{"id":47568,"date":"2003-08-14T00:00:00","date_gmt":"2003-08-14T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2003\/08\/14\/unmc-college-of-nursing-new-specialty-prepares-nursesfor-dual-role-in-family-mental-health-will-help-ease-health-professionalshortage\/"},"modified":"2022-08-29T10:43:47","modified_gmt":"2022-08-29T15:43:47","slug":"unmc-college-of-nursing-new-specialty-prepares-nursesfor-dual-role-in-family-mental-health-will-help-ease-health-professionalshortage","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2003\/08\/14\/unmc-college-of-nursing-new-specialty-prepares-nursesfor-dual-role-in-family-mental-health-will-help-ease-health-professionalshortage\/","title":{"rendered":"UNMC College of Nursing new specialty prepares nurses\n\nfor dual role in family, mental health; will help ease health professional\n\nshortage"},"content":{"rendered":"

The University of Nebraska Medical Center College of Nursing has received<\/p>\n

a $750,000 federal grant that will help ease Nebraskas shortage of rural<\/p>\n

health professionals by preparing students in the dual capacity of a family<\/p>\n

nurse practitioner and advanced practice psychiatric\/mental health nurse.<\/p>\n

The U.S. Health and Human Services Bureau of Health Professions Division<\/p>\n

of Nursing is funding the grant.<\/p>\n

There are many vulnerable populations of rural and urban Nebraskans<\/p>\n

who dont have access to mental health services and whose physical and<\/p>\n

mental health care needs are not met, said Kate Fiandt, D.N.S., UNMC College<\/p>\n

of Nursing associate professor of nursing and project director of the grant.<\/p>\n

In Nebraskas rural areas, theres a huge lack of qualified mental health<\/p>\n

practitioners who can make a diagnosis and prescribe medications.<\/p>\n

Dr. Fiandt said many rural communities cant support a full-time psychiatric\/mental<\/p>\n

health advanced practice nurse, but one with both physical and mental health<\/p>\n

skills is an asset.<\/p>\n

This practitioner will be a valuable resource in Nebraska where 75<\/p>\n

percent of rural counties are federally designated mental health professional<\/p>\n

shortage areas and 36 percent of rural counties are federally designated<\/p>\n

primary care health professional shortage areas, Dr. Fiandt said. Though<\/p>\n

there are some dual-certified advanced practice nurses with this specialty,<\/p>\n

this may be the first one in the country that prepares the nurse for certification<\/p>\n

in both areas at the same time. The state very badly needs people skilled<\/p>\n

in both.<\/p>\n

Dr. Fiandt, who has been a family nurse practitioner for 27 years, said<\/p>\n

in some clinics, 80 percent of the people who seek family or primary care<\/p>\n

services have both physical and mental health needs.<\/p>\n

Mental problems get in the way of physical health, and poor, unmanaged<\/p>\n

health causes mental health problems, she said. If you treat depression,<\/p>\n

diabetes gets better. Various health conditions like diabetes and cancer<\/p>\n

can cause depression. This takes two different programs and streamlines<\/p>\n

them into one to enable a practitioner to treat both conditions.<\/p>\n

The specialty will prepare students as advanced practice nurses. Advance<\/p>\n

practice nurses are those with masters degrees and advanced clinical experience<\/p>\n

who diagnose, treat and manage illness, including nurse practitioners,<\/p>\n

clinical nurse specialists, nurse midwives, nurse anesthetists and other<\/p>\n

specialties. Some also prescribe medication.<\/p>\n

 <\/p>\n

This fall, the college will accept seven full-time students with bachelors<\/p>\n

degrees in nursing. Students will spend the first year in academics. They<\/p>\n

will use distance education technologies such as the Internet, CD-ROMs<\/p>\n

and conference calls, and occasionally will be required to drive to UNMC<\/p>\n

College of Nursing sites in Omaha, Kearney or Scottsbluff. Along with classroom<\/p>\n

content during the second and third years of the program, students receive<\/p>\n

850 clinical hours of experience under the supervision of a preceptor in<\/p>\n

or nearby their communities.<\/p>\n

Dr. Fiandt said another advantage of the new specialty is that people<\/p>\n

can go to a health professional for their mental health needs without the<\/p>\n

stigma.<\/p>\n

In rural communities, many times people wont go to a psychiatrist.<\/p>\n

If they could go to see a primary care professional who is skilled in managing<\/p>\n

psychological problems, then it protects them from this stigma, Dr. Fiandt<\/p>\n

said.<\/p>\n

The grant also supports research on the role and integration of the<\/p>\n

two specialties.<\/p>\n

The importance and priority of such programs is evident in a recent<\/p>\n

report by the President’s New Freedom Commission on Mental Health (available<\/p>\n

at www.MentalHealthCommission.gov). In 86 pages, the authors discuss the<\/p>\n

failings of the current system and describe six major goals for transformation.<\/p>\n

The report estimates that 5 to 7 percent of adults have a serious mental<\/p>\n

illness. In children, about 5 to 9 percent have a serious emotional disturbance.<\/p>\n

The commission believes that Americans must come to understand that<\/p>\n

mental health is integral to their overall health, and recommends that<\/p>\n

mental illnesses be addressed with the same urgency as other medical problems.<\/p>\n

The commission also said stigma attached to mental illness must be eliminated<\/p>\n

because it discourages people from seeking care.<\/p>\n

Minorities and people in rural areas, the commission finds, have worse<\/p>\n

access to care, and often receive services that are not responsive to their<\/p>\n

needs. As a result, the burden of mental illness is heavier for these individuals.<\/p>\n

Dr. Fiandt said another example of how the practitioner could help is<\/p>\n

provide early intervention for families with children who have behavioral<\/p>\n

problems such as discipline and control issues. This practitioner could<\/p>\n

work with the family and get them back in charge of the situation, Dr.<\/p>\n

Fiandt said. Getting someone help before a situation generates into a<\/p>\n

crisis is important.<\/p>\n

Other UNMC nursing faculty involved in the program are Cecilia Barron,<\/p>\n

Ph.D., co-project director, Julia Houfek, Ph.D., Susan Muhlbauer, Ph.D.,<\/p>\n

and Polly Hulme, Ph.D. Other faculty with dual certification will be recruited.<\/p>\n

For more information about the program, contact Dani Eveloff at (402)<\/p>\n

559-5184, or 1-800-626-8431, ext. 9-5184, or develoff@unmc.edu.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

The University of Nebraska Medical Center College of Nursing has received a $750,000 federal grant that will help ease Nebraskas shortage of rural health professionals by preparing students in the dual capacity of a family nurse practitioner and advanced practice psychiatric\/mental health nurse. The U.S. Health and Human Services Bureau of Health Professions Division of […]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47568","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"\nUNMC College of Nursing new specialty prepares nurses for dual role in family, mental health; will help ease health professional shortage<\/title>\n<meta name=\"description\" content=\"The University of Nebraska Medical Center College of Nursing has received a $750,000 federal grant that will help ease Nebraskas shortage of rural health\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.unmc.edu\/newsroom\/2003\/08\/14\/unmc-college-of-nursing-new-specialty-prepares-nursesfor-dual-role-in-family-mental-health-will-help-ease-health-professionalshortage\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UNMC College of Nursing new specialty prepares nurses for dual role in family, mental health; 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