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mental health certification for nurse practitioner



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No. 30
from ANPFNPGNP
Old Jul 25, 2009, 12:18 PM

Default Re: mental health certification for nurse practitioner
Originally Posted by bobcambren View Post
I have certainly benefited from all the advice you all have provided. The question I am seeing most is why do I want to do it. Well, to explain my situation a little--I went to school to get FNP and then took a job at mental health facility. They need someone to see patients in the outpatient setting and I need something that insurance companies will recognize in order for reimbursement.

Someone mentioned a DNP. I have heard that soon all NP's will have to have DNP. Is there one some kind of mental health DNP that I could get that would qualify me for taking the certification exam. I could get the DNP in the same length of time it would take me to get the Mental Health NP.

Any advice is appreciated.
Thank you
I'm curious, you stated that you are working in a mental healthy facility as a FNP. Do you address the primary care needs of the patients?
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No. 31
from bobcambren
Old Aug 03, 2009, 10:22 PM

Default Re: mental health certification for nurse practitioner
you asked what I do as a FNP working in mental health. An FNP can do medical assessments and write up history & physicals. I can also write prescriptions for medical management on an outpatient basis. I don't do that anymore because it has become hospital policy to have certified mental health nurse practitioners or physicians do that. I am glad about that. You may feel comfortable about that but I didn't like changing meds and things like that. I had a supervising physician but I hated bothering him all the time when the medication the patient had been on wasn't working. That is why I want to go to school and get certified. I feel that I need to know more about psychpharmacology working with this type of patient.

I guess the answer to a lot of questions is that FNP's can legally do it but I want more education to make me more comfortable with the type of patient we deal with. I think it is a good idea to learn how mental health patients' medications can interact with medical needs and the medications they are already receiving.

I hope this makes sense.
Thank you all for your comments. I have learned a lot since I first posted.
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No. 32
from ANPFNPGNP
Old Aug 04, 2009, 12:31 AM

Default Re: mental health certification for nurse practitioner
Originally Posted by bobcambren View Post

I guess the answer to a lot of questions is that FNP's can legally do it but I want more education to make me more comfortable with the type of patient we deal with. I think it is a good idea to learn how mental health patients' medications can interact with medical needs and the medications they are already receiving.
In the state of Texas, FNP's are NOT legally allowed to diagnose and treat psychiatric illnesses nor can we manage psych meds. We can treat situational anxiety and acute depression only. We can't treat GAD or chronic depression, that is within the realm of the psych/mental health NP. FNP's have been sanctioned by the TXBON for doing exactly what you've been doing.
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No. 33
from jer_sd
Old Aug 04, 2009, 10:06 PM

Default Re: mental health certification for nurse practitioner
Nut there are 49 other states than Texas and in many of thoes states NPs can provide care that they can not in Texas. Arizona State University has 2 programs to train NPs to provide further psychiatric care without becoming psych NPs but both are focused to pediatric partients. The pediatric nurse certification board will be issuaing a certificate in pediatric mental health NPs next year I think. Idaho board of nursing had a local unversity provide contining education for psychiatic care. FNPs/ANPs/GNPs/WHNPs/PNPs can provide some mental health servces including rx. Personally I do not rx for psych not in my personal comfort zone.
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No. 34
from ANPFNPGNP
Old Aug 05, 2009, 10:28 AM

Default Re: mental health certification for nurse practitioner
Originally Posted by jer_sd View Post
Nut there are 49 other states than Texas and in many of thoes states NPs can provide care that they can not in Texas. Arizona State University has 2 programs to train NPs to provide further psychiatric care without becoming psych NPs but both are focused to pediatric partients. The pediatric nurse certification board will be issuaing a certificate in pediatric mental health NPs next year I think. Idaho board of nursing had a local unversity provide contining education for psychiatic care. FNPs/ANPs/GNPs/WHNPs/PNPs can provide some mental health servces including rx. Personally I do not rx for psych not in my personal comfort zone.
I would proceed cautiously and get something IN WRITING from my malpractice insurance carrier concerning all of this. When s--- hits the fan and you file a claim, there's a very good chance they'll reject it.
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No. 35
from elkpark
Old Aug 05, 2009, 03:49 PM

Default Re: mental health certification for nurse practitioner
Originally Posted by ANPFNPGNP View Post
I would proceed cautiously and get something IN WRITING from my malpractice insurance carrier concerning all of this. When s--- hits the fan and you file a claim, there's a very good chance they'll reject it.
I would also check with the BON about scope of practice specifics ...
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