Welcome! New Members The individuals below have joined ISPN or a new Division. Come Stephanie Ahrens,WA,A Yumiko Hayama,..,Japan,S Sharon Piper,ME,A M. Teresa Alarcon,TX,S Glenda Hayes,CA,SI Michele Powell-Braman,WY,IA Marilynn Albert,WA,S Shari Helbig,MO,I Lourdes Ramos,PR,S Surf Hector Ancheta,CA,A Christine Hobby,..,Australia,A Patricia Rikli,GA,I Linda Armstrong,CA,I Mary Hughes,MO,I Karen Ronson,NS,Canada,S Our Elizabeth Arnold,MD,S Karen Hutchinson,CA,A Kim Sanggil,KY,S Shahid Ashraf,..,Pakistan,A Barbara Jonker,CT,A Nina Scarpinato,PA,AI Bonnie Babakian,AZ,I Robin Kaplan,NY,I Rosemarie Scully,MD,I Web Teri Baker,VA,A Noriko Kawana,..,Japan,I Jan Shields,SD,S Jill Baroody,ME,A Bonnie Kian,AZ,I Keiko Shimoeda,..,Japan,I Sandra Bell,MI,I Elizabeth Krch-Cole,IL,S Jan Sinatra,CT,I Site... Marian Berridge,AZ,I Linda Lee,VA,A Linda Stafford,TX,S Maggi Broggel,WA,I Laurel Lindner,PA,A Tina Systo,IL,A New Features! Nancy Burke,IL,S Jennifer McDonald,AZ,I Maeleen Thorius,NM,I Rene Collins,ME,S Caroline McKinnon,VA,AI Carolyn Tometich,UT,A • E-bookstore Hilda Crane-Smith,OK,S Grace McNasser,NY,S Jinny Vicroy,KY,S D. Michele Dallas,AZ,I Cheryl McNiece,AZ,S Karen Vincent Pounds,MA,A • USER NAME: ispn Jenifer Davis,IN,I Marilyn Meder,PA,AIS Susan Watson,TX,S Malessa Dean,TN,I Marilyn Michaud,ME,I Judith Willging,DC,I PASSWORD: Pamela Detrick,NV,S Ann Mitchell,PA,I Kathleen Wood,OR,A password Diana Ehly,AK,A Faye Moe,ND,S Richard Yakimo,MO,I (case sensitive) Maureen Garner,ON,Canada,I Patricia Molloy,RI,AS Audrey Geer,FL,I Nanci Morris,OH,A Lila Gillmore,OH,I Theodore Moskonas,WI,A * The Letter following the mem- • Member Niki Gjere,MN,S IshtiyaqueMuhammad,..,Pakistan,A ber’s state indicates the Directory Sherrill Green,TN,S SharifMuhammad,..,Pakistan,A Division(s) the Diane Grimaldi,MA,I Yoshie Okada,..,Japan,S person has joined.A=ACAPN; I Web Editor: Vera Guarino,NY,S Sara Patrick,NC,A = ISPCLN; S=SERPN Darlene Pedersen Ann Guthery,AZ,S Richard Pessagno,NJ,I [email protected]

Patricia Hanan,NY,S Leanna Pfeiffer,ON,Canada,I www.ispn-psych.org Linda Harris,CA,A Judith Pickens,AZ,S

PRESORTED FIRST-CLASS MAIL U.S. POSTAGE PAID Philadelphia, PA Permit No. 1009

1211 Locust St. Philadelphia, PA 19107 Volume 4 Issue 1 August 2001-November 2001

Linda Finke PhD, RN, FAAN

Pedersen deserves our sincere gratitude , the International Association President’s for the attractive and useful ISPN Web for Emergency Psychiatry, and Children Message site. We have a lot to celebrate after only and Adults with Attention Deficit/ two short years. Hyperactivity Disorder (CHADD). As we look to the next two years for These groups have many of the same ISPN, I am reminded of the short book goals as ISPN and by joining forces we would like to begin this message by by Johnson, Who Moved My Cheese? will all move forward. It is an exciting thanking Susan Krupnick for her The message about change and for- time when other groups value our par- leadership in launching ISPN as a ward movement is very simple and ticipation and seek our involvement. I worth our attention. We have accom- new organization. She has worked We have also begun new alliances very hard to place ISPN in the forefront plished a great deal and we should with pharmaceutical companies. and to meet our many goals without pause and celebrate our successes. At Susan Krupnick, Evelyn Parrish and I missing a step. We owe her our begin- the same time we must continue our spent a day at Eli Lilly and Company ning and that we are on solid ground. I search and preservation of our in April. We discussed education proj- want to give special thanks to the three “cheese” - our goals. Primary goals for ects for nurses, consumers and fami- our future need to include taking Division Directors, Lorna Barrell lies; advisory board participation; advantage of opportunities and advo- (SERPN), Peggy Dulaney (ISCPLN) additions to the speakers bureau; and cating for our beliefs and values. We and Beth Bonham (ACAPN). It is with will cultivate our current partnerships (Continued on pg. 4) their vision and hard work that so and seek new alliances. We will push much was accomplished in the last two patient rights to ensure people with years to further our advocacy and prac- problems and their fami- tice. The other officers, Pat Howard lies receive evidence-based quality care (Treasurer) and Edilma Yearwood in a restraint and seclusion free envi- (Secretary) also need our special thanks ronment. We will strive to find solu- for their guidance and stewardship. tions to violence against children, Thanks is due the Council Chairs: Judy women, the elderly, and nurses. We Collins (Legislative), Karen Ragaisis will lobby for nursing research that Inside ISPN Connections (Practice), Margery Chisholm addresses psychiatric-mental health (Education), and BethVaughn-Cole issues. We will also advocate for President’s Message ...... 1,4 (Research); and the Committee Chairs: increased recognition for advance nurs- Division Reports...... 2,5 Ursula McCormick (Awards), Frieda ing practice and for strategies to attract Editorial ...... 3 Vandergaer (By-Laws), Sally Frese new nurses into psychiatric nursing. Geriatric Psychiatry Center...... 5 (Conference), Peggy Plunkett (Finance), As we move our goals forward, ANCC Update...... 6 Vicki Lackman (Membership), old and new partnerships will assist Awards ...... 6 Gretchen LaGodna (Nominating), and us. We will continue our collabora- International Column...... 7 Christine Hacker (Products). We met tion with the American Association Research Column...... 8 of Psychiatric Nurses and we have our strategic goals for the year and Legislative Column ...... 8 have accomplished important work. I begun a stronger association with Announcements...... 8 also want to thank the committee and the International Nursing Society on council members for all their hard Addiction Nursing. We have also Accolades/Leadership Contacts...... 9 work. Melinda Morissette deserves a joined in collaboration with multi- NIHM/NINR...... 9 loud round of applause for our well put discipline groups such as the Calendar of Events...... 10 together Connections and Darlene American Association of Community New Members...... 12 Division Reports

Offenders, Carla Groh concluded that information at a full day pre-confer- ACAPN psychiatric nurses are in a unique posi- ence session at the ISPN Annual DIVISION REPORT tion to develop strategies that give Conference on April 25, 2001. The Carol T. Bush, PhD, RN voice to gender-specific needs of young excellent presentation included practi- women by addressing self-esteem, per- cal applications, written materials and embers of ACAPN attending ceived attachment to and conflict with small group work/discussion. Plans are the business meeting on April mother. Sally Raphel gave a summary underway for the Task Force to present M25 identified the following of her participation in the follow-up this information at other conferences goals for the Division for 2001-2002: Surgeon General’s Conference on and programs, and for developing 1. Recruitment to the specialty— Children’s Mental Health: Developing additional materials and tools for vari- capitalize on what nurses can do an Action Agenda. ous practice specialties and sites. that other professionals cannot Papers focused on children from The Core Curriculum Project is well 2. Legislation—support bills in other countries were most informative underway and nearing completion for Congress that fund nursing and welcome, as ISPN becomes more publication. We will continue to pur- education visibly international. The presentation sue opportunities for encouraging and 3. Reimbursement—national stan- of issues related to the Vietnamese conducting outcome- based research. dards are needed for insurance street children was heart-warming and Lenore Kurlowicz, PhD, RN, CS, has payments well as educational. Rochelle Scheela agreed to spearhead a committee to 4. Improve image—publicize to youth had the opportunity to get to know six explore PCLN research opportunities what psychiatric nurses do Vietnamese shoeshine boys. These that may include multi-site studies. 5. Connect with other organizations youth shared their daily lives, their Several topics that have been suggested about mental health issues problems and fears, their hopes and for consideration include , 6. Collect data about the professional dreams, and coping strategies with Dr. end-of- life care and depression in the issues in different states Scheela. She suggests that the process medically ill. I encourage anyone who of studying these youngsters was an is willing to participate in any way to 7. Focus on youth violence 8. Promote safe, restraint free intervention in itself. do so by contacting me. environments Special thanks to Priscilla Adams, 9. Advocate for youth at every level ISPCLN MSN, RN, CS, who volunteered to 10. Call attention to the fact that treat- DIVISION REPORT serve as the ISPCLN Division ment facilities for children and Sally Frese, MSN, RN, CS Secretary/Treasurer. Additional thanks youth are disappearing because of to the many ISPCLN members who are funding cuts reetings! As I begin my term of serving ISPN this year on the Governing Board, Councils, and At the Third Annual ISPN office as Division Director, I Committees. Conference, the quantity and quality of would like to take the time to G Finally, a very important request: presentations focused on children and express my gratitude for being afforded please submit an abstract for the 2002 adolescents was outstanding. Every con- the opportunity to participate in the ISPN Conference! I am already looking current session had at least one choice ISPN leadership team. First and fore- forward to reconnecting with colleagues pertinent to treatment of youth or relat- most, I respectfully request that each and at the Fourth Annual ISPN Conference ed research. Even the Keynote Address every member of ISPCLN take the in Washington, D.C., and particularly by Dr. Clarke Ross, CEO of Children opportunity to actively participate in the look forward to excellent PCLN presen- and Adults with Attention-Deficit/ continued development and success of tations and participation. Warm wishes Hyperactivity Disorder (CHADD), was the Division and ISPN. I encourage and for a safe and restful summer. related to youth. Dr. Ross presented welcome communication from all mem- both the failures and successes of man- bers to enable me to best represent you, aged care and discussed out-of-home the multitude of PCLN practice issues, SERPN placement issues, a topic of concern for and the interests of our Division. DIVISION REPORT Under the leadership of our inaugu- ACAPN. Kathleen R. Delaney, RN, DNSc Ellen C. Rindner presented a ral Division Director, Peggy Dulaney, we have successfully embarked upon timely paper on Psychopharmacology begin my term as Division Director in Pervasive Developmental/Autistic the planning and implementation of with a special thanks to Lorna Mill Spectrum Disorders, noting that the several significant projects. Through incidence of autism has apparently partnering with our colleagues from IBarrell for her leadership these past increased dramatically in the past ACAPN and SERPN, the AWS Task years. She led our group through the last decade. Mary Paquette addressed Force completed the ISPN Position years of SERPN as a freestanding organ- youth violence, a topic that has caught Paper for identifying, assessing and ization, though the merger and finally the attention of the nation in recent managing Alcohol Withdrawal through the first years in our new posi- Syndrome (AWS) in the Acute Care years, in her paper on Prevention of tion within ISPN. Her steady attention Violence in Children and Adolescents. Setting. The AWS Task Force present- In her study of Adolescent Female ed this evidence-based, comprehensive (Continued on pg. 5)

2 August 2001-November 2001 Win ISPN Bucks! For each new member you recruit we will give you five ISPN Bucks! 48 Use for ISPN Merchandise, membership New Members to Date dues, and or conference registration.

To participate, print your name on the “Member Sponsor” line of the ISPN brochure so you will receive credit for the members you recruit. If you need brochures, please contact ISPN Headquarters 800.826.2950.

ISPN Connections

ISPN Connections, the Newsletter of the International Society of Psychiatric-Mental Health Nurses (ISPN) is pub- lished 3/year. Abbott Editor: Melinda Morissette, APRN, CS Newsletter Committee: Linda Barloon, MS, RN; Mimi Brittingham, MSN, RN, CS; Laboratories Jenny Lutz, RN, MSN, CS; Karen Reed, PhD, RN Mary Durand Thomas, PhD, RN, CS Design/Layout: Robert Dieters, Jack Rabbit Design is a Proud Masthead Design: John Gummere Advertising Opportunities: 1/8 page: (3 5/8 X 2 3/8) $100 1/4 page: (3 5/8 X 4 3/4) $200 Supporter 1/2 page: (7 1/2 X 4 3/7) $300 full page: (7 1/2 X 9 7/8) $500 All advertisements must be approved by the editor. of ISPN Payment must be received prior to publication. No screens or bleeds. For more information call 800.826.2950.

Generously supported by Abbott Laboratories.

August 2001-November 2001 11 1 11 President’s Message (cont’d) the development of practice guidelines. the Rosalynn Carter Human Have you visited the members only It was a very successful day and we Development Institute and Johnson and section of the ISPN website? You can look forward to a continuing associa- Johnson Caregivers Program. The mem- search for other members and contact tion with the company. bers nominated are Jillian Inouye, Karen information. You can search by name and After a very successful 2001 Schepp, Susan McCabe, Wanda Mohr, location. It is a great resource for us all! Conference in Phoenix, plans are in full Susan Krupnick, and Karen Robinson. The newly elected ISPN Officers swing for 2002 in Washington DC. We are expanding our internation- and Board Members are busy develop- Evelyn Parrish and the conference al focus and we our proud to wel- ing the 2002 budget and new projects planning committee members are come Dr. Oluyinka Adejumo (Yinko) for the strategic plan. We will share the working hard to put together an educa- who has volunteered to help us priorities for the next two years in the tional and enjoyable schedule. There is expand in Africa and Asia. We will next newsletter. We have folks with a already competition for pre-confer- continue our evolution beyond North lot of energy and desire to continue the ences and we hope all members are America. We are very appreciative of momentum of ISPN. Please join us in putting together abstracts for presenta- our members outside the US and hope our many activities and objectives. We tions. Please see ISPN website for to continue our growth and network- welcome your ideas and input. We abstract submission directions. ing across the globe. have ambitious plans and we will need ISPN will continue to play a major To strengthen our efforts to recruit your help. We look forward to the role in the psychiatric/mental health nurses into psychiatric nursing, we next two years. agenda in Washington and throughout have joined other nursing organiza- Best Wishes, the nation and world. We will have rep- tions and sponsors who have formed resentation at the NIMH Research Nursing for a Healthier Tomorrow. Roundtable and their Advisory The purpose of the group is to develop Linda Fink Meetings. We have nominated six mem- a major campaign to promote the nurs- PhD, RN bers to be expert members of panels in ing profession. President, ISPN

More Children Dying In So Called Treatment Wanda Mohr RN, PhD.

he last 2 decades have seen the growth of settings offering dis- • In July, 2001 a 14 year old died in a residential boot camp tressed parents placement for their emotionally disturbed for troubled teens in Arizona after being beaten and forced to Tchildren. They go by a variety of names: behavior modifica- eat mud. tion schools, attitude adjustment schools, emotional growth • In Maryland at a school for troubled teens a 17 year old boy schools, wilderness therapy programs, and boot camps. In this arti- died of asphyxia on May 14 after a teacher cut of his airway cle they will be referred to as specialty schools (SS). SS appeal to in the act of restraining him. parents who are desperately seeking help, attracting them with web- • At a school for troubled youth in five staff were sites full of pseudoscience, misrepresentation of legitimate therapeu- charged with felony child abuse after punishing children to tic techniques, and glowing testimonials. What makes many of punishment by forcing them to stand in cow manure pits. these SS so dangerous is that they: cite no legitimate theoretical These events follow on the heels of the highly publicized asphyxia- foundation for their practices that is consistent with what we know tion death of 10 year old Candace Newmaker in Evergreen, about child development, no research upon which to rest their Colorado. They constitute a pattern of cultural abuse and neglect of claims, and there is virtually no regulatory oversight that would pro- our most vulnerable, emotionally disturbed children and disregard tect children in them from harm. For over ten years the media have of their need for legitimate services. As nurses we have an obligation reported incidents of abuse and death of children, with little effort that involves protection of patients from incompetent, harmful, or on the part of state or federal authorities to regulate them. The unethical acts. But that obligation extends beyond the individual to results of the harsh “discipline” endemic to many SSs are seen in the aggregate. reports of death and abuse surface sporadically. This is a partial list: The abuse of children by unregulated “therapists” and “educators” • In 1990 two teens were reported to have died following long and the lack of legitimate mental health services necessitate a coor- hikes under harsh conditions in Arizona and Utah. That same dinated collective effort beyond the scope of an individual practi- individual responsible for those deaths started another tioner. ISPN has partnered with the American Society of Adolescent Wilderness Therapy program, only to have a 16 year old die Psychiatry and the American Association of Community in 1994 from peritonitis from a perforated ulcer that was Psychiatrist. This effort requires our organizations to speak out as ignored by camp staffers. well as to work toward policy aimed at regulating services aimed at • In 1998, a 16 year old died of emphysema at a boot camp in “troubled children.” We need to continue to increase public aware- Arizona after having been subjected to various acts of humil- ness that children are dying in these facilities. Parents need guide- iation by staff members who insisted that he was “faking” his lines on what to look for in a treatment program and what the illness. rights of the children and parents should be while a child is in a • In February and September of 2000, two children died in treatment facility. Although it is an up hill battle, we need to con- “therapeutic wilderness programs;” one as a result of a “ther- tinue to advocate for these parents and children and to put in place apeutic hold” and another as a result of a restraint procedure. safe guards that protect everyone in psychiatric treatment.

4 August 2001-November 2001 Accolades Leadership Contacts

Congratulations to Deborah Antai-Otong, MS, APRN, BC, for her recent Linda Finke (President) appointment to ANCC's Commission on Certification. Her term of appoint- W: 317-634-8171 H: 317-257-2670 ment Is from July 1, 2001, until June 30, 2003. F: 317-634-8171 E: [email protected] Correction: In the last edition of Connections under New Members we Edilma Yearwood (Secretary) misspelled a name- Should be: Claire Heilman MSN, RN, CS. Sorry W: 914-773-3557 E: [email protected] Peggy Plunkett (Treasurer) Call for Abstracts: W: 603-650-5939 E: [email protected] Susan Krupnick Fourth Primary and Community-Based Care Conference: Mind-Body (Immed. Past President) Connections: Integrating Behavioral Health and Primary Care in H: 508-248-7108 Community-Based Settings. May 21-24th, 2002. Offered by East Tennessee E: [email protected] State University College of Nursing and School of Continuing Studies. DIVISION DIRECTORS Johnson City, TN. Contact: Donna Hauk 1-423-439-7643. Submission Carol Bush (ACAPN) Deadline is September 30, 2001 W: 404-298-4990 E: [email protected] th Sally Frese (ISPCLN) 7 European Mental Health Nursing Conference. Organized by the Royal W: 314-268-5885 College of Nursing in Association with Danish Nurses Organization. Global E: [email protected] Partnerships in Mental Health. February 15-16, 2002, SAS Scandinavia Kathleen Delaney (SERPN) Hotel. Copenhagen, Denmark. Contact: Phone: +44(0) 20 7647 3591 Email W: 312-942-6208 [email protected] E: [email protected] COUNCIL CHAIRS Susan McCabe (Education) W: 423-439-4363 NIHM/NINR Mentorship Program E: [email protected] Judy Hirsh (Legislation) W: 718-549-0611 Edilma L. Yearwood, PhD, RN, CS E: [email protected] Marcia Alvarez (Practice) ver 100 doctorally prepared psychiatric nurses attended Phase I of the W: 305-355-7024 NIMH / NINR Mentorship Program on ‘Building the Capacity of E: [email protected] OPsychiatric Mental Health Nurse Researchers’ held June 4-5, 2001 in Janis Gerkensmeyer (Research) McLean, Virginia. The goal of the mentorship program is to encourage psy- W: 612-624-0490 chiatric nurse researchers to develop and submit grant applications to the E: [email protected] National Institute of Mental Health and the National Institute of Nursing COMMITTEE CHAIRS Research. Grant applications should have a focus on behavioral change in Ursula McCormick (Awards) W: 812-337-2351 psychiatric populations. E: [email protected] The Phase I workshop provided attendees with presentations about NINR Freida Vandegaer (Bylaws) and NIMH, methods in research with psychiatric populations, challenges that H: 610-277-2187 exist in behavioral intervention research, grantsmanship, funding opportuni- E: [email protected] ties, and the importance of developing a research agenda. Distinguished nurs- Evelyn Parish (Conference) H: 859-293-1046 ing speakers included Karen Babich (NINR), Patricia A. Grady (Director, E: [email protected] NINR), Joan Austin (Indiana University), Carol Hudgings (NINR) and Mary Peggy Plundett (Finance) Leveck (NINR). Dr. Steven Hyman, Director of NIMH attended and spoke at W: 603-650-5939 the opening reception. Other speakers were from the discipline of psychology. E: [email protected] Approximately 16 participants will be chosen for Phase II of the process Vicki Lachman (Membership) W: 215-247-4775 from draft grant applications submitted by August 1, 2001. During Phase II, E: [email protected] resources and mentoring support will be provided to these participants to Melinda Morissette (Newletter) assist them in further developing and refining a research proposal for submis- W: 207-262-1594 sion. Phase III will involve the applicant going through a mock review of the E: [email protected] grant application. Margaret Brackley (Nominating) W: 210-567-3809 The workshop was a wonderful opportunity to understand more about the E: [email protected] process involved in developing a grant application, to learn more about what Christine Hacker (Products) is fundable in psychiatry, and to network with other researchers. Thanks go W: 513-636-8199 to NIMH and NINR for facilitating this excellent workshop and providing a E: [email protected] timely opportunity for nurse researchers in our specialty. Darlene Pederson (Web Site) W: 215-789-2537 E: [email protected]

August 2001-November 2001 9 American Nurses Credentialing Center Awards Further Explanation of the URSULA McCormick, MS, CS he awards program remains Psychiatric Mental Health Waiver “under construction”. Much May 10, 2001 Tthanks to Lorna Barrell for all here guidance and support this year as he Commission on Certification responded to a request from the — the new committee was in its infancy! American Psychiatric Nurses Association (APNA) asking for a one time Texception (waiver) for certified clinical nurse specialists of the academic AWARDS FOR 2001 credit requirement of the four courses required of certified clinical nurse spe- cialists to sit for the psychiatric mental health nurse practitioner exam. The Kathy Delaney – SERPN Division: request was one of continuing education (contact hours) versus academic cred- Jeannette Chamberlain Award it course work, not a request to drop the courses all together. The COC agreed to allow continuing education to be accepted for the four courses needed to Sally Frese – ISPCLN Division Leadership apply for the psychiatric and mental health nurse practitioners exams, by cer- tified clinical nurse specialists who are authorized in their particular states for Charles Huffing, MD- APN, APRN, ARNP or NP status with prescriptive authority. Service to Psych Nurses

The exception (waiver) does not apply to CNSs with prescriptive Wanda Mohr-Melva Jo Hendrix authority who are still considered CNSs by their respective states. Evidence of APN, APRN, ARNP or NP status must be provided Jane Neese-Education Award (copy of the license) Completion of the same basic application, application process and fees apply. The exception (waiver) applies Geraldine Pearson – ROG Foundation to the advanced physical assessment and not mental health assess- ment, advanced pharmacology, advanced pathophysiology, and the Kathleen Scharer -ACAPN Division diagnostic and management (including medications) courses only. Some evidence of these four courses is still required (CE certificates Sandra Talley-Clinical Practice of attendance, transcripts, letters of attendance or verification, coursework descriptions, etc) Since we are accepting what the state Susan McCabe- President’s Award required of you in applying for advanced practice status, there is no minimum on the number of didactic hours for any of the courses No Nominees-Research Award nor a maximum on how old the contact hours or coursework may be. If the state did not require one or more of the four courses Letters will be going out to the above and the candidate wishes to complete them before the end of award recipients’ employers at their 2001 in order to be able to sit the exam, the following hours are request. Please submit to Ursula required: McCormick ([email protected]). at least 45 hours of didactic for the advanced physical Please be thinking about nominees for this coming year. There will be an assessment, advanced pathophysiology (or neurophysiolo- gy), and advanced pharmacology courses and, 120 hours of update in the next newsletter. clinical practice (not supervision hours) in diagnosis and medication management signed by the collaborating or supervising individual (certified peer (CNS or NP), licensed and practicing psychologist and/or psychiatrist). This doc- Deadlines ument (can be a letter) should describe the clinical settings where the practice took place, types/diagnoses of patients NEWSLETTER INFORMATION seen and medications prescribed. The waiver is in effect until December 31, 2001, which would Melinda Morisette is the chair of the allow candidates who apply by that date to test by computer until Newsletter Committee. The next issue March 31, 2002. of ISPN Connections, Volume 4, Other CNSs who are not in states where they are currently recognized as Issue 2 will appear in December nurse practitioners but want to sit the exams, can still do so under the origi- 2001. Materials for that issue nal criteria. This exception has no effect on their eligibility. Once the excep- tion (waiver) date is passed, the original academic credit requirement will take should be sent to Ken Cleveland at effect for all CNS candidates. PLEASE NOTE: If you become certified as a [email protected] psychiatric nurse practitioner under the conditions of this waiver and move to another state, that state may or may not recognize your certification as a no later than October 8, 2001. nurse practitioner because of the continuing education variance.

6 August 2001-November 2001 International Column Martin F Ward, RMN, RNT, Ed Independent Nurse Consultant Oxford, UK Being International does not mean Being The Same! ome political analysts would With few exceptions (and unfor- existed. Similarly, mental health have us believe that sharing tunately there are some) psychi- nurses in the so-called developed Sknowledge adversely affects atric and mental health nurses nations continue to expand their the ability of individuals to focus work in every country of the professional horizons by compar- on their own way of resolving world, sharing a common theoret- ing notes on such diverse activities problems with the consequential ical background and united by the as patient-nurse relationships in reduction in their personal compe- desire to improve the lives of Scotland and Canada (Forchuk & tence. Moreover, when extended those suffering the soul destroying Reynolds 2001), the management to the wider international arena effects of mental illness. However, of violence throughout Europe this situation is further exacerbat- what separates them are their dif- (Bowers et.al. 1999) and multi-dis- ed by problems associated with fering levels of access to knowl- ciplinary working in the UK, ethnicity and cultural sensitivity. edge, their degrees of autonomy Australia and India (Slade et.al. As proof of this they cite the diffi- and the simple fact that they live 1995). culties experienced by New World in different countries with all Sharing practices and dis- countries trying to adopt the socio- those intendment societal consid- cussing their underpinning philo- economic values of Western erations. The necessity to share sophical beliefs is surely the work Europe and North America. The knowledge and collaborate in of a mature and self-confident literal message from such a belief is research, so that the ‘have-nots’ profession, not the paranoid that obtaining knowledge from can provide the same quality of dogma of arrogant isolationalists. other people or countries dimin- service as the ‘haves’, has never Recognizing that each of us has ishes, rather than enhances, you. been more obvious. It is not about something to learn from the other What such theory tends to ignore trying to make nurses clones of is an acknowledgement of the oth- is the contextual variations attrib- each other, but about giving them ers’ experiences and an affirma- uted to different forms of interna- all the dignity of having alterna- tion that being different, and tional collaboration while also tives. indeed international, should be denying the capability of individu- And, before those of us who celebrated, not castigated. als to critically evaluate material consider ourselves to be devel- for their own consumption. oped run off with the notion that By contrast, recent evidence we cannot learn from those we from nursing literature and policy consider to be under-developed, initiatives would suggest that ask yourself why cultural REFERENCES Burnard, P. Claewplodtook, P. & exchanging views and developing exchange activities such as the Pathanapong, P. 2000 Education and a better understanding of what People to People Ambassador research links between the UK and makes nurses different improves Program sent psychiatric and Thailand. Journal of Psychiatric and the individual’s ability to make mental health nurses to Cuba in Mental Health Nursing 7 463-466 more informed decisions. Inherent February of this year, and China Bowers, L. Whittington, R. Almvik, B. et.al. in this belief is the recognition that last year. Why nurse educational- 1999 A European perspective on psychi- nurses with a sophisticated knowl- ists in the UK are learning new atric nursing, violent incidents: manage- edge of their own working prac- ways of combining cultural and ment, education and service organization. International Journal of Nursing Studies 36 tices do not simply adopt those of psychiatric concepts from 217-222 someone else in a wholesale fash- Thailand (Burnard et.al. 2000), or ion but adapt ideas and approach- why the European Section of the Forchuk, C. & Reynolds, W. 2001 Clients’ es to suit themselves. Neither do WHO has had to extend the dead- reflections on relationships with nurses: comparisons from Canada and Scotland. they implement new information line for completing its program to Journal of Psychiatric and Mental Health in a piecemeal fashion, nor change develop minimum standards for Nursing 8 45-51 just for they sake of it. In other mental health nurses in all its 51 words, nurses are self-determined, member countries because the Slade, M. Rosen, A. & Shankar, R. 1995 Multidisciplinary mental health teams. not self-denying and nursing is researchers unearthed practice International Journal of Social Psychiatry evolutionary, not revolutionary. problems that they did not know 41 180-189

August 2001-November 2001 7 Research Column Jan Gerkensmeyer, PhD, RN, CS PLAN NOW TO JOIN YOUR FRIENDS AND irst of all, I want to introduce another outcome was the beginning COLLEAGUES IN you to your current representa- of a database of ISPN members' WASHINGTON, D.C. Ftives on the ISPN research research interests. IN 2002 council. Representatives from the From presentations shared at SERPN Division are Vicki Hines- our national conference in Phoenix, ISPN Fourth Annual Conference Martin and Catherine Kane; from it is evident those ISPN members “Action, Advocacy, Adventures” ICPLN Division are Lenore continue to engage in very impor- The Politics and Progress of Kurlowicz and Leslie Nield- tant, cutting edge work as psychi- Psychiatric Mental Health Nursing Anderson; and from ACAPN atric nursing practitioners, April 24 – 27, 2002 Division are Wanda Mohr and researchers, and educators. A chal- myself, Janis Gerkensmeyer. It is my lenge we face is to be able to sup- Washington Marriott hope that we can keep in contact port some of the innovative and 1221 22nd St. NW Washington, D.C. 20037 with the research interests of ISPN even traditional approaches to members through the Divisions as practice and education through The Conference Planning Committee we Participate as your representa- research and evidence-based prac- invites you to submit abstracts for tives in moving ISPN's research tice. The ISPN Board is in the paper and poster agenda forward. There has been a process of selecting next year's presentations that address the strong commitment by ISPN to sup- Strategic Plan priorities which will theme of the conference. port psychiatric nursing research as guide the efforts of the councils and Abstract deadline: September 1, 2001 can be seen by ISPN's previous committees. I will discuss those pri- Deadline extended to October 1, 2001 Strategic Plan and by the work of the orities related to research in our previous council. One outcome asso- next newsletter. The opportunities For more information or the Call for ciated with last year's research coun- to promote psychiatric nursing Abstracts contact: cil was the ethics presentation at the research are great through our Professional Nursing Resources, Inc. 2090 Linglestown Rd. Phoenix conference about End of coming together to share our work, Suite 107 Life Agreements. Another was the to encourage each other, and to Harrisburg, Pa. 17110 completion of the Global Burden of advocate through ISPN to create 717-703-0036 Disease position statement that is supportive environments for psy- Email: posted on ISPN's web site. Yet chiatric nursing research. [email protected]

Legislative Column Judy Hirsh, NP-P, RN, CS, RPT-S

s a newly elected member and chairperson of tal health and services with physical this council, I’d like to briefly introduce myself healthcare and extend the concept to include APRN’s Ato you. I am a Nurse Practitioner in Psychiatry at parity with other mental health professions identi- in City, in private practice. I experience on fied in state and national legislation. Complain to the a daily basis, the two most common frustrations of Insurance Commission of your state if you receive being an advanced practice nurse; i.e.: ignorance inappropriate or discriminatory denials of payment about what APRN’s are legally authorized to do, bar- for services rendered, denial of applications to manage riers to practice such as denials by insurance compa- care organizations or insurance companies. Remind nies to pay for services provided by APRN’s and the source of the denial that CNS/NP's are recognized exclusive language in state and national legislation. by HCFA as qualified providers. With changes in Through grassroots efforts, these issues can be majority and committee leadership in the U.S. addressed and perhaps barriers broken down. I Congress, the atmosphere may still be healthcare encourage all of you to get involved in local politics friendly and supportive of nursing. Begin to advocate either through your local state nurses associations or now. contacting local politicians directly. As nurses we Please feel free to e-mail me with legislative issues automatically advocate for our clients, but what about or concerns you may have that effect your practice us? Advocate for psychiatric nursing: education, and which may be appropriate for ISPN to address. research and practice! Advocate for cost-effective, My e-mail address is: [email protected]. quality care! Support parity of the provision of men-

8 August 2001-November 2001 Division Reports (cont’d) to SERPN's goals and what needed to Legislation Council, Evelyn Swinson- ly our shrinking enrollments and the be done to accomplish them was a crit- Britt, Practice Council, and Vicki conundrum generated by certification ical factor in the organization's success Hines-Martin, Research Council. changes. Once the Board finalizes at navigating our transitions. Of course As I write this column, input from ISPN’s 2001 plan, we will begin our Lorna will continue to be involved in all the divisions on where they would work. Please expect to hear from us SERPN. She will be finishing up her like to focus their energy is being (email is a wonderful tool). We antic- work on the Integration of Primary organized into one ISPN document. ipate laying out our plans and as we Mental Health Project as well as coor- The board then reviews all the project proceed, contacting members for dinating the plan to develop the ideas, prioritizes them and arrives at feedback. Please feel free to contact SERPN archives. the focal points of ISPN 2001-2002 me with any questions of concerns. Luckily for me, our division secre- efforts. Thus, I can not say with cer- One final note. We congratulate tary's, Mary Jo Regan-Kubinski term tainty where our energies will be Dr. Cecelia M. Taylor on her retire- continues for another year. Together directed. Updating SERPN's curricu- ment from the College of St. with our representatives on the coun- lum guidelines for psychiatric mental Scholastica. Cecelia occupies such a cils, we will be working to realize health nursing will be on the agenda. central position in the development ISPN goals, especially those where This project has been on SERPN's and growth of SEPRN that it would SERPN is one of the lead partners. radar screen for the past year. We all be impossible to summarize her con- Our council reps are: Susan McCabe, understand the need to address the tribution. We simply say best of luck Education Council, Vicky Fisher, issues of graduate education, especial- and enjoy.

Sara Barger, Dr. Rhetaugh Dumas Dedication for the Mary Starke Harper and Dr. Hilda Richards. The dedication was preceded on Geriatric Psychiatry Center May 7 by a conference at the Karen Stanley MS, RN, CS Bryant Conference Center that highlighted ary Starke Harper, PhD, RN, Research. Although she is 80+ and best practices in the care of the elder- FAAN, a member of the officially “retired,” Mary serves on ly in the past decade and implica- SERPN Division of ISPN, the Board of Directors for the tions for the next decade. Several of M the people mentioned above and was honored at the dedication of National Mental Health The Mary Starke Harper Geriatric Association, the Mental Health many others presented at 17 ses- Psychiatry Center on May 8, 2001 in Association of Tuscaloosa County, sions. Karen Stanley, MS, RN, CS, a Tuscaloosa, Alabama. Dr. Harper is and is a member of the Bridge to member of the ISPCLN Division of a native of Alabama and received her Mental Wellness Advisory Board of ISPN, was an invited speaker and her nursing degree from Tuskegee Johnson & Johnson Corporation. topic was “Managing Mental Health University. Dr. David Satcher, Surgeon and Behavioral Challenges of the Dr. Harper has devoted sixty General, delivered the Keynote Elderly in the Acute Care Setting.” years of her life to improving the Address at the dedication ceremony. Other nurse presenters included Dr. quality of care for the elderly, espe- Several dignitaries from the state of Sandra Picot, Dr. May Wykle, Dr. cially related to mental health needs. Alabama joined in the ribbon-cut- Linda Davis, Dr. Kathleen During her long career Mary has ting ceremony. Other speakers at the Buckwalter, Dr. Irene Lewis, Dr. Jeri been involved in direct patient care, dedication included Dr. Richard Watson, and Dr. Mathey Mezey. supervision, administration, policy- Hodes, Dr. Barry Lebowitz, Dr. making, research, teaching at the Marion Primus, Dr. Patricia Grady, university level, and direction of Dr. Stephen Bartels, and Dr. These two days were research and publication. She served Raymond Fowler. Several deans a special tribute to a as an advisor to four Presidents of from schools of nursing around the very special nurse. the United States and was an expert country also spoke briefly. They advisor to the 1981 White House included Dr. Doris Holeman, the Congratulations, Conference on Aging and the 1995 Dean of Nursing from Tuskegee Mary! White House Conference on University, Dr. Rachel Booth, Dr.

August 2001-November 2001 5 Calendar of Events Visions, Values & Victories: Third Annual ISPN Conference 16th World Congress of Psychosomatic Medicine. Phoenix, Arizona – April 25-28, 2001 August 24-29, 2001 Goteborg, Sweden. Human Psycho-Neuro-Endocrono-Immunology. Contact: Conference Summary Rebecca Schoenfeld-Vidas at Email: Sally Frese, MSN, RN, CS [email protected] Evelyn Parrish, MSN, RN, CS Website: www.ICPM.org

Southeast Psychiatric Clinical Nurse Specialist Annual The third annual ISPN conference is now behind us and Conference. September 5-8th, 2001. Hosted at the in the history book! The conference opened with an invig- Renaissance Hotel in Asheville, North Carolina. orating Native American hoop dance that set the tone for Contact: Jean Davis at South Carolina Nurses a stimulating and rigorous two and a half days of infor- Association 1-803-252-4781 Email: mation and networking. The three pre-conferences were [email protected] well attended and afforded participants an opportunity to explore innovations in the treatment of alcohol withdraw- 6th International Conference on Family Violence. al syndrome, , and the interplay of thought, Advocacy, Assessment, Intervention Research, mood and behavior. Prevention Policy. September 8-12th, 2001. Hosted at Keynote speaker E. Clarke Ross, DPA, CEO of the Town and Country Hotel and Convention Center, CHADD and former NAMI Deputy Director provided an San Diego, CA. Contact: 1-858-623-2777 x 427. interesting overview of mental health issues and demon- Website: www.fvsai.org strated the vital opportunity for partnering between ISPN and other mental health entities. Concurrent sessions International Nurses Society on Addictions (IntNSA) were described by attendees as “excellent” and “diverse.” Annual Conference. Advancing Addictions Nursing The two plenary sessions “Psychiatric Nurses’ Role in Practice in the 21st Century. September 12-15th, End-of Life Care” and “Successful Programs in Restraint 2001. Hosted at the Hilton Hotel, Niagra Falls, & Seclusion Reduction” were enlightening and echoed the Ontario, Canada Contact: 1-416-493-8062 Email: conference theme – “Visions, Values & Victories.” [email protected] Website: www.IntNSA.org The total attendance at this year’s conference was 231 participants, an 11% increase form the 2000 conference! 7th International NPNR Conference “from practice to Thanks to the diligent work of the Conference Planning evidence” 26 to 28 September 2001 The St Cross Committee, Board of Directors, Sponsors, Exhibitors, Building, University of Oxford, England, UK email for RMP Staff, and the generous ISPN members who attend- information e-mail to [email protected]. ed the Conference and supported the raffle, we more than doubled our projected financial profit for ISPN! International Association of Forensic Nurse’s 9th Heartfelt thanks to everyone who participated in the Annual Scientific Assembly. September 27- October 1, 2001 Conference and contributed success! If “three’s a 2001. A Forensic Nursing Odyssey. Hosted at the charm,” then conference number four should be fantastic! Hyatt Orlando. Orlando, Florida. Contact: Kim Speaking of which, we are pleased to announce: Marrero 1-856-256-2456 Email: [email protected] Website: www.forensicnurse.org The Fourth Annual ISPN Conference “Action, Advocacy, Adventures”: APNA 15th Annual Conference. Integrative Politics and Progress in Knowledge Development for Psychiatric-Mental Health Nursing. October 17-20, 2001. Hosted at the Psychiatric-Mental Health Nursing Reno Hilton, Reno, Nevada. Contact: 1-703-243- April 24 – 27, 2002 2443 for additional information Website: Washington Marriott www.apna.org Washington, D.C. 48th Annual Meeting Academy of Psychosomatic Medicine. Preserving Meaning in the Practice of C-L Psychiatry. November 15-18th, 2001. Hosted at the Adam’s Mark, San Antonio, TX. Contact: APM Executive Director at 1-773-784-2025 or Email: [email protected] Website: www.apm.org

12th Annual Meeting and Symposium of the American Academy of Addiction Psychiatry. December 13-16th, 2001. Hosted at the Ritz Carlton, Amelia Island, Florida. Contact: 1-913-262-6161 Website: www.aaap.org

10 August 2001-November 2001 Editorial Sandra Thomas PhD, RN, FAAN

could be shared among colleagues who gather togeth- Toward a Unified Voice er for a splendid annual mega-conference. Under the umbrella of the large organization, smaller special for our Specialty interest groups such as child-adolescent mental health s we grapple with the maelstrom of changes in the nurses could continue to meet and network with one health care delivery system, watching in dismay as another. clinical social workers take the jobs once held by What should the new organization be called? My A own preference is the International Mental Health psychiatric nurses and psychologists intensify their lob- bying for prescription privileges, doesn’t it make sense Nurses Association. Mental health nurses from other that psychiatric nurses should speak with a unified voice? countries have already begun to attend ISPN In a 1999 article in Journal of the American Psychiatric Conferences and would probably feel more welcome in Nurses Association, I applauded the merger of three an organization that does not have “American” in its organizations--Society for Education and Research in title, as APNA presently does. What do you think? I would be happy to entertain guest editorials presenting Psychiatric/Mental Health Nursing (SERPN), International Society of Psychiatric Consultation Liaison alternate proposals. Let me hear from you. Nurses (ISPCLN), and Association of Child and Adolescent Psychiatric Nurses (ACAPN)-- into one, sub- sequently named the International Society of Psychiatric- REFERENCES Mental Health Nurses (ISPN). This merger was a giant Chase, P. (2000). An open letter to psychiatric nurses: Make it step in the right direction. The Miami meeting of this happen now! APNA News, 12 (5), 10-11. new organization, which I attended, was well attended Thomas, S.P. (1999). Surrounded by banana peels: Is psychiatric and highly successful. nursing slipping? Journal Of the American Psychiatric Nurses Unfortunately, as I pointed out in my 1999 paper, the Association, 5 (3), 88-95. American Psychiatric Nurses Association (APNA) remains separate from ISPN. How many organizations make sense for one nursing specialty? Why should we continue to splinter our specialty’s talents and energies? Taking up my argument for unity, in a recent issue of the “APNA News,” was a consult-liaison nurse from South SAVE THE DATE! Carolina, Penelope Chase. “Perplexed, sad and angry,” Chase deplored the responses of ISPN and APNA lead- ers that the earliest possible date for a joint meeting would be in 2003: “Come on! This does not sound like a sincere effort toward unity, but rather a ploy to delay ISPN’s 4th Annual yet again.... What is taking so many intelligent creative professionals so long to resolve the issue? Are we Psych Conference: nurses afraid of genuine compromise or conflict? To be Action, Advocacy honest, I just don’t buy it. If we really want a unified organization, we need to act boldly, grandly, and gra- & Adventures ciously. If we don’t want it, let’s not pretend, call it quits, and go our separate ways” (Chase, 2000, p. 10). April 24-27, 2002 - I echo Chase’s call for definitive action, and pledge my own efforts in support. I intend to speak in favor of Washington, D.C. a merger of ISPN and APNA at the business meetings of both organizations. As a dues-paying member of both For more information contact: organizations, I would personally benefit from one bill ISPN Conference Office for dues from a unified organization. And it certainly would be easier for me to arrange travel to one annual 717.703.0036 conference rather than two. But I am not writing this [email protected] or editorial because there would be a small monetary ben- efit to my own budget. I am thinking of the enhanced www.ispn-psych.org lobbying power of a large organization speaking with one voice. I am thinking of the wealth of expertise that

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