on Labor, Health and Human Services, and Education

New Members: 568 New Members since March!


Issues & Events

A special Delegate Assembly of the National Council of State Boards of Nursing (NCSBN) approved the revised Nurse Licensure Compact (NLC) and the Advanced Practice Registered Nurse Compact (APRNC). The NLC allows for registered nurses (RN) and licensed practical/vocational nurses (LPN/VN) to have one multistate license, with the ability to practice in both their home state and other NLC states. There are currently 25 states in the NLC. The APRNC allows an advanced practice registered nurse to hold one multistate license with a privilege to practice in other APRN compact states. Full Story

The number of U.S. children and teens being treated for mental health issues has risen by about 50% in the past 20 years, with most of those kids having relatively mild symptoms, reported HealthDay News. Full Story

One in 10 children and teens has been diagnosed with attention deficit hyperactivity disorder (ADHD), reported HealthDay News. That number has remained relatively steady since 2007, according to government estimates. Full Story

When patients with delirium are cared for by a coordinated team of healthcare professionals, time spent in the intensive care unit (ICU) and the duration of benzodiazepine and opiate therapy can be cut in half, reported Medscape.com. The multidisciplinary approach to delirium is used outside the ICU, but applying it "inside the ICU is quite novel and exciting," said Brenda Pun, RN, from the Vanderbilt University Medical Center in Nashville, TN. Full Story

Scientists have long known that the symptoms of schizophrenia can be partly explained by abnormal connectivity in the brain. In the first study of its kind, researchers have used Magnetic Resonance Imaging (MRI) to identify how the brains of young people, who exhibit only some symptoms of schizophrenia, are wired differently, reported PsychCentral.com. Full Story

The U.S. Food and Drug Administration approved the first generic versions of Abilify (aripiprazole). Generic aripiprazole is an atypical antipsychotic drug approved to treat schizophrenia and bipolar disorder. Full Story

The US Food and Drug Administration (FDA) has approved a quarterly injection form of paliperidone (Invega Trinza, Janssen Pharmaceuticals) for schizophrenia, reported Medscape. Janssen Pharmaceuticals already markets a once-a-day tablet version of paliperidone (Invega) as well as a monthly intramuscular injection version (Invega Sustenna) for schizophrenia. Before patients begin quarterly intramuscular injections of paliperidone, they must first receive the monthly injections for at least 4 months. Full Story

A recent Hospitals & Health Networks article looks at four ways hospitals are improving behavioral health care. Full Story

New research offers novel strategies to reduce suicide risk among depressed children and adolescents prescribed selective serotonin reuptake inhibitors (SSRIs), reported Pharmacy Times. Since SSRIs have been shown to increase suicidal thoughts and actions in pediatric and adolescent populations, the FDA issued a black box warning describing this risk in 2004. However, a recent study published in Translational Psychiatry noted the suicide rate among youth with major depressive disorder has increased since then - seemingly because clinicians hesitate to prescribe SSRIs, even though leaving depression untreated increases suicide risk to a greater extent. Full Story

The National Institutes of Health released recommendations that provide a framework for a bold and transformative Alzheimer’s disease research agenda. Developed at the recent Alzheimer’s Disease Research Summit 2015: Path to Treatment and Prevention, the highly anticipated recommendations provide the wider Alzheimer’s research community with a strategy for speeding the development of effective interventions for Alzheimer’s and related dementias. These recommendations call for a change in how the academic, biopharmaceutical and government sectors participating in Alzheimer’s research and therapy generate, share and use knowledge to propel the development of critically needed therapies. Full Story

New research presented at the American Psychiatric Association's 168th Annual Meeting explored how cultural differences can influence the diagnosis of common mental illnesses, including depression, mania and psychosis. Jhilam Biswas, M.D., was inspired to conduct this research by debates over whether "major psychiatric diagnoses are universal versus unique across culture." By surveying psychiatrists in the United States and India, Dr. Biswas was able to compare the symptoms each group considered most important for three major psychiatric diagnoses. Full Story

The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting applications for up to $24.6 million in planning grants for states to help implement certification for Certified Community Behavioral Health Clinics. This program will support states in certifying community behavioral health clinics.  It will also establish prospective payment systems for Medicaid reimbursable services at the clinics. Full Story


Legislative

The American Nurses Association (ANA) commends Senator Jeff Merkley (D-OR) and Representatives Lois Capps (D-CA) and David Joyce (R-OH) for introducing the Registered Nurse Safe Staffing Act. This bill would require Medicare-participating hospitals to establish registered nurse (RN) staffing plans using a committee, comprised of a majority of direct care nurses, to ensure patient safety, reduce readmissions and improve nurse retention. Full Story

Nursing assistants in Washington state can now provide mental health services to patients at a licensed health care facility, reported KLEWTV.com. House Bill-1727 was signed into law by Governor Jay Inslee. It helps rural areas effectively deliver mental health and chemical dependency services to patients. Full Story

In Montana, the 2015 Legislature approved an additional $4 million for personnel and services at state mental-health institutions, like the State Hospital in Warm Springs -- and the Bullock administration is mulling how and where to use that money, reported the Independent Record. Full Story

Maryland has become the 21st state in the union to allow nurse practitioners to practice independently of a physician. Gov. Larry Hogan signed the Nurse Practitioner Full Practice Authority Act, which allows nurse practitioners to prescribe certain drugs without having an "attestation agreement" with physicians. Full Story

Tennessee Republican Rep. Diane Black introduced a House bill that would essentially institute an ICD-10 transition period, reported HealthCare IT News. Full Story


Policy

On May 1, to support Mental Health Month, the National Alliance on Mental Illness (NAMI) and the philosophy hope & grace initiative are joining forces to launch the StigmaFree campaign. The StigmaFree campaign urges individuals, companies, organizations and campuses to create an American culture in which the stigma that is often associated with mental health conditions is ended and replaced by hope and support for recovery. Full Story

The American Psychiatric Foundation joined other leading organizations in supporting the Stepping Up Initiative, an unprecedented national collaboration designed to generate action in communities across the country for a common goal: to reduce the number of people with mental illnesses in U.S. jails. Stepping Up is being led by the National Association of Counties (NACo), the Council of State Governments (CSG) Justice Center and the American Psychiatric Foundation (APF), with support from the U.S. Department of Justice’s Bureau of Justice Assistance (BJA). Full Story


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American Nurses Credentialing Center's Commission on Accreditation.

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