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Mental Health Advocacy, Awareness and News
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July, 2011
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Members' Corner

President's Message
I am very pleased to report that APNA is currently experiencing unparalleled successes in the number and quality of national initiatives, educational programs, and member participation in committees and councils. If you were measuring our success on quantity, you would see a record number of: attendees at the previous APNA Annual Conference and Clinical Psychopharmacology Institute; abstract proposals submitted for review by our Scholarly Review Committee for the upcoming APNA 25th Annual Conference in Anaheim, CA; nominations for open positions on the APNA Board of Directors and Nominating Committee in this year's elections process; and solicited requests for feedback by a growing number of national organizations. These accomplishments show the robustness of our association and its membership...(Cont'd)

Integrated Care ACTion in Colorado
We all know that integrated care is an important and growing trend in healthcare. Our current system is fragmented and fraught with problems. The movement towards integrated care means embracing a patient-centered, seamless model that addresses the full spectrum of patient needs. Psychiatric nurses know the need for this better than most. The practicalities of implementing such a system, however, are complex. The Advancing Care Together (ACT) program is one project that is exploring the viable ways in which primary and mental health care can be blended together in a real world setting. APNA member Nancy Valentine, a member of ACT's National Steering Committee, recently spoke with us about the project...Cont'd

Annual Conference

Program Update
Now earn up to 27 Continuing Education Contact Hours! A new symposium luncheon, Strategies for Achieving Remission of Major Depressive Disorder, has been added to Thursday, October 20th's program. At the luncheon, expect to earn 1.5 Contact Hours while actively evaluating current clinical practices, identifying areas for improvement in the management of major depressive disorder, and planning to make positive changes in order to improve patient outcomes. We invite you to submit a patient case from your practice to be considered for faculty feedback and discussion during the symposium. Please send an email to nicole.falco@in2meded.net to request a brief patient case form. Register for the Conference

Conference Connect
As registration for the Annual Conference continues, we wanted to remind you of the new online community for conference attendees: Conference Connect. A community on Member Bridge, it offers a roommate finder group, an online discussion forum, a library for posting pictures, and more. Visit www.apna.org/ConferenceConnect for more information.

Session Podcasts - CE on-the-go!
This year's conference registration fee includes access to the session recordings via the new APNA eLearning Center. Just use your Attendee Bonus Points to order sessions you might have missed during the live conference - now in a new podcast format. Listen to the recording at your computer, on your smartphone, in the car, wherever! Then come back to your account on the eLearning Center to take the post test and earn your CE. Now you can enjoy a more relaxed conference experience... if you miss a session on-site, you can get it later online! Learn more about CE at the conference.

CPI Recap
Last month, over three hundred of the best and brightest psychiatric mental health nurses gathered in Reston, Virginia for the APNA 9th Annual Clinical Psychopharmacology Institute. The program was built around the theme of recovery from pain, distress, and suffering across the lifespan and featured a superb lineup of psychiatric nurses, pharmacologists, consumers, and doctors as speakers. Highlights included a new preconference, some great keynote presentations, and a few novel ways of conveying psychopharmacological information. Dr. Barbara Limandri's pre-conference session Guide to Rational Prescribing: Neurophysiology and Drug Mechanisms of Action started the conference off strong...Cont'd

Remember to Vote!
Let your voice be heard by participating in the 2011 APNA Elections: You can find the voter guide and cast your vote by going to the APNA elections website at www.apna.org/elections. The Steps to Vote page will guide you through the process to submit your ballot. All ballots must be electronically filed or postmarked no later than August 31, 2011 to be considered a valid vote. Thank you for your support of APNA and PMHN.

Recovery to Practice Task Force Updates
Recently, as year one of SAMHSA's Recovery to Practice Initiative ended, our Recovery to Practice Task Force worked with other stakeholders in the program to create a joint statement. The statement emphasizes our commitment to shifting the paradigm towards an implementation of recovery-oriented practice. The Task Force has also completed its situational analysis, which summarizes our work thus far and recommends a plan for developing a curriculum. An Executive Summary of the document was featured in the July 7th issue of SAMHSA's Recovery to Practice Weekly Highlights newsletter. Read the: Joint Statement, Executive Summary Situational Analysis

CMS Proposed Rules for CMHCs
You may have seen the recent discussion on the All-Purpose Discussion forum regarding CMS's proposed rule on Conditions of Participation (CoPs) for Community Mental Health Centers. CMS is soliciting feedback on this proposed rule and our councils are hard at work reviewing it. We encourage you to submit your comments to CMS and to also share a copy of your comments with us for inclusion in APNA's response from the Board of Directors. To do so, please email Lisa Nguyen at lnguyen@apna.org by August 5th. More Information

Congratulations to the 2011 APNA Janssen Student Scholarship Recipients
This scholarship program was established in partnership with Ortho-McNeil Janssen Scientific Affairs in order to recognize outstanding graduate and undergraduate nursing students who have demonstrated a passion for psychiatric mental health nursing, and to help foster the professional growth and development of these students within the psychiatric mental health nursing field. Click here to view the recipients.

New Additions to the Resource Center
A great deal of new resources have been added to the APNA Resource Center over the past month: Visit the Child and Adolescent Trauma Resources page for information on earning free continuing education via a six hour online course on Psychological First Aid. Check out several new programs and funding opportunities in the Grants and Scholarships section, and find information about a couple of new recovery-focused webinars and teleconferences in the Recovery to Practice Upcoming Educational Opportunities section. For a comprehensive listing of all of the additions to the Resource Center, visit the APNA Newsfeed's Quick Updates section here.

New Members: A listing of new APNA members since May 2011

Issues & Events

NIMH Director Dr. Thomas Insel and Sergeant Todd Bowers of the organization Iraq and Afghanistan Veterans of America discuss mental health challenges for returning military veterans in a recent interview. Click here to watch the interview or read the transcript.

A new report providing state-by-state analyses of a wide range of behavioral health issues reveals that despite some wide variations among the states in the types and levels of problems they confront - every state must deal with these issues. For example, among those aged 12 and older, Iowa had less than half the current illicit drug use rate of Alaska (5.3% versus 13.5%) yet Iowa also was among the top 10 states with the highest levels of people age 12 and older currently participating in binge drinking (28.6%). Full Story

The Substance Abuse and Mental Health Services Administration (SAMHSA) announced a new application process for its major block grant programs the Substance Abuse Prevention and Treatment Block Grant and the Community Mental Health Services Block Grant. The change is designed to provide states greater flexibility to allocate resources for substance abuse and mental illness prevention, treatment and recovery services in their communities. Full Story

An extract of the herb St. John's Wort and a standard antidepressant medication both failed to outdo a placebo in relieving symptoms of minor depression in a clinical trial comparing the three. The results of this study, consistent with earlier research, do not in support the use of medications for mild depression, reported NIMH. Full Story

Reducing the prevalence of lifestyle-based risk factors, including smoking and physical inactivity, by 25% could potentially prevent up to 3 million cases of Alzheimer's disease (AD) worldwide and up to half a million cases in the U.S., new research suggests. The study suggests, but doesn't prove, that up to 50% of AD cases are potentially attributable to 7 preventable risk factors. These include smoking, physical inactivity, midlife obesity, midlife hypertension, depression, diabetes, and cognitive inactivity, reported Medscape. Full Story (Free Registration Required)

Some signs of Alzheimer's disease appear in cerebrospinal fluid 10 or 20 years before symptoms of the disease appear in families with an inherited form of the disease, a finding that may help provide early diagnosis in those with sporadic forms of the disease, reported the Los Angeles Times. The findings may also provide a group of subjects in whom potential Alzheimer's drugs can be tested to determine if they work better when used at the earliest stages of the disease, according to researchers from the Washington University School of Medicine in St. Louis. Full Story

Preliminary findings from a study that looked at retinal vascular parameters as a biomarker for Alzheimer's disease (AD) indicate that there is a relation between those parameters and neocortical plaque load, an early harbinger of AD, reported Medscape. Full Story (Free Registration Required)

Patients experiencing cardiovascular or metabolic side effects while taking an antipsychotic medication may fare better if they switch to a different medication provided they are closely monitored, according to an NIMH-funded study. Full Story

Antidepressants may provide little benefit but appear to increase adverse side effects in individuals with dementia and comorbid depression, suggesting that clinicians should reconsider use of these agents in this population, reported Medscape. Full Story (Free Registration Required)

West Virginia Wesleyan College leaders joined with those from Shenandoah University in Winchester, VA, to announce a partnership that will bring psychiatric nursing services to some of the most underserved communities in Appalachia. The two colleges will collaborate to offer two new nursing degrees, giving students the ability to become certified as a psychiatric mental health nurse practitioner, reported The Journal. Full Story

The National Institute of Mental Health (NIMH) invites applicants to submit proposals for consideration as an NIMH Outreach Partner. Non-profit organizations that conduct outreach on mental health are invited to submit proposals for participation in the NIMH Outreach Partnership Program, which is designed to facilitate and increase the use of science-based information on mental disorders nationwide. Organizations with experience in child and adolescent mental health and/or mental health disparities are encouraged to apply. Full Story


State governments are likely to spend $92-129 billion less from 2014 to 2019 with implementation of the Affordable Care Act (ACA), thanks to provisions designed to reduce the uninsured population and increase federal support for health care functions previously financed by states, according to a new study by the Urban Institute. The study also suggests expanding federal Medicaid coverage of the mentally ill will save states between $11 billion and $22 billion. Full Story

The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) announced the 15 organizations selected for the CIHS Integrated Health Provider Learning Collaborative. The Collaborative provides a learning environment for the selected community mental health and addiction providers to assess, build and share outcomes related to their organizations' efforts to integrate behavioral healthcare and primary care. Full Story

The National Council for Community Behavioral Healthcare (National Council) has chosen five community behavioral health organizations to participate in a Depression Care Collaborative to improve the quality of treatment for persons with depression. This year-long project seeks to measure patient responses to depression treatment to guide improvements in care. Full Story

The White House reversed its longstanding policy of not sending condolence letters to the families of service members who die by suicide while deployed to Iraq, Afghanistan and other combat zones. Full Story

The U.S. Department of Health and Human Services (HHS) announced three new initiatives to help states improve the quality and lower the cost of care for the approximately nine million Americans who are eligible for both Medicare and Medicaid.

The initiatives include:

• A demonstration program to test two new financial models designed to help states improve quality and share in the lower costs that result from better coordinating care for individuals enrolled in Medicare and Medicaid.
• A demonstration program to help states improve the quality of care for people in nursing homes by providing these individuals with the treatment they need without having to unnecessarily go to a hospital.
• A technical resource center available to all states to help them improve care for high-need high-cost beneficiaries.

Click here for the full story.

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American Nurses Credentialing Center's Commission on Accreditation.

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