Reply to your classmates. Your reply posts should compare and contrast your stat

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Reply to your classmates. Your reply posts should compare and contrast your state compared to another state you are reviewing.
Your response should include evidence-based research to support your statements using proper citations and APA format
Psychiatric-Mental Health Nurse Practitioners (PMHNPS) play a significant role in promoting the mental health of individuals in their communities. To qualify as a PMHNP, one must undergo intensive training, including a master’s degree specializing in mental health. The intensive training adequately prepares them to effectively practice within their scope of practice, which encompasses performing advanced assessments, diagnosing, prescribing drugs and planning the management of people with mental health disorders (Chapman, Toretsky & Phoenix, 2019). Unfortunately, the authority of PMHNPs to practice to their maximum scope is determined by state and federal regulations, with some states being more accommodative than others. Although there has been substantial progress across states to remove barriers that prevent nurse practitioners from exercising their full scope of practice, some states remain adamant about allowing APRNs to practice (Phoenix & Chapman, 2020).
In Massachusetts, where I am from, APRNs, including PMHNPs, were granted full practice authority in 2021, making it the twenty-third state to allow nurse practitioners to practice independently. The enactment of the legislation was great news to nursing practitioners who can now practice independently without requiring any supervision or collaboration with physicians (Stephens, 2021). The move to allow APRNs to practice independently does not present any barrier in the provision of mental health services; rather, it actually improves the coverage and access of mental health care services as PMHNPs can easily provide those services, especially to the unprivileged and to those in rural areas with a limited number of psychiatrists.
Studies show nurse practitioners are fully capable of providing safe and effective care without requiring any physician supervision. Moreover, granting APRNs full practice authority increases the accessibility of healthcare services at reduced costs (Chapman et al., 2019). Therefore for PMHNPs to make a maximum contribution to the country’s mental health wellness, there is a need to have a uniform regulatory framework for all nurse practitioners to have full practice authority.
Chapman, S. A., Toretsky, C., & Phoenix, B. J. (2019). Enhancing psychiatric mental health nurse practitioner practice impacts state scope of practice regulations. Journal of Nursing Regulation, 10(1), 35-43.
Phoenix, B. J., & Chapman, S. A. (2020, October). Effect of state regulatory environments on Advanced Psychiatric Nursing Practice. Archives of psychiatric nursing.
Stephens, S. (2021). Massachusetts grants Nurse Practitioners Full Practice Authority.
Peer Post
Florida scope of practice for the Psychiatric Mental Health Nurse Practitioner
Regulations for Psychiatric Mental Health Nurse Practitioners (PMHNPs) vary from state to state (Joel, 2018). I currently reside in Florida, working for a FACT (Florida Assertive Community Treatment) team in Daytona Beach, and I intend to stay in Florida once I qualify as a PMHNP. According to the American Association of Nurse Practitioners (AANP) (2022), the scope and practice of Advanced Practice Registered Nurses (APRNs) includes prescribing as a fundamental role. The AANP essentially believe that the prescriptive authority of APRNs should be solely regulated by individual state boards of nursing and in accordance with the role of the APRN, their education and their certification. The AANP stands firmly that all APRNs must be authorized to prescribe controlled medications, devices, health care services, durable medical equipment and other equipment and supplies. This, it is believed by Joel (2018) is essential to providing timely, cost-effective, quality health care in the United States.
In the state of Florida, physician involvement is required for APRNs’ prescriptive authority. APRNs must maintain a written collaborative agreement for prescriptive authority. This is explained in Fla. Admin. Code 64B9-4.010. APRNs hold the authority to prescribe schedule III-V controlled substances in the state of Florida, and regarding schedule II controlled substances, there is a seven day limit of Schedule II controlled substances. However, there is no limit for psychiatric controlled substances.
Psychiatric Mental Health Nurse Practitioners (PMHNPs) are the only nurse prescribers who are authorized to prescribe psychiatric medication to children under the age of 18 (Buppert, 2021). APRNs whose workplace protocols permit them to prescribe medications must register with the Board of Nursing; this is echoed by Fla. Stat. 465.0267 (2)(a). A multidisciplinary committee of APRNs, physicians, and pharmacists who work under under the nursing board will recommend the formulary for controlled substances. APRNs must complete three American Medical Association (AMA) PRA Category 1 credit hours in the prescription of controlled substances in order to prescribe them.
Unruh (2018) suggested that eliminating restrictions on the scope of APRN practice in Florida would, by 2025, have a number of benefits. Suggested benefits include increasing APRN supply by 11%, relieving pressure on physician supply, reducing shortages of primary care physicians, and reducing healthcare costs. It is suggested that certain barriers exist due to restrictive practices on PMHNPs in the state of Florida. To restrict PMHNPs to requiring a co-signing physician may lead to some cultural groups being excluded from receiving psychiatric care sheerly due to a lower volume of practitioners in the state who are able to practice independently. It could be that if PMHNPs were afforded more autonomy in the state of Florida, that some may wish to set up an indepent practice in rural areas. Anecdotally, I have a colleague who is studying PMHNP (although not through Regis College) and would like to set up a clinic in the rural area of Ocala here in Florida, but she knows that she is limited to working under a physician, thus, this limits her possibilities to help people living in the very rural, remarkably under-privileged areas surrounding the Ocala National Forest. Thus, in summary, I would suggest that by limiting the scope of practice of PMHNPs to working under a psychiatrist, it is limiting under-priviledged communities, such as low-income, rural areas such as those surrounding Ocala National Forest, Florida

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