Agenda Objectives 4:15 Introduction to Todays Forum (Lusk) 1. - PDF document

APNA 29th Annual Conference Session 3047: October 30, 2015 Disclosure  Pam Lusk has no conflicts of interest to disclose  Candice Knight has no conflicts of interest to disclose  Mary Moller has no conflicts of interest to disclose  Rick Pessagno has no conflicts of interest to disclose Pamela Lusk, DNP, RN, PMHNP-BC, FAANP Candice Knight, PhD, EdD, APN, PMHCNS-BC, PMHNP-BC Mary D. Moller, DNP, ARNP, PMHCNS-BC, CPRP, FAAN Rick Pessagno, DNP, APN, PMHNP-BC, FAANP APNA Graduate Education Council Sessions 3047, 3054 October 30, 2015 Agenda Objectives 4:15 Introduction to Today’s Forum (Lusk) 1. Identify the basic knowledge, skills, and attitudes 4:20 Strategies used at NYU (Knight) needed by the PMHNP to provide psychotherapy. 4:35 Strategies used at PLU (Moller) 2. Discuss various individual, group, and family 4:50 Strategies used at Rutgers (Pessagno) psychotherapy learning and training opportunities 5:00 Transition to Graduate Education Council for that can be employed in PMHNP programs. discussion 3. Create a forum where individual, family, and 5:15 Discussion/workshop small group assignment group psychotherapy PMHNP learning 6:45 Discussion ends opportunities can be shared. Scopes & Standards of PMH Graduate Programs for Advanced Nursing (2014) Practice Nurses ‐ Our Fourth “P”  Physical Assessment  Standard 5f. Psychotherapy  Pharmacology  Pathophysiology  The Psychiatric-Mental Health Advanced Practice Registered Nurse conducts individual, couples, group and family psychotherapy using evidence-  PSYCHOTHERAPY based psychotherapeutic frameworks and nurse- patient therapeutic relationships. Lusk 1

APNA 29th Annual Conference Session 3047: October 30, 2015 Psychotherapy in the Past Peplau  Mental Health Care System  1956 Report form National Working  Emphasis on psychosocial models Conference on Graduate Education in Psychiatric Nursing (NLN & NIMH).  Availability of mental health funding “The Education of the Clinical Specialist  Abundant time to practice & process cases in Psychiatric Nursing:  Graduate PMH Advanced Practice Peplau had begun to differentiate the Programs clinical specialist as a psychiatric nurse prepared at the master’s level  Hildegard Peplau’s interpersonal model who concentrated on the  Focus on individual, group, & family therapy psychotherapeutic role of the nurse.  Longer psychotherapy theory & clinical hours (Anderson, 1995, p 79).  Expert supervision in psychotherapy So What Now Is Needed? Current Influences: Psychotherapy  Mental Health Care System  What are the basic  Emphasis on biological model knowledge, skills, and  Managed care – focus on medication management attitudes needed by  Split treatment the PMHNP to provide  Quick-fix consumers psychotherapy?  Graduate PMH Advanced Practice Programs  Less curriculum time for psychotherapy courses  Reduced clinical hours  Less faculty & preceptor psychotherapy expertise  Time constraints in clinical agencies Knowledge Skills  Ability to develop rapport and trust  Professional and ethical guidelines  Adapting interpersonal style and structure to suit the  Psychopathology client  Common factors research  Ability to conduct diagnostic assessment  Foundational knowledge in basic theoretical  General case conceptualization skills orientation  Treatment planning  Assessment and diagnosis  Risk assessment/ management  Knowledge of basic science, evidence-based  Report writing practice Lusk 2

APNA 29th Annual Conference Session 3047: October 30, 2015 Attitudes  Accurate empathy  Compassion  Sensitivity to individual differences Candice Knight  Genuineness  Lifelong learning (Roth & Piling 2007, 2008) Essential Psychotherapy Content Essential Psychotherapy Content  Common Factors (Elements of Effective Therapy), depth Common  Schools of Therapy and Major Subtypes, breadth Factors  Developing “Toolbox Skills”  Identifying & Developing a Conceptual Framework Schools, Subtypes Depth  Special Topics: Ethics, research, special populations Psychotherapies Toolbox Skills  Depth Psychotherapy  Group Therapy, depth  Couple and Family Therapy, depth  Behavioral Therapy (CBT), depth ID & Dev Integration of  Cognitive Therapy (CBT), depth Theoretical Therapy & Meds  Dialectical Behavior Therapy (DBT), depth Orientation  Play Therapy, depth History,  Motivational Interviewing, depth Ethics,  Emotion-Focused Therapy (EFT), depth Research Content – Course #1: Content – Course #1: Individual Psychotherapy Individual Psychotherapy Tool Box Skills (Experiential Training)  Common Factors and Developing a Theoretical Orientation, depth  Behavioral  Common Factors & Theor Orient  Interpersonal skills & forming an alliance  Empathic understanding  Stress mngt (breathing/prog rel)  Psychodynamic, breadth  Facilitative listening, presence  Systematic desensitization  Developing the narrative  Classical, Interpersonal, Ego, Object Relations, Self, Individual, Brief  Cognitive  Selecting direction/choice points  Humanistic-Existential, breadth  Cognitive restructuring  Pacing and timing  Person-Centered, Gestalt, Existential, Emotion-Focused  Id & developing a theor orient  Thought stopping  Behavioral, breadth  Psychoanalytic  Postmodern  Interpretation  Classical & Operant Conditioning, Stress Mgmt, Syst Desensitization  Miracle question  Free association  Cognitive, breadth  Transforming the story  Transference,  Information Processing, REBT (Ellis), Cognitive (Beck)  Empowering the client countertransference, resistance  Post-Modern, breadth  Life recollection review  Integrative  Humanistic-Existential  Solution-Focused, Narrative, Feminist  ID ambivalence, change talk  Awareness and focusing  Integrative, breadth  Rating intensity of discomfort  Here-and-now  Motivational Interviewing, EMDR, DBT, Schema  Distress tolerance skills  Process Lusk 3