Dr. Delaney is with the Department of Psychiatric Nursing, Rush University Medical Center, Chicago (e-mail:
Psychiatr Serv. 2017 Sep 1;68(9):952-954. doi: 10.1176/appi.ps.201600405. Epub 2017 May 15.
There is a recognized shortage of mental health professionals licensed to provide the full scope of mental health services, including assessment, diagnosis, and prescribing. Psychiatric mental health advanced practice nurses (PMH APNs) have the education and licensure to provide these services, address provider shortages and increase access to services. Unfortunately, federal reports and mental health workforce studies inaccurately depict important characteristics of PMH APNs, particularly their scope of practice, a situation that creates misunderstanding and impedes workforce planning. This Open Forum provides an accurate depiction of the PMH APN workforce, its size, scope of practice, and its capacity to increase access to mental health services. Also considered are the implications of using integrated care to increase access to mental health treatment. PMH APNs could increase the reach of these collaborative care models, which require constructing interprofessional teams in which each provider practices to the top of his or her license.
目前，获得提供全方位心理健康服务（包括评估、诊断和开药）许可的精神卫生专业人员短缺。精神科心理健康高级执业护师（PMH APN）具备提供这些服务的教育背景和执照，能够解决提供者短缺问题并增加服务的可及性。遗憾的是，联邦报告和精神卫生劳动力研究对 PMH APN 的重要特征（特别是他们的实践范围）进行了不准确的描述，这种情况造成了误解并阻碍了劳动力规划。本专题论坛提供了对 PMH APN 劳动力的准确描述，包括其规模、实践范围及其增加获得心理健康服务的能力。同时还考虑了使用综合护理来增加获得心理健康治疗的机会的影响。PMH APN 可以扩大这些合作护理模式的覆盖范围，这些模式需要构建多专业团队，其中每个提供者都在其执照范围内执业。
