1031-19:  When Less is More: Deprescribing in PMHNP Practice

This presentation will use interactive, active learning techniques to guide the audience in developing their knowledge surrounding effective deprescribing in PMHNP practice. Participants will be invited to bring their own cases to discuss and will develop their own practice philosophy in this practice area.

Presenters:  Lyons Hardy, PMHNP; Kirby Williams, MSN, PMHNP

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will be discussed during this presentation.

Session Length:  1 hour 32 minutes

Target Audience:  APRN

Learning Outcome:
Upon completion of this presentation, the participant will be able to:

• Construct three principles that can be used to guide deprescribing practice.

Keywords:  Deprescribing, Reduction of Polypharmacy, APRN Practice

Nursing Continuing Professional Development:
1.5 pharmacology contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2021

1021-19: Integrating Brief Cognitive Behavioral Therapy (CBT) into Medication Management Visits: Advanced Practice PMH Nurses Leveraging their Psychotherapy Skills as well as their Knowledge of Pharmacology in 20-30 Minute Visits to Optimize Outcomes

This interactive presentation supports APRNs practicing in their full scope, by demonstrating how to integrate psychotherapeutic interventions with pharmacological treatment even in brief medication management visits. We will outline the evidence supporting CBT for brief visits and demonstrate real practice CBT interventions, strategies and resources applicable for current "med checks".

Presenters:  Pamela Lusk, RN, DNP, PMHNP-BC, FAANP; Bernadette Mazurek Melnyk, PhD, RN, PMHNP-BC, CPNP, FAAN, FAANP

Disclosures:  The presenter has indicated a significant financial interest or other affiliation with COPE2Thrive LLC. Off-label use of medications will not be discussed during this presentation. The activity planners have no conflicts of interest to disclose.

Session Length:  1 hour 44 minutes

Target Audience:  RN, APRN

Learning Outcome:
Upon completion of this presentation, the participant will be able to:

• Describe the value and practice of integrating brief Cognitive Behavioral Therapy (CBT) interventions into APRN medication management visits.

Keywords:  Psychotherapy, Psychopharmacology, Cognitive Behavioral Therapy

Nursing Continuing Professional Development:
1.75 pharmacology contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2021

3021-19:  Adolescent Pregnancy and Depression: An Opportunity and Obligation for Intervention

This presentation details appropriate assessment and treatment of major depressive disorder in pregnant and postpartum adolescents. As no treatment guidelines exist for this specific population, relevant guidelines for both psychosocial and pharmacological interventions are reviewed to determine best practices and boost clinicians' confidence in working with these under-served young women.

Presenter: Sarah Cox, MSN, PMHNP-BC 

Disclosures:  The presenter and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will be discussed during this presentation.

Session Length:  32 minutes

Target Audience:  RN, APRN

Learning Outcome:
Upon completion of this presentation, the participant will be able to:

• Assess for perinatal depression in adolescents, identifying appropriate interventions, both psychosocial and pharmacological, to improve outcomes for mother and baby.

Keywords: Perinatal Depression

Nursing Continuing Professional Development:
0.5 pharmacology contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2021

3011-19: Using Genetic Testing to assist with Treatment Decisions in the Outpatient Psychiatric Setting: Case Studies from the Clinic  |  Preventing the Ills of Too Many Pills: Using Collaborative Deprescribing

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Using Genetic Testing to assist with Treatment Decisions in the Outpatient Psychiatric Setting: Case Studies from the Clinic
Genetic testing is now being used to guide treatment decisions for appropriate psychotropic medication prescribing, as well as identifying patients who have moderately and significantly reduced folic acid conversion. The selected case studies will discuss how treatment decisions were affected and how the genetic guided treatment affected patient outcomes.
Presenters:  Evelyn J. Norton, APN, DNP, PMHNP-BC; Claire E. Oliver, MSN, PMHNP-BC; Kristin E. Katsenes, RN, BSN, PEL-CSN (IL) 

Preventing the Ills of Too Many Pills: Using Collaborative Deprescribing
This presentation introduces dynamic processes of the therapeutic provider-patient relationship in psychopharmacologic management of symptoms, and case examples of common situations involving polypharmacy. A collaborative deprescribing framework will be delineated including: rational prescribing and deprescribing principles, risk-benefit analysis guidelines, and best practice in integration of patient preferences and values.
Presenter:  Joanne DeSanto Iennaco, PhD 

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  34 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Apply the results of genetic testing in their treatment decisions to positively affect patient outcomes.
2. Describe principles of deprescribing in psychiatry, including risk-benefit analysis and integration of patient reference.

Keywords:  Deprescribing, Psychopharmacology, Collaborative Deprescribing, Pharmacodynamics, Pharmacokinetics

Nursing Continuing Professional Development:
0.5 pharmacology contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2021

2036-19:  Just Culture: Time to Move the Needle  |  An Accountable Care Team Drives Results

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Just Culture: Time to Move the Needle
This presentation reports the results of a national culture of safety survey. The data indicates that we have not moved the needle regarding punitive response to error identification. The participant will identify leadership strategies to improve trust and help decrease staff concerns of punitive response to reporting.
Presenter:  Linda Paradiso, DNP, RN, NPP, NEA-BC

An Accountable Care Team Drives Results
This presentation introduces the audience to an Interprofessional Accountable Care Team (ACT) that led transformational culture change and improved value. As a result of attending this session, the learner will be able to translate the use of an accountable care team to their organization and drive results.
Presenter:  Elizabeth Caine, MSHA, MBA

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  45 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Understand the importance of analyzing and learning from anonymous culture of safety survey data. 
2. Describe the key components of an Accountable Care Team and translate the work to their organization.

Keywords:  Non-punitive, Error Investigation, Just Culture, Interprofessional Teamwork, Interdisciplinary, Leadership Accountable

Nursing Continuing Professional Development:
0.75 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022

3016-19:  The Impact of a Dementia Simulation on Participants' Empathy | Can You Help Me? A Refugee Simulation Experience

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

The Impact of a Dementia Simulation on Participants' Empathy
This presentation will discuss the implementation of a dementia simulation in a university setting across multiple campuses. The presenter will also discuss research related to the impact of the simulation on empathy. Additionally, ways to utilize the simulation for staff development and community education will be discussed.
Presenter:  Daniel Eaton, RN, DNP

Can You Help Me? A Refugee Simulation Experience
Barriers to the provision of quality psychiatric-mental health care to refugees in the community are often related to a deficiency in cultural competence. Education with simulation provides nursing students an opportunity to gain awareness of the knowledge and skills needed to effectively manage refugees.
Presenters:  Nina Harvey, DNP, MSN, FNP-C; Stephanie Wynn, DNP, RN-BC, PMHNP-BC, FNP-BC, COI

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  38 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Identify three ways a dementia case study simulation can benefit your client care community.
2. Identify the function of simulation in identifying the impact of human connections on the provision of psychiatric-mental health care to refugees in the community.

Keywords: Simulation, Education, Dementia, Refugee, Culture

Nursing Continuing Professional Development:
0.5 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022

3022-19:  Ligature Free: Is it Possible?  |  Self-Management Strategies: An Innovative Nursing Approach to Working with Patients at Risk for Suicide in an Adult Inpatient Psychiatry   

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Ligature Free: Is it Possible?
Come learn how to reduce ligatures on an adult psychiatric unit through a collaborative, interdisciplinary team model. Lessons learned through the 18+ month process will be presented. This presentation will assist the administrative and direct care staff with information to promote a ligature free/resistant environment.
Presenter:  Charlene Moore, RN, MS, CNML

Self-Management Strategies: An Innovative Nursing Approach to Working with Patients at Risk for Suicide in an Adult Inpatient Psychiatry   
This presentation introduces the need and relevance of self-management strategies (SMS) as a promising framework for PMH nurses who are working with patients at risk for suicide in adult inpatient psychiatry. Examples, including an actual integration of SMS in an inpatient psychiatric unit/hospital guidelines, will be outlined.
Presenters:  Nadia Ali Muhammad Ali Charania, PhD, RN; Ilze Sturis Hallman, DNP, PMHNP-BC, PMHCNS-BC, GNP

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will be discussed during this presentation.

Session Length:  31 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Facilitate staff engagement in becoming a ligature free/resistant environment incorporating The Joint Commission's recommendations.
2. Describe the importance of integrating self-management strategies in a framework for working with patients at risk for suicide.

Keywords:  Ligature, Safety, Risks, Self-management Strategies, Suicide, Patient-Nurse Partnership

Nursing Continuing Professional Development:
0.5 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022

3023-19:  Access to Interprofessional Mental Health Education (AIME) for Youth: Creation of Interprofessional Workshops to Enhance Graduate Students' Knowledge on Management of Mental Health Diagnoses in Children & Adolescents  |  Moving Beyond Provider Education to Implementation: An Innovative Field-Tested Model for Adolescent SBIRT

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Access to Interprofessional Mental Health Education (AIME) for Youth: Creation of Interprofessional Workshops to Enhance Graduate Students' Knowledge on Management of Mental Health Diagnoses in Children & Adolescents
This presentation provides a template for establishing workshops to enhance future health care providers' knowledge and confidence of working in interprofessional teams to coordinate the management of children and adolescents experiencing psychiatric diagnoses. The participant will leave with access to video links of the simulations to incorporate in their courses.
Presenters:  Kirstyn Kameg, DNP, PMHNP-BC; Luann Richardson, PhD, DNP, PMHNP, FNP; Janene Luther Szpak, DNP, PMHNP-BC; Brayden Kameg, DNP

Moving Beyond Provider Education to Implementation: An Innovative Field-Tested Model for Adolescent SBIRT
Building upon the research on SBIRT adaptation for adolescents, the Facilitating Change for Excellence in SBIRT initiative developed an innovative and evidence-based guide for adolescent SBIRT implementation. This presentation will highlight strategies and skill sets for implementation, and results from the pilot that indicate nurses are critical care conduits of change.
Presenters:  Aaron M. Williams, MA; Pam Pietruszewski, MA

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  29 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Describe the importance of enhancing interprofessional training as a means for improving knowledge and confidence when caring for children and adolescents with mental health diagnoses.
2. Utilize practical applications of adolescent SBIRT clinical and operational change concepts to integrate upstream prevention, education, and early interventions.

Keywords:  Child and Adolescent Psychiatry, Simulation, Interprofessional Education, Screening Tool, Substance Use Disorders

Nursing Continuing Professional Development:
0.5 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022

2031-19:  Teaching and Assessing PMHNP Student Clinical Competencies Using Two Types of Simulations |  Engaging Psychiatric Nurse Practitioner Students through an Integrated Team Based Simulation Experience

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Teaching and Assessing PMHNP Student Clinical Competencies Using Two Types of Simulations
This presentation describes a series of simulated exercises developed to enable graduate psychiatric-mental health nursing students to build advanced practice competencies at a distance using available text-based and telehealth technology. Students incurred no additional costs and faculty were able directly observe student performance and provide meaningful feedback.
Presenter:  Beverly Baliko, PhD, PMHNP-BC

Engaging Psychiatric Nurse Practitioner Students through an Integrated Team Based Simulation Experience
Experiential learning opportunities occur throughout nursing programs with interprofessional students joining together to simulate health care delivery experiences. Faculty must have the skills for determining solutions to challenges in developing, implementing, and evaluating interprofessional simulations for student engagement during integrated simulation experiences that address the whole health of clients.
Presenters:  Jennifer S. Graber, EdD, APRN, PMHCNS-BC; Robbi K. Alexander, PhD, APRN, PHMCNS-BC

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  36 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Discuss strategies for effective use of technology to progressively build advanced practice competencies and evaluate student performance in distance education programs.
2. Identify 2 innovative nursing education techniques using simulation learning experiences to support the whole health of clients.

Keywords:  Online Learning, PMHNP Education, Simulation, Integrated Care, Simulated Teaching Modalities, Psychiatric Mental Health Nurse Practitioner

Nursing Continuing Professional Development:
0.5 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022

2032-19:  Integrating Whole Health and Human Connection into Safety Planning  |  Effect of Hospital Safety Officers on Adult Behavioral Health Inpatient Services

Mini concurrent sessions are presented live as two 20-minute presentations plus Q&A. Below they are offered as individual audio recordings.

Integrating Whole Health and Human Connection into Safety Planning
This presentation illustrates a safety planning process that fosters human connection and whole health.  Safety planning is a national best practice. After noting an increase in non-suicidal self-injury, a Nursing Quality Work Group completed a literature review, evaluated quality data, and systemically improved the hospital's safety planning.
Presenters:  Audrey Voss, MSN, CPHQ, RN-BC; Sarah Waterwall, BSN, RN-BC

Effect of Hospital Safety Officers on Adult Behavioral Health Inpatient Services
With the increase in violence in behavioral health settings, the addition of the Hospital Safety Officer (HSO) is an enhancement to milieu safety. This interactive session will highlight the features of the HSO that bring a reduction in assaults, Code Violet incidents, and workplace injuries.
Presenters:  Karen Hogan, DNP, MSN, RN, NE-BC; Celedonia Manrique, MSN, RN

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label use of medications will not be discussed during this presentation.

Session Length:  43 minutes

Target Audience:  RN, APRN

Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

1. Apply evidence-based practice to foster whole health and human connection in safety planning.
2. Compare and contrast role, background, and education of a hospital security guard and the Hospital Safety Officer.

Keywords:  Safety Planning, Patient Safety, Whole Health, Safety Officer, Violence

Nursing Continuing Professional Development:
0.75 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Originally Presented
APNA 33rd Annual Conference
New Orleans, Louisiana

The contact hours for this session expire:  November 30, 2022