Prescribing Psychologist

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Are Prescribing Psychologists really practicing medicine without a license?

Prescriptive authority for psychologists still hits a nerve for some in the psychiatric community. Wow is the only way to describe this psychiatrist’s article about prescribing psychologists lack of medical training.

 

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Psychiatrists and ‘The Silent Shortage’

This link leads to a ‘white paper’ on the massive shortage of psychiatrists in the United States.  The information comes via a locum tenens staffing company. The article is pretty detailed in getting to the heart of the matter and noted that ‘psychiatry….is not a profit center’ for most hospitals and the treatment is generally more complex. Hospital tend to focus on specialty care that is generally viewed as ‘cleaner’, such as orthopedics, cancer, or cardiology. Any thoughts from our readers regarding this?

Idaho Passes Psychologist Prescribing

Idaho became the 5th state to approve a bill to enable psychologists prescribe a limited range of mental health related medications. Click here for details from the American Psychological Association.

Psychologists will be required to obtain a masters degree in pharmacology, complete a period of supervised training, and pass a national examination. As with several other states, the bill will require supervision of prescribing by a physician.

The intent of the legislation was to address issues problems with accessing treatment. The Idaho Psychological Association website provides a detailed explanation of the need to increase access and rationale regarding prescriptive authority.

House Votes to Reform Mental Health in the U.S.

BREAKING: Energy & Commerce Unanimously Passes H.R. 2646

Murphy’s Landmark Legislation Moves to the House Floor

For Immediate Release: June 15, 2016
Contact: Murphy Press 202.225.2301

(Washington, DC) – By a unanimous vote of 53-0 Congressman Tim Murphy’s (R-PA) landmark crisis mental health legislation the Helping Families in Mental Health Crisis Act, the House Energy & Commerce Committee reported the  bill out favorable to the House. Considered the most comprehensive reform of mental health in the past half century, the bill currently boasts 197 bipartisan cosponsors and has garnered endorsements across the country from newspaper editors, physicians and families of individuals with mental illness.

“Today’s vote on passage of H.R. 2646 and reporting the bill out of Committee is a historic moment for families in mental health crisis and for the millions of Americans trapped in our nation’s broken mental health system,” said Murphy. “Delivering evidence-based treatment is how we will finally conquer stigma surrounding mental illness, and this bipartisan bill transforms the federal government’s approach to mental health. This bill calls for a complete overhaul of the current federal system, refocusing resources on helping those with the most serious mental illnesses by getting them treatment before, during and after a psychiatric crisis. I couldn’t be prouder of the work of the bipartisan coalition in Congress, and I eagerly look forward to the bill’s consideration on the House Floor.”

Ohio RxP Bill Introduced!

A psychologist prescribing bill, SB 300 was introduced in the Ohio Senate. Sponsor testimony was given by Sen. Seitz on May 4 with OPA testimony given on May 11. The next step planned is for the representatives of Ohio psychiatrists and psychologists to meet. The bill is in the Senate Health Committee with two co-sponsors (Sen. Manning and Sen.Tavares) are on the committee. The bill reportedly has much support from a number of Senators who are aware of the significant need for improved access to mental health care and prescriptive authority for appropriately trained psychologists.

Citation adapted from Bobbie Celeste, Ph.D. from the Ohio Psychological Association RxP list serve.

Iowa Governor Signs RxP Bill

Iowa becomes the 4th state to allow psychologists prescriptive authority. The next step will require both the Iowa psychology and medical licensing boards to collaborate on the rule-making process.  Click here for details.

Iowa House passes an RxP Bill

Reported on the APA RxP list serve by Elizabeth Lonning, PsyD, Iowa and Illinois Licensed Psychologist.

RxP legislation in Iowa passed out of the House yesterday 72-22.  Because this bill has an amendment that was not part of the Senate bill that passed in early April, it goes back to the Senate. Dr. Lonning reported that Iowa started with the New Mexico bill format with the addition of the following items:

Requires two years of supervision with the second year used to gain experience with special populations.

There was collaborative practice agreement between prescribing psychologist supporters and physicians that MAY include limitations on populations and/or medications.

Statements in the bill that the medical board has jurisdiction over the supervising physician.  The bill will jointly create the administrative rules between the Board of Psychology and the Board of Medicine.

Dr. Lonning also reported that 3 doctoral level psychology programs and the University of Iowa Medical School are working together to create a training program in the state.

Ohio RxP Bill Introduced

April 14th – Ohio Senator Keith Seitz introduced a psychologists’ prescribing bill. This has been assigned to the Senate Health and Human Services Committee.  See the link below for details.

http://ohiosenate.gov/committee/health-and-human-services

Hawaii RxP Bill Seeking Consensus

April 13 – Hawaii HB1072 passed third reading on the Senate floor with 22 ayes and 2 noes. The next step is for it to go to Conference Committee so that the differences in the House and the Senate bills can be ironed out. The bill would allow Psychologists with advanced training in psychopharmacology to prescribe. Let’s see how this one moves forward.

Iowa prescribing bill loses by 1 vote

The vote in the Iowa Senate was close, but came up 1 vote short. Iowa’s prescribing bill  vote count was 25 to 24.  A narrow loss in conservative state that suggests a high level of grassroots support. The arguments for and again reflect the same old song from the medical establishment. Here is a summary from the Iowa Medical Association’s review of the bill.

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