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What is a Psychiatric Nurse Practitioner?

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Psychiatric nurse practitioners can be found in all mental health care settings. These advanced-trained nurses diagnose and treat mental health disorders but for less than the cost of a psychiatrist.

While the demand for mental health services is on the rise, there is ashortage of psychiatristsin America that grows worse each year. To fill the void, more individuals are earning psychiatric nurse practitioner (NP) or psychiatric mental health nurse practitioner degrees.

In many instances, psychiatric NPscan provide care equal to that of psychiatristsfor a fraction of the cost to patients. As a result, psychiatric NPs make mental health care accessible to many patients. How does a person become a psychiatric NP, how much do they make and what treatments do they provide?

What Is a Psychiatric Nurse Practitioner?

Before choosing to study to be a psychiatric NP, it is wise to learn what a psychiatric nurse practitioner does. According toVanderbilt University, a psychiatric NP provides both psychopharmaceutical and psychotherapeutic services. That is, they can identify andtreat mental health conditionsby prescribing medications and providing therapy.

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Psychiatric nurse practitioners work in almost every mental health care setting.Psychiatric NPs work in:

  • Hospitals
  • Community mental health centers
  • Private practices
  • Correctional facilities
  • State psychiatric facilities
  • Domestic violence shelters
  • Substance abuse treatment centers, like The Recovery Village

In some states, psychiatric NPs must work under the supervision of a doctor. Other states allow psychiatric NPs to work with some independence. Studies have shown that allowing nurse practitioners to work independently has improved thequality of health carewhile also lowering overall health care costs, which is especially true forunderserved communities. In states that allow psychiatric NPs to work without supervision, more people have access to mental health care.

How to Become a Psychiatric Nurse Practitioner

It takes advanced training and many years of study to become a psychiatric NP, but the job outlook is great. TheBureau of Labor Statisticspredicts that the demand for nurse practitioners will grow by 30 percent in the years leading up to 2026. This rate isfasterthan the growth rate of most jobs in the medical field.

The time it takes to become a psychiatric nurse practitioner depends on how much education a person starts with. Psychiatric nurse practitioners areadvanced-practice registered nurses. They must earn a bachelor’s degree and an advanced degree. They must also fulfill clinical requirements and receivecertifications and licenses.

Educational Requirements

On average, the education requirements for psychiatric nurse practitioners take eight years to complete. To become a psychiatric NP a nurse will need the following:

  • Bachelor of Science or associate’s degree in nursing
  • Registered nurse license
  • State board certification
  • Master’s degree or doctorate in nursing
  • Psychiatric-mental health nurse practitioner board certification
  • Any additional advanced certifications

A psychiatric nurse practitioner will usually start by studying to be aregistered nurse (RN). Aspiring psychiatric NPs graduate with aBachelor of Science in Nursing (BSN)degree. The training and classes included in the BSN degree meet the prerequisites for earning an RN license. Another way to meet the requirement is to complete a two-yearassociate’s degree in nursing.

After the nursing degree, nurses must pass theNational Council Licensure Exam (NCLEX-RN)to earn their RN license. They must also obtain all local state board licenses required for employment. Nurses can then apply for a graduate degree in psychiatric nursing. However, many people complete one or two years of clinical experience in mental health care first. Mental health care experience isrecommendedor required by psychiatric NP programs.

Agraduate degree in psychiatric nursingcan be a master’s or doctorate. Master’s programs usually take two years while doctorate programs take an additional year. Once a nurse has finished their advanced degree in psychiatric nursing, they have to become board certified.

Training

It is essential for a psychiatric NP to gain experience in a mental health care setting. All graduate programs in nursing include supervised clinical hours in psychology to meet the psychiatric nurse practitionertraining requirements. For example, the Psychiatric-Mental Health Nurse Practitioner board certification exam requires 500 supervised clinic hours before testing.

Certifications Required

Nurse practitionercertificationsshow that the NP is knowledgeable. There are certifications available in many different disciplines. The main psychiatric nurse practitioner certification is theANCC Psychiatric-Mental Health Nurse Practitioner board certification (PMHNP-BC). The PMHNP-BC allows psychiatric NPs to practice for five years. After five years, the psychiatric NP must be recertified.

After passing the PMHNP-BC, some psychiatric NPs specialize to treat specific groups of patients. Specialization can require additional certifications. For example, to be a pediatric psychiatric nurse practitioner, an NP will need to get thePediatric Primary Care Mental Health Specialist (PMHS)certification.

Average Salary

Currently, theaverage salaryfor a psychiatric nurse practitioner is $102,000. However, a psychiatric NP’s salary will vary based on experience, location and setting. Psychiatric nurse practitioner salaries can range from $81,000 to $137,000, usually.

What Is a Psychiatric Nurse Practitioner?

Before choosing to study to be a psychiatric NP, it is wise to learn what a psychiatric nurse practitioner does. According toVanderbilt University, a psychiatric NP provides both psychopharmaceutical and psychotherapeutic services. That is, they can identify andtreat mental health conditionsby prescribing medications and providing therapy.

Psychiatric nurse practitioners work in almost every mental health care setting.Psychiatric NPs work in:

  • Hospitals
  • Community mental health centers
  • Private practices
  • Correctional facilities
  • State psychiatric facilities
  • Domestic violence shelters
  • Substance abuse treatment centers, like The Recovery Village

In some states, psychiatric NPs must work under the supervision of a doctor. Other states allow psychiatric NPs to work with some independence. Studies have shown that allowing nurse practitioners to work independently has improved thequality of health carewhile also lowering overall health care costs, which is especially true forunderserved communities. In states that allow psychiatric NPs to work without supervision, more people have access to mental health care.

How to Become a Psychiatric Nurse Practitioner

It takes advanced training and many years of study to become a psychiatric NP, but the job outlook is great. TheBureau of Labor Statisticspredicts that the demand for nurse practitioners will grow by 30 percent in the years leading up to 2026. This rate isfasterthan the growth rate of most jobs in the medical field.

The time it takes to become a psychiatric nurse practitioner depends on how much education a person starts with. Psychiatric nurse practitioners areadvanced-practice registered nurses. They must earn a bachelor’s degree and an advanced degree. They must also fulfill clinical requirements and receivecertifications and licenses.

Educational Requirements

On average, the education requirements for psychiatric nurse practitioners take eight years to complete. To become a psychiatric NP a nurse will need the following:

  • Bachelor of Science or associate’s degree in nursing
  • Registered nurse license
  • State board certification
  • Master’s degree or doctorate in nursing
  • Psychiatric-mental health nurse practitioner board certification
  • Any additional advanced certifications

A psychiatric nurse practitioner will usually start by studying to be aregistered nurse (RN). Aspiring psychiatric NPs graduate with aBachelor of Science in Nursing (BSN)degree. The training and classes included in the BSN degree meet the prerequisites for earning an RN license. Another way to meet the requirement is to complete a two-yearassociate’s degree in nursing.

After the nursing degree, nurses must pass theNational Council Licensure Exam (NCLEX-RN)to earn their RN license. They must also obtain all local state board licenses required for employment. Nurses can then apply for a graduate degree in psychiatric nursing. However, many people complete one or two years of clinical experience in mental health care first. Mental health care experience isrecommendedor required by psychiatric NP programs.

Agraduate degree in psychiatric nursingcan be a master’s or doctorate. Master’s programs usually take two years while doctorate programs take an additional year. Once a nurse has finished their advanced degree in psychiatric nursing, they have to become board certified.

Training

It is essential for a psychiatric NP to gain experience in a mental health care setting. All graduate programs in nursing include supervised clinical hours in psychology to meet the psychiatric nurse practitionertraining requirements. For example, the Psychiatric-Mental Health Nurse Practitioner board certification exam requires 500 supervised clinic hours before testing.

Certifications Required

Nurse practitionercertificationsshow that the NP is knowledgeable. There are certifications available in many different disciplines. The main psychiatric nurse practitioner certification is theANCC Psychiatric-Mental Health Nurse Practitioner board certification (PMHNP-BC). The PMHNP-BC allows psychiatric NPs to practice for five years. After five years, the psychiatric NP must be recertified.

After passing the PMHNP-BC, some psychiatric NPs specialize to treat specific groups of patients. Specialization can require additional certifications. For example, to be a pediatric psychiatric nurse practitioner, an NP will need to get thePediatric Primary Care Mental Health Specialist (PMHS)certification.

Average Salary

Currently, theaverage salaryfor a psychiatric nurse practitioner is $102,000. However, a psychiatric NP’s salary will vary based on experience, location and setting. Psychiatric nurse practitioner salaries can range from $81,000 to $137,000, usually.

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Sources

Weiner, Stacey. “Addressing the Escalating Psychiatrist Shortage.” AAMC, February 13, 2018. Accessed May 15, 2019.

NursePractitionerSchools.com. “What is a Psychiatric-Mental Health Nurs[…]ractitioner (PMHNP)?” 2019. Accessed May 15, 2019.

American Association of Nurse Practitioners. “Nurse Practitioner Cost Effectiveness.” February 7, 2013. Accessed May 15, 2019.

Vanderbilt School of Nursing. “Psychiatric-Mental Health Nurse Practiti[…]ntly Asked Questions.” (n.d.) Accessed May 15, 2019.

EveryNurse.org. “How to Become a Psychiatric Nurse Practitioner.” (n.d.) Accessed May 15, 2019.

Maryville University. “States Granting NP Full Practice Authority.” (n.d.) Accessed May 16, 2019.

Traczynskia, Jeffery and Udalova, Victoria. “Nurse practitioner independence, health […] and health outcomes.” Journal of Health Economics, March 2018. Accessed May 16, 2019.

Yang, Bo Kyum, et al. “Nurse Practitioner Independent Practice Authority and Mental Health Service Delivery in U.S. Community Health Centers.” Psychiatry Online, June 15, 2017. Accessed May 16, 2019.

Bureau of Labor Statistics. “Occupational Outlook Handbook: Nurse Ane[…] Nurse Practitioners.” April 12, 2019. Accessed May 16, 2019.

American Psychiatric Nurses Association. “Psychiatric-Mental Health Nurses.” (n.d.) Accessed May 16, 2019.

Study.com. “How to Become a Psychiatric Nurse Practitioner.” 2019. Accessed May 16, 2019.

Nurse.org. “Registered Nurse Career Guide.” 2019. Accessed May 16, 2019.

Nurse Journal. “Top 9 Advantages of a BSN Degree.” 2019. Accessed May 16, 2019.

RegisteredNursing.org. “ADN – Associate Degree in Nursing.” 2019. Accessed May 16, 2019.

American Psychiatric Nurses Association. “Psychiatric-Mental Health Nursing Graduate Programs by State.” 2019. Accessed May 16, 2019.

American Nurses Association. “Psychiatric-Mental Health Nurse Practiti[…]ification (PMHNP-BC).” 2019. Accessed May 17, 2019.

American Association of Nurse Practitioners. “NP Certification: Recognize Your Educati[…]ofessional Expertise.” 2019. Accessed May 17, 2019.

Pediatric Nursing Certification Board. “Steps to PMHS Certification: Pediatric P[…]ist exam information.” 2019. Accessed May 17, 2019.

PayScale.com. “Average Psychiatric Nurse Practitioner (NP) Salary.” May 15, 2019. Accessed May 17, 2019.

American Psychiatric Nurses Association. “Expanding Mental Health Care Services in[…]Mental Health Nurses.” April 2019. Accessed May 17, 2019.

NursePractitionerSchools.com. “How Does Nurse Practitioner Authority Vary By State?” (n.d.) Accessed May 17, 2019.

NursePractitionerSchools.com. “Can Nurse Practitioners Prescribe Medication?” (n.d.) Accessed May 17, 2019.

GoodTherapy.org. “Individual Therapy (Psychotherapy).” February 13, 2018. May 17, 2019.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

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