Blogs

Prescriptive Authority for psychologists?

By Laura Sprague posted 09-24-2014 06:32 PM

  

I am looking for feedback related to the prescriptive authority for psychologists (RxP) movement: this is meant to fill the void of psychiatrists, a gap in which many APNs are being utilized. This is currently only written into law in New Mexico (2002), Louisiana (2004), and as of a few months ago, Illinois. 

An argument central to RxP is that other non-physicians have prescription authorities (APNs, pharmacists, PAs, etc), despite the fact that many clinical psychologists have many more years of education. My personal view on this is that the argument is invalid to the core- the aforementioned individuals receive training on anatomy and physiology from the beginning of their schooling, and continue throughout their education, gaining hands-on clinical experience in all realms of healthcare before they can even graduate. Psychologists, alternatively, focus on the mind/brain, receiving minimal exposure to medical content and conditions. 

My concern is that by loosening the limitations of prescribing to those who have no medical background to speak of, we are lessening the appreciation for the complexities of the human mind & body, while putting patients at greater risk, and as APNs will be forced into a position a meeting unrealistic expectations to compete with a potential market flooding due to RxP.

I could be sounding an alarm senselessly, but I am wondering if anyone out there has an opinion, experience, or thought related to this? 

2 comments
114 views

Permalink

Comments

12-13-2014 12:47 PM

Laura,
I agree with you for exactly the reasons you outlined.
In IN the ISNA has been dealing with a strong psychologist lobby for years and so far overcoming their arguments. It is the SNA bone to pick and I believe the OH SNA and ISNA directors communicate frequently.
I'm surprised that IL approved rx though, with the superstore AMA influence.???
Great topic.
Leslie

10-11-2014 07:56 PM

Laura, I agree with you wholeheartedly! I do not believe psychologists should be able to hold prescriptive privileges given they have relatively no medical training. All the other non-physician groups you mentioned do have medical education backgrounds which is critical when prescribing, even a limited groups of medications. My sister is a psychologist, and agrees also. It would be very risky business for non-medical clinicians to prescribe psychotropics; given all the potential risks with medical co-morbidities, drug-drug interactions, etc. It's too bad that our society can't find a way to make the career of a psychiatrist or an APRN more attractive...so we wouldn't have shortages of treators in the first place!