Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript

Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities cont...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Nursing outlook 2025-01, Vol.73 (1), p.102342, Article 102342
Hauptverfasser: Tierney, Matthew, Schimmels, JoEllen, Delaney, Kathleen, Mumba, Mercy, Glymph, Derrick, Handrup, Cynthia, Phoenix, Bethany
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 1
container_start_page 102342
container_title Nursing outlook
container_volume 73
creator Tierney, Matthew
Schimmels, JoEllen
Delaney, Kathleen
Mumba, Mercy
Glymph, Derrick
Handrup, Cynthia
Phoenix, Bethany
description Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services. •Detail undertreatment of mental health and substance use disorders (MH and SUD).•Expand MH and SUD advanced practice registered nurse workforce treatment availability.•Policy recommendations to expand access to mental health and substance treatment.•Support clarifying definition, accelerating growth, and improving APRNs utilization.•Compel improved federal recognition and inclusion of APRNs in MH and SUD.
doi_str_mv 10.1016/j.outlook.2024.102342
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3146663715</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0029655424002355</els_id><sourcerecordid>3146663715</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2411-e8a19bcdd5f4386aa655aa1ae3f08b1700ded1c0094033fc73ebdb200df28523</originalsourceid><addsrcrecordid>eNqFkc1uEzEUhS0EomnLI4C8ZDPBf_PHBkUVLUgVdNG9dce-Qx3G42B7IuVheFecJrBlZev4nHt970fIW87WnPHmw3YdljyF8HMtmFBFE1KJF2TFa9FVsm-6l2TFmOirpq7VBblMacsYU6rtX5OL8t60grMV-f0QJmcOdBddiC47TDQH6vwuhj1SMAbTswJ2D7NBW4xgsjNI5yUmN_-gBiLSMUTqcc4w0SeEKT9RmC1Ny5DyMUaXhCUZhgl9-kg3M914jM5AuRiw6A80jPTbuaKHeUkmul2-Jq9GmBK-OZ9X5PH28-PNl-r--93Xm819ZYTivMIOeD8Ya-tRya4BKDMDcEA5sm7gLWMWLTeM9YpJOZpW4mAHUeRRdLWQV-T9qWz54q8FU9beJYPTBDOGJWnJVdM0suV1sdYnq4khpYijLpvzEA-aM30Eo7f6DEYfwegTmJJ7d26xDB7tv9RfEsXw6WTAMufeYdTJODyu3EU0Wdvg_tPiD36FpVM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3146663715</pqid></control><display><type>article</type><title>Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript</title><source>Elsevier ScienceDirect Journals</source><creator>Tierney, Matthew ; Schimmels, JoEllen ; Delaney, Kathleen ; Mumba, Mercy ; Glymph, Derrick ; Handrup, Cynthia ; Phoenix, Bethany</creator><creatorcontrib>Tierney, Matthew ; Schimmels, JoEllen ; Delaney, Kathleen ; Mumba, Mercy ; Glymph, Derrick ; Handrup, Cynthia ; Phoenix, Bethany</creatorcontrib><description>Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services. •Detail undertreatment of mental health and substance use disorders (MH and SUD).•Expand MH and SUD advanced practice registered nurse workforce treatment availability.•Policy recommendations to expand access to mental health and substance treatment.•Support clarifying definition, accelerating growth, and improving APRNs utilization.•Compel improved federal recognition and inclusion of APRNs in MH and SUD.</description><identifier>ISSN: 0029-6554</identifier><identifier>ISSN: 1528-3968</identifier><identifier>EISSN: 1528-3968</identifier><identifier>DOI: 10.1016/j.outlook.2024.102342</identifier><identifier>PMID: 39667210</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Addressing health disparities ; Advanced Practice Registered Nursing (APRN) ; Behavioral health access ; Health policy ; Mental health ; Substance use</subject><ispartof>Nursing outlook, 2025-01, Vol.73 (1), p.102342, Article 102342</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2411-e8a19bcdd5f4386aa655aa1ae3f08b1700ded1c0094033fc73ebdb200df28523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.outlook.2024.102342$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39667210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tierney, Matthew</creatorcontrib><creatorcontrib>Schimmels, JoEllen</creatorcontrib><creatorcontrib>Delaney, Kathleen</creatorcontrib><creatorcontrib>Mumba, Mercy</creatorcontrib><creatorcontrib>Glymph, Derrick</creatorcontrib><creatorcontrib>Handrup, Cynthia</creatorcontrib><creatorcontrib>Phoenix, Bethany</creatorcontrib><title>Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript</title><title>Nursing outlook</title><addtitle>Nurs Outlook</addtitle><description>Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services. •Detail undertreatment of mental health and substance use disorders (MH and SUD).•Expand MH and SUD advanced practice registered nurse workforce treatment availability.•Policy recommendations to expand access to mental health and substance treatment.•Support clarifying definition, accelerating growth, and improving APRNs utilization.•Compel improved federal recognition and inclusion of APRNs in MH and SUD.</description><subject>Addressing health disparities</subject><subject>Advanced Practice Registered Nursing (APRN)</subject><subject>Behavioral health access</subject><subject>Health policy</subject><subject>Mental health</subject><subject>Substance use</subject><issn>0029-6554</issn><issn>1528-3968</issn><issn>1528-3968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNqFkc1uEzEUhS0EomnLI4C8ZDPBf_PHBkUVLUgVdNG9dce-Qx3G42B7IuVheFecJrBlZev4nHt970fIW87WnPHmw3YdljyF8HMtmFBFE1KJF2TFa9FVsm-6l2TFmOirpq7VBblMacsYU6rtX5OL8t60grMV-f0QJmcOdBddiC47TDQH6vwuhj1SMAbTswJ2D7NBW4xgsjNI5yUmN_-gBiLSMUTqcc4w0SeEKT9RmC1Ny5DyMUaXhCUZhgl9-kg3M914jM5AuRiw6A80jPTbuaKHeUkmul2-Jq9GmBK-OZ9X5PH28-PNl-r--93Xm819ZYTivMIOeD8Ya-tRya4BKDMDcEA5sm7gLWMWLTeM9YpJOZpW4mAHUeRRdLWQV-T9qWz54q8FU9beJYPTBDOGJWnJVdM0suV1sdYnq4khpYijLpvzEA-aM30Eo7f6DEYfwegTmJJ7d26xDB7tv9RfEsXw6WTAMufeYdTJODyu3EU0Wdvg_tPiD36FpVM</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Tierney, Matthew</creator><creator>Schimmels, JoEllen</creator><creator>Delaney, Kathleen</creator><creator>Mumba, Mercy</creator><creator>Glymph, Derrick</creator><creator>Handrup, Cynthia</creator><creator>Phoenix, Bethany</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20250101</creationdate><title>Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript</title><author>Tierney, Matthew ; Schimmels, JoEllen ; Delaney, Kathleen ; Mumba, Mercy ; Glymph, Derrick ; Handrup, Cynthia ; Phoenix, Bethany</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2411-e8a19bcdd5f4386aa655aa1ae3f08b1700ded1c0094033fc73ebdb200df28523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Addressing health disparities</topic><topic>Advanced Practice Registered Nursing (APRN)</topic><topic>Behavioral health access</topic><topic>Health policy</topic><topic>Mental health</topic><topic>Substance use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tierney, Matthew</creatorcontrib><creatorcontrib>Schimmels, JoEllen</creatorcontrib><creatorcontrib>Delaney, Kathleen</creatorcontrib><creatorcontrib>Mumba, Mercy</creatorcontrib><creatorcontrib>Glymph, Derrick</creatorcontrib><creatorcontrib>Handrup, Cynthia</creatorcontrib><creatorcontrib>Phoenix, Bethany</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing outlook</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tierney, Matthew</au><au>Schimmels, JoEllen</au><au>Delaney, Kathleen</au><au>Mumba, Mercy</au><au>Glymph, Derrick</au><au>Handrup, Cynthia</au><au>Phoenix, Bethany</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript</atitle><jtitle>Nursing outlook</jtitle><addtitle>Nurs Outlook</addtitle><date>2025-01-01</date><risdate>2025</risdate><volume>73</volume><issue>1</issue><spage>102342</spage><pages>102342-</pages><artnum>102342</artnum><issn>0029-6554</issn><issn>1528-3968</issn><eissn>1528-3968</eissn><abstract>Nearly 50% of the U.S. population struggles with a mental health or substance use disorder in their lifetime, yet a substantial number are unable to receive treatment or are undertreated due to significant shortages and disparities in the mental health workforce. These shortages and disparities contribute to health inequities that leave already-vulnerable populations at increased risk for detrimental consequences. Access to mental health and substance use treatment could be improved by better utilizing the Advanced Practice nursing workforce providing care in mental health and substance use treatment, and by better defining Advanced Practice nursing roles, including those with specialty certifications in mental health and substance-related care. This paper makes policy recommendations to better define, grow, and more fully utilize the Advanced Practice nursing workforce providing mental health and substance-related services. •Detail undertreatment of mental health and substance use disorders (MH and SUD).•Expand MH and SUD advanced practice registered nurse workforce treatment availability.•Policy recommendations to expand access to mental health and substance treatment.•Support clarifying definition, accelerating growth, and improving APRNs utilization.•Compel improved federal recognition and inclusion of APRNs in MH and SUD.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39667210</pmid><doi>10.1016/j.outlook.2024.102342</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0029-6554
ispartof Nursing outlook, 2025-01, Vol.73 (1), p.102342, Article 102342
issn 0029-6554
1528-3968
1528-3968
language eng
recordid cdi_proquest_miscellaneous_3146663715
source Elsevier ScienceDirect Journals
subjects Addressing health disparities
Advanced Practice Registered Nursing (APRN)
Behavioral health access
Health policy
Mental health
Substance use
title Policy priorities to improve access to advanced practice nursing care for mental health and substance use problems: An American Academy of Nursing manuscript
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T05%3A23%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Policy%20priorities%20to%20improve%20access%20to%20advanced%20practice%20nursing%20care%20for%20mental%20health%20and%20substance%20use%20problems:%20An%20American%20Academy%20of%20Nursing%20manuscript&rft.jtitle=Nursing%20outlook&rft.au=Tierney,%20Matthew&rft.date=2025-01-01&rft.volume=73&rft.issue=1&rft.spage=102342&rft.pages=102342-&rft.artnum=102342&rft.issn=0029-6554&rft.eissn=1528-3968&rft_id=info:doi/10.1016/j.outlook.2024.102342&rft_dat=%3Cproquest_cross%3E3146663715%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3146663715&rft_id=info:pmid/39667210&rft_els_id=S0029655424002355&rfr_iscdi=true