Utilization and Economic Contribution of Psychiatric Mental Health Nurse Practitioners in Public Behavioral Health Services

American Journal of Preventive Medicine
Susan A ChapmanDeborah C Strod

Abstract

Expanded insurance coverage through the Affordable Care Act and parity in behavioral health coverage have increased demand for services. Yet there is a persistent shortage in the behavioral health workforce. Psychiatric Mental Health Nurse Practitioners (PMHNPs) may be part of the solution to shortages but are not yet fully utilized. The purpose of this study was to describe how PMHNPs are utilized, identify barriers to full utilization, and assess PMHNPs' economic contribution in public behavioral health systems. This study used a mixed methods approach, selecting counties for use of PMHNPs, geography, population size, rural/urban, and availability of financial data. The authors conducted 1- to 2-day site visits in 2014-2015 including semi-structured interviews with management and clinical leaders and collected PMHNP staffing and billing data. Thematic analysis of interview data was conducted and aggregate staffing and billing data were analyzed to determine net PMHNP financial contribution. The primary billed service for PMHNPs is medication management. Barriers to full utilization included system-level barriers to hiring PMHNPs, lack of role-appropriate job descriptions, confusion related to scope of practice/supervision req...Continue Reading

Citations

Nov 16, 2019·Journal of the American Psychiatric Nurses Association·Brooke A Finley
Jun 24, 2020·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Shawna M SislerPetra Steinbuchel
Feb 23, 2019·Journal of the American Psychiatric Nurses Association·Kathleen R Delaney, Dawn Vanderhoef
Oct 10, 2020·Archives of Psychiatric Nursing·Kathleen R Delaney
Jan 3, 2021·Nursing Outlook·Catherine Crawford CohenHeather L Tubbs-Cooley

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