1. As a profession, how do we support the next generation of PMHNPs?

2. PMHNP Student Clinical Placements Are Getting Harder to Find
Limited supply of PMHNP clinical placements
Difficulty identifying appropriate clinical sites

3. Mental Health Workforce: Numbers

4. Texas Mental Health Workforce, 2017
(Texas Health and Human Services, 2017; Texas Board of Nursing, 2017)
Psychiatric Advanced Practice Nurses
922 (764 PMHNPs)
Psychiatrists
2172
Nurse Practitioners
16,776
Physician Assistants
8041
Psychologists
7787
Licensed Professional Counselors
23,339
Marriage and Family Therapists
3269
Licensed Clinical Social Workers
7720

5. Texas PMNHP programs UT Arlington SON UTHSC San Antonio SON
University of the Incarnate Word SON
UT Rio Grande Valley CON
Midwestern State SON
UT Austin SON
Texas Tech SON
UTHSC Houston SON
Texas State University SON
Out-of-state PMHNP student numbers unknown
Texas PMNHP programs

6. Factors Affecting Clinical Placements
Not all Texas Psych APRNs practice
Limited number of psychiatrists
Mental health workforce is retiring
FNP programs with psychiatric clinical hours
Increase in PMHNP programs and PMHNP students
Out-of-state PMHNP programs with in state students
Preference for psychiatric medical residents
Growth in number of medical schools
Child/adolescent psychiatric clinical sites are scarce
Expectations of productivity metrics for psychiatric providers

7. Possible Solutions Collaboration among PMHNP programs
Develop network of PMHNP clinical sites and PMHNP preceptors
Long-term contracts with clinical sites
Student scholarships & employment (similar to BSN process)
Advocacy at state and local governments
Novel approaches to clinical placements

8. Department of State Health Services (2014)
Department of State Health Services (2014). The mental health workforce shortage in texas. Retrieved from 4/Attachment1-HB1023-MH... Hogg Foundation for Mental Health (2011). Crisis point: mental health workforce shortages in texas. Retrieved from Mental_Health_Crisis_final_ pdf
References

9. Hoge, M. , Stuart, F. , Morris, J. , Flaherty, M. , Paris, M. ,
Hoge, M., Stuart, F., Morris, J., Flaherty, M., Paris, M., & Goplerud, E. (2013). Mental health and addiction workforce development: federal leadership is needed for address the growing crisis. Health Affairs, 32(11),
Texas Board of Nursing (2017). Currently licensed texas rns recognized as advanced practice registered nurses by county and nurse practitioner recognition. Retrieved from
pdfs//2017TexasStatistics/Sept2017/apnp- 9_17.pdf
References

10. Texas Health and Human Services (2017). Health
Texas Health and Human Services (2017). Health professions: supply and distribution tables for state-licensed health professions in texas. Retrieved from m
Texas Statewide Health Coordinating Council (2011) Texas state health plan: a roadmap to a healthy Texas. Retrieved from
References