I've been a child psych CNS for almost 15 years. The psych CNS role seems lately to be dying out in favor of the new psych NP role. I'm v. sad about that, personally, but realize that I am apparently an outlier on that. I've never had Rx authority, don't want
it, and wouldn't take it if someone tried to give
it to me (although I have practiced in states where that was available to CNSs). I pursued education as a psych CNS in order to become a psychotherapist, and am not interested in pushing pills. It seems I am in the minority on that question. I have applied for jobs in the state next to me, where CNSs do have Rx authority, and was told in the interview process that the employer would expect me to get Rx authority as quickly as possible and they would be using me as a physician extender, to see clients for 10 minute Rx-refill appts. I was also told that no employer in that state would be willing to hire me to do anything other than write Rxs, because I'm so much more valuable as a prescriber than as a psychotherapist ...
Fortunately, my own state doesn't offer Rx authority to CNSs, so it's not an issue, but the jobs have still dried up in favor of psych NPs -- for the same reason. It seems that the idea of the nurse psychotherapist is going the way of the dodo.
I'm deeply offended by the recent moves to redefine "advanced practice nursing" as requiring Rx authority, and the idea that those of us who don't have Rx authority aren't really
advanced practice nurses. To me, prescribing is "medicine lite," not
advanced nursing practice -- and (traditional) CNS practice is true advanced practice nursing.
Well, that's my rant for today! :chuckle Sorry -- this issue really touches a nerve for me.