American Psychiatric Nurses Association Research Articles

The BE SMART Trauma Reframing Psychoeducation Program

Despite the human capacity to survive and adapt, traumatic experiences can cause alterations in health, attitudes and behaviors, environmental and interpersonal functioning, and spiritual balance such that the memory of an event or a set of events taints all other experiences. The BE SMART (Become Empowered: Symptom Management for Abuse and Recovery from Trauma) group psychoeducation program is a 12-week course designed for both men and women to learn wellness coping principles in recovering from the aftermaths of trauma and abuse. The course is based on the Murphy–Moller Wellness Model [Murphy, M. F., & Moller, M. D. (1996). The Three R's Program: A Wellness Approach to Rehabilitation of Neurobiological Disorders. The International Journal of Psychiatric Nursing Research, 3(1), 308–317] and the Trauma Reframing Therapy [Rice, M. J., & Moller, M. D. (2003). Wellness Outcomes of Trauma Psychoeducation. Podium presentation at the 2003 Meeting of the American Psychiatric Nurses Association. Atlanta, Georgia. October].

Journal of the American Psychiatric Nurses Association

Journal of the American Psychiatric Nurses Association

Promises, promises

Promises, promises

Journal of the American Psychiatric Nurses Association

Journal of the American Psychiatric Nurses Association

The double helix 50 years later: implications for psychiatry.

Back to table of contents Previous article Next article CommemorationsFull AccessThe Double Helix 50 Years Later: Implications for PsychiatryJames WatsonJames WatsonSearch for more papers by this authorPublished Online:1 Apr 2003https://doi.org/10.1176/appi.ajp.160.4.614AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail Fifty years ago, we knew the “double helix” was a pivotal discovery, despite the studied understatement with which we concluded our paper in Nature. But even we did not anticipate the richness and diversity of the discoveries that would occur over the ensuing years. We certainly did not expect that 50 years later our work and its biomedical implications would be the focus of a special commemorative issue of The American Journal of Psychiatry !I am deeply gratified, however, that this progression has occurred, and that in 2003 we actually know enough about the relationship between genes and the illnesses that affect the mind and brain to have this topic featured in the world’s most widely read psychiatric journal. I am gratified as well that the ramifications are so many and varied. In the 21st century, psychiatrists are being invited to think about animal models of the illnesses they observe daily in human beings and to recognize that these models will aid in the development of new medications to treat mental illnesses. Psychiatrists are being challenged to learn about the new technologies and terminologies—microarrays, haplotype maps, and promotor regions—that have arisen as a consequence of the enormous progress that has occurred in molecular biology. Most important, as this issue of the Journal demonstrates, the tools of molecular biology are now being applied to improve understanding of both normal behavioral variations (e.g., shyness) and also the mechanisms of a wide variety of complex disorders such as schizophrenia, mood disorders, and substance abuse.I am confident that during the upcoming years the heritage of the double helix will help psychiatrists, neuroscientists, and behavioral scientists unlock many secrets of the mind and brain. Although challenging because of their genetic complexity, mental illnesses are among the most important diseases to be studied with the tools of molecular biology. Their effects are devastating to both patients and their families. Therefore, I proudly look forward to continuing to both foster and follow the discoveries about their mechanisms and treatment that are certain to occur as a consequence of our modest achievement 50 years ago. FiguresReferencesCited byDetailsCited ByA Psychiatric Nursing Conference to Increase Knowledge Related to Genomics29 June 2016 | Journal of the American Psychiatric Nurses Association, Vol. 10, No. 6 Volume 160Issue 4 April 2003Pages 614-614 Metrics PDF download History Published online 1 April 2003 Published in print 1 April 2003

APA Co-Writes Educational Booklet On Seclusion and Restraint

Back to table of contents Previous article Next article Association NewsFull AccessAPA Co-Writes Educational Booklet On Seclusion and RestraintKen HausmanKen HausmanSearch for more papers by this authorPublished Online:7 Feb 2003https://doi.org/10.1176/pn.38.3.0020aWith patient safety issues rapidly gaining prominence on the national health care agenda, APA has teamed up with three other concerned organizations to develop a publication that describes strategies for reducing the use of seclusion and restraint.The 42-page booklet, titled “Learning From Each Other: Success Stories and Ideas for Reducing Restraint/Seclusion in Behavioral Health,” was created by APA, the American Psychiatric Nurses Association, and National Association of Psychiatric Health Systems, with support from the American Hospital Association’s Section for Psychiatric and Substance Abuse Services.The resource guide is organized as “a compendium of strategies that direct care providers and administrators may want to consider” as they evaluate their facilities’ policies and procedures regarding use of restraint and seclusion, according to a press release from the four groups.The document stresses the crucial need to involve families and consumers in policy planning around this issue and should assist those same groups in understanding clinicians’ thought processes as they assess circumstances in which restraint or seclusion might be appropriate.Material for the publication was compiled from literature reviews, structured interviews with members of the sponsoring organizations, and ideas solicited from other experts in the mental health care field. It includes lists of resources and publications to which professionals and others can turn to get further information on the topics discussed.Sample checklists and assessment forms are also included in the document.The release of this publication comes at a time when there is pressure from the regulatory, accreditation, and legislative fronts to minimize use of these often controversial procedures.“The purpose of this project is to identify a body of high-quality clinical and operation information related to restraint and seclusion that can be recommended to the field,” said Charles Riordan, M.D., chair of the APA Committee on Standards and Survey Procedures.Jane White, R.N., D.N.Sc., executive director of the American Psychiatric Nurses Association, noted that the publication “is full of ideas for creative approaches that both clinical and administrative staff members can take to maintain a culture of safety that will lead to improved patient satisfaction and improved quality of care.”APA has made the publication available at no cost on its Web site at www.psych.org/clin_res/learningfromeachother.cfm. ▪ ISSUES NewArchived

The American Psychiatric Nurses Association Responds to the September 11 Tragedy

This article describes how the American Psychiatric Nurses Association (APNA) responded to the September 11 tragedy, as an organization. Also included are anecdotes from APNA members who participated individually in the aftermath of this tragedy. Because such a traumatic event can result in psychiatric disorders, a brief synopsis of these disorders is included. The economic effects of emotional difficulties for our nation are explored, especially those related to the most serious disorder resulting from such a traumatic event, Post Traumatic Stress Disorder. Strategies that APNA is focusing on for the future, as a result of this tragedy, are presented.

Considerations for Antipsychotic Therapy: Implications for the Safe and Appropriate Management of Patients

We are pleased to present highlights of the 2001 American Psychiatric Nurses Association symposium entitled “Considerations for Antipsychotic Therapy: Implications for the Safe and Appropriate Management of Patients.” This symposium presented several timely discussions on antipsychotic therapy from the clinical standpoint: decreasing stress and trauma to the psychiatric patient and staff, improving patient long-term health and treatment success, and fostering effective therapeutic relationships.

FROM THE GUEST EDITORS - RURAL AMERICA: A CALL FOR NURSES TO ADDRESS MENTAL HEALTH ISSUES

At the time we were preparing to write this editorial, we received an e-mail from the American Psychiatric Nurses Association (APNA) stating that there would be cuts in the Title VII and VIII programs, which fund the health professions, particularly nursing and public health. They also stated that serious shortages to exist in rural and under-served areas, in part due to market forces, driving health professionals to practice where higher wages are available (APNA, 2001). Rural areas are notorious for their lack of health care services, especially the delivery of mental health services. Because funding issues continue to impede the delivery of quality mental health care, lack of access to adequate mental health care must be addressed by politicians, insurance companies, health systems, and health care providers, particularly nurses. Attempts to transfer urban models to rural settings have failed, leaving 8 million Americans without mental health care (Olsson, 2000). The purpose of this special issue is to bring to the attention of nurses the mental health needs of special populations residing in rural America.

Branded with Infamy: Inscriptions of Poverty and Class in the United States

Previous articleNext article No AccessBranded with Infamy: Inscriptions of Poverty and Class in the United StatesVivyan C. AdairVivyan C. Adair Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Signs Volume 27, Number 2Winter, 2002 Article DOIhttps://doi.org/10.1086/495693 Views: 349Total views on this site Citations: 36Citations are reported from Crossref Copyright 2001 The University of ChicagoPDF download Crossref reports the following articles citing this article:Sameen Zafar Analysis of Destitution amid Floods: Evidence from Pakistan, Journal of Asian and African Studies 26 (Feb 2022): 002190962210761.https://doi.org/10.1177/00219096221076105Zhanar Sekerbayeva Theorizing Transgender Subjectivities, (Jan 2023): 55–71.https://doi.org/10.1007/978-981-19-4563-2_4 Syed In Biomedicine, Thin Is Still In: Obesity Surveillance among Racialized, (Im)migrant, and Female Bodies, Societies 9, no.33 (Aug 2019): 59.https://doi.org/10.3390/soc9030059Lauren E. Cagle Surveilling Strangers: The Disciplinary Biopower of Digital Genre Assemblages, Computers and Composition 52 (Jun 2019): 67–78.https://doi.org/10.1016/j.compcom.2019.01.006Megan Warin, Tanya Zivkovic Shades of Shame and Pride, (Mar 2019): 175–205.https://doi.org/10.1007/978-3-030-01009-6_7Maggie Colleen Cobb Casualties of debate: A critique of the sociology of emotion, Sociology Compass 12, no.1212 (Oct 2018): e12643.https://doi.org/10.1111/soc4.12643Michelle M. Tokarczyk Imagining Cross-Racial Affiliation in Gran Torino and Frozen River, the minnesota review 2018, no.9090 (Jan 2018): 51–69.https://doi.org/10.1215/00265667-4391512Katherine Smith ‘You don’t own money, you’re just the one who’s holding it’: Borrowing, lending and the fair person in North Manchester, The Sociological Review 65, no.1_suppl1_suppl (Mar 2017): 121–136.https://doi.org/10.1177/0081176917693528Jessica Gerrard Working in Public: Value, Exchange and Performance, (Jul 2017): 153–177.https://doi.org/10.1057/978-1-137-59483-9_7Martin J. Power, Aileen Dillane, Eoin Devereux “I sing out to the youth of the slums”: Morrissey and Class Disgust, Popular Music and Society 39, no.55 (Aug 2015): 547–562.https://doi.org/10.1080/03007766.2015.1072871Nicole de Vette Blaming the Victim: How Global Journalism Fails Those in Poverty, European Journal of Communication 30, no.55 (Nov 2015): 615–617.https://doi.org/10.1177/0267323115600603cElena Frank Groomers and Consumers, Men and Masculinities 17, no.33 (Jun 2014): 278–298.https://doi.org/10.1177/1097184X14539509Jaita Talukdar Rituals and Embodiment: Class Differences in Religious Fasting Practices of Bengali Hindu Women, Sociological Focus 47, no.33 (Jun 2014): 141–162.https://doi.org/10.1080/00380237.2014.916592Martin J Power, Patricia Neville, Eoin Devereux, Amanda Haynes, Cliona Barnes ‘Why bother seeing the world for real?’: Google Street View and the representation of a stigmatised neighbourhood, New Media & Society 15, no.77 (Nov 2013): 1022–1040.https://doi.org/10.1177/1461444812465138 References, (Sep 2013): 159–191.https://doi.org/10.1002/9781118378748.refsErynn Masi De Casanova Embodied Inequality, Gender & Society 27, no.44 (Aug 2013): 561–585.https://doi.org/10.1177/0891243213483895Martin J. Power, Aileen Dillane, Eoin Devereux A push and a shove and the land is ours: Morrissey's counter-hegemonic stance(s) on social class, Critical Discourse Studies 9, no.44 (Nov 2012): 375–392.https://doi.org/10.1080/17405904.2012.713207Nevin Solak, John T. Jost, Nebi Sümer, Gerald L. Clore Rage Against the Machine: The Case for System-Level Emotions, Social and Personality Psychology Compass 6, no.99 (Sep 2012): 674–690.https://doi.org/10.1111/j.1751-9004.2012.00456.xEoin Devereux, Amanda Haynes, Martin J. Power At the edge: media constructions of a stigmatised Irish housing estate, Journal of Housing and the Built Environment 26, no.22 (Mar 2011): 123–142.https://doi.org/10.1007/s10901-011-9210-4Cathleen A. Power, Elizabeth R. Cole, Barbara L. Fredrickson Poor women and the expression of shame and anger: The price of breaking social class feeling rules, Feminism & Psychology 21, no.22 (May 2011): 179–197.https://doi.org/10.1177/0959353510384125Barbara Sutton Playful cards, serious talk: a qualitative research technique to elicit women’s embodied experiences, Qualitative Research 11, no.22 (Apr 2011): 177–196.https://doi.org/10.1177/1468794110394070Jane A. Van Galen Class, Identity, and Teacher Education, The Urban Review 42, no.44 (Jun 2010): 253–270.https://doi.org/10.1007/s11256-009-0136-zJulie L. Nagoshi, Stephan/ie Brzuzy Transgender Theory: Embodying Research and Practice, Affilia 25, no.44 (Oct 2010): 431–443.https://doi.org/10.1177/0886109910384068Jodi O'Brien Sociology as an Epistemology of Contradiction, Sociological Perspectives 52, no.11 (Mar 2009): 5–22.https://doi.org/10.1525/sop.2009.52.1.5Leslie Brown, Marilyn Callahan, Susan Strega, Christopher Walmsley, Lena Dominelli Manufacturing ghost fathers: the paradox of father presence and absence in child welfare, Child & Family Social Work 14, no.11 (Feb 2009): 25–34.https://doi.org/10.1111/j.1365-2206.2008.00578.xKerry Woodward The Multiple Meanings of Work for Welfare-Reliant Women, Qualitative Sociology 31, no.22 (Jan 2008): 149–168.https://doi.org/10.1007/s11133-008-9091-3Kris Paap Power and Embodiment, Gender & Society 22, no.11 (Feb 2008): 99–103.https://doi.org/10.1177/0891243207310716Julia Wrigley, Joanna Dreby Children and Inequality, (Nov 2007): 213–237.https://doi.org/10.1002/9780470996973.ch11Regina Canuso Guiding the Hands That Hold the Child: Supportive Strategies for Low-Income Depressed Mothers and Their Children, Journal of the American Psychiatric Nurses Association 13, no.55 (Sep 2016): 304–312.https://doi.org/10.1177/1078390307308311Maia Green Representing poverty and attacking representations: Perspectives on poverty from social anthropology, Journal of Development Studies 42, no.77 (Oct 2006): 1108–1129.https://doi.org/10.1080/00220380600884068John-Andrew Mcneish Stones on the Road: The Politics of Participation and the Generation of Crisis in Bolivia, Bulletin of Latin American Research 25, no.22 (Apr 2006): 220–240.https://doi.org/10.1111/j.0261-3050.2006.00161.xVivyan C. Adair US Working-Class/Poverty-Class Divides, Sociology 39, no.55 (Dec 2005): 817–834.https://doi.org/10.1177/0038038505058367Maia Green, David Hulme From correlates and characteristics to causes: thinking about poverty from a chronic poverty perspective, World Development 33, no.66 (Jun 2005): 867–879.https://doi.org/10.1016/j.worlddev.2004.09.013Joan M. Ostrove, Elizabeth R. Cole Privileging Class: Toward a Critical Psychology of Social Class in the Context of Education, Journal of Social Issues 59, no.44 (Nov 2003): 677–692.https://doi.org/10.1046/j.0022-4537.2003.00084.xPAUL WILLIS Foot Soldiers of Modernity: The Dialectics of Cultural Consumption and the 21st-Century School, Harvard Educational Review 73, no.33 (Sep 2003): 390–415.https://doi.org/10.17763/haer.73.3.0w5086336u305184 Recent Scholarship, Journal of American History 89, no.22 (Sep 2002): 752–830.https://doi.org/10.1093/jahist/89.2.752

American Psychiatric Nurses Association Position Statement on the Use of Seclusion and Restraint

American Psychiatric Nurses Association Position Statement on the Use of Seclusion and Restraint

A Vision for Mental Health Care

This interview is with Jane A. Ryan, RN, MN, CNAA, immediate past president of the American Psychiatric Nurses Association. She began her nursing career in 1959 and spent 27 years in psychiatric nursing at the University of California at Los Angeles (UCLA) Medical Center Neuropsychiatric Institute, and eventually was responsible for nursing systems. Now she consults with the U.S. Justice Department on psychiatric nursing in state psychiatrist hospitals. Lisa Legge, managing editor of Creative Nursing Journal, interviewed Ms. Ryan.

American Psychiatric Nurses Association 14th Annual Meeting October 25-28, 2000 Crystal City, Virginia

American Psychiatric Nurses Association 14th Annual Meeting October 25-28, 2000 Crystal City, Virginia

CPT coding and Medicare reimbursement issues.

JANET BARADELL is an advanced practice psychiatric clinical nurse specialist in private practice in Chapel Hill, North Carolina. She is the consultant to Orange Cardiovascular Foundation, ANA's representative to the AMA's RUC CPT committee, and an active leader with legislative and reimbursement committees with the American Psychiatric Nurses Association. NANCY HANRAHAN is a doctoral fellow at Boston College School of Nursing specializing in mental health economics. She is president of Health Vision Consulting providing consultation to mental health systems. As treasurer on the Board of Directors for the American Psychiatric Nurses Association, she has participated in many legislative and leadership activities concerning economic issues of advanced practice nurses. She is the treasurer of a political campaign for a Maine senate seat.

Treating Comorbid ADHD, Major Depression, and Panic

Back to table of contents Previous article Next article LetterFull AccessTreating Comorbid ADHD, Major Depression, and PanicJames L. Schaller, M.D., M.A.R., , and David Behar, M.D., James L. SchallerSearch for more papers by this author, M.D., M.A.R., West Chester Child and Adult Psychiatry Center, Downingtown, PA, and David BeharSearch for more papers by this author, M.D., Eastern Pennsylvania Psychiatric Institute, Philadelphia, PAPublished Online:1 Nov 1999https://doi.org/10.1176/jnp.11.4.516AboutSectionsView EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail SIR: Attention-deficit/hyperactivity disorder (ADHD) increases one's risk for both major depression (MD) and an anxiety disorder by approximately 25%.1 Some individuals have all three. Therefore, we are proposing patients with such comorbidities should have their MD treated first, their anxiety disorder next, and finally be offered a noncombination, low-potency stimulant for ADHD.Case ReportA 38-year-old man was initially diagnosed with MD by use of the Inventory to Diagnose Depression (IDD), scoring a 38 (0–10 is normal). A trial of sertraline 125 mg produced a remission (IDD<10).His generalized anxiety partially decreased on the sertraline, as measured by Beck Anxiety Inventory's (BAI) decreasing from 28 to 20. His panic attacks, occurring at a frequency of twice per week, continued on the sertraline, although with reduced distress. Having failed a competent trial of extensive exposure and cognitive reconstructing panic therapy prior to our treatment, he was tried on clonazepam 0.25 mg three times a day, producing a stable BAI of 4 (normal), with no panic attacks for 2 months.Despite his improvement, the patient still met criteria for adult ADHD, with a childhood onset at age 5. Two first-degree relatives had ADHD. Common standard diagnostic scales such as the Brown Adult ADHD Scale, the Wender Utah Retrospective Scale, and the Semi-Structured Adult Interview for ADHD all confirmed his mental status exam and reported history.The patient asked for a trial off clonazepam to “keep his medication simple.” He was weaned off clonazepam, and his BAI rose to a “tolerable” 15, with no clear panic attacks. A trial of 5 mg Adderall, at breakfast and at 2:00 p.m., caused clear, repeated anxiety spikes 4 hours after each dose. Since Adderall represents two stimulants or four different amphetamine compounds, one or more may have been exerting marked stimulation at the 4-hour mark.Back on his clonazepam, the patient tried methylphenidate 7.5 mg tid (he had “failed” dextroamphetamine as a teenager). He had an 85% reduction of his ADHD symptoms, with no increase in anxiety.This case suggests that one should treat ADHD with comorbid anxiety with a low-potency noncombination stimulant, to prevent sensitivity to stimulants.References1 Barkley RA: Comorbid disorders, social relations, and subtyping, in Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment. New York, Guilford, 1998, pp 139–163Google Scholar FiguresReferencesCited byDetailsCited byStimulant Use in the Treatment of Iatrogenic Somnolence2 September 2016 | Journal of the American Psychiatric Nurses Association, Vol. 7, No. 4 Volume 11Issue 4 November 1999Pages 516-516 Metrics History Published online 1 November 1999 Published in print 1 November 1999

The 13th Annual American Psychiatric Nurses Association Conference

The 13th Annual American Psychiatric Nurses Association Conference

Call for abstracts?Best practices awards

Psychiatric nurses should be uniquely positioned for helping to prevent firearm suicides and homicides among the mentally ill. This study assessed the prevalence of firearm injury prevention training in graduate psychiatric nursing training programs through a three-wave mail survey of program directors. Most (87%) of the directors reported that they had not seriously thought about providing firearm injury prevention training. Almost half (48%) reported they did not routinely screen patients for firearm ownership. In addition, most (66%) thought that the American Psychiatric Nurses Association (APNA) should provide curriculum guidelines regarding firearm injury prevention training. Leadership is needed by the APNA to help reduce firearm violence in the mentally ill.

The Changing Clinical Applications of Newer Antipsychotic Drugs

The printing and distribution of this supplement to the Journal of the American Psychiatric Nurses Association are supported by an unrestricted educational grant from Janssen Pharmaceutica, Inc.

Reflections on a Decade, the Past Year, and Notions for Future Directions To Pursue in the Life of the American Psychiatric Nurses Association

Reflections on a Decade, the Past Year, and Notions for Future Directions To Pursue in the Life of the American Psychiatric Nurses Association

The ins and outs of psychiatric-mental health nursing and the American Nurses Association*1

Abstract A brief history of some of the work of psychiatric nurses within the American Nurses Association is presented in this article. Additionally, the authors identify the several efforts toward professionalization of the occupation of nursing that were made during the past half century. These efforts also spurred other clinical units within the American Nurses Association toward similar productivity. The development of the American Psychiatric Nurses Association as well as the subspecialty organizations is outlined.