Let Your Legislator Know

You Support Prescribing Psychologists

Indicate your support for licensing specialty trained psychologists to prescribe medications, where appropriate, by filling out the form below. We will be using your name, on a list of our supporters, to be presented to Illinois lawmakers. We will not use your information, in any other modality, unless you indicate, in the comments section, that you would like us to contact you about other ways in which you can support this legislative initiative. By filling out the form, you will be indicating your support for the statement below:

Funding cuts, doctor shortages, and other inadequate care options have created a very real, very dangerous mental health care crisis in Illinois. Giving prescriptive authority to psychologists, who elect to complete extensive additional training and clinical work, beyond the traditional doctoral degree, internships, and fellowships, will provide a meaningful answer to this problem. Allowing comprehensive care by psychologists can help solve the current healthcare crisis.

The work of the prescribing psychologist would not supersede the good work done by psychiatrists, hospital medical and social service staff, primary care physicians, and community center staff. Instead, the prescribing psychologist becomes a vital member of the healthcare community who can buttress existing services as well as serve populations who are currently underserved.”

Practice Guidelines Regarding Psychologists’ Involvement in Pharmacological Issues

These guidelines were developed by the American Psychological Association (APA) Division 55 (American Society for the Advancement of Pharmacotherapy) Task Force on Practice Guidelines. The task force was chaired by Robert E. McGrath. Task force members included Stanley Berman, Elaine LeVine, Elaine Mantell, Beth Rom–Rymer, Morgan Sammons, and James Quillin. Additional input on the guidelines was provided by Robert Ax, representing Division 18 (Psychologists in Public Service). None of the individuals involved in the development of this document has any personal investment in pharmaceutical products of any kind, nor did the developers receive any financial support for its creation.

The task force anticipates that these guidelines may deserve reconsideration in a relatively brief time frame, given anticipated changes in psychologists’ role in pharmacotherapy as well as changes in the perceptions and use of psychotropic medications. In particular, it is the belief of the members of the task force that future efforts should include consideration of whether some elements of the enclosed guidelines merit elevation to the level of practice standards. Accordingly, this document is scheduled to expire as APA policy in August 2014, five years after the date of its approval and adoption by the APA Council of Representatives. After this date, users are encouraged to contact the APA Practice Directorate to confirm whether this document remains in effect.

Correspondence concerning this article should be addressed to the Practice Directorate, American Psychological Association, 750 First Street, NE, Washington, DC 20002–4242.

IPA RxP Intiative FAQ Summary

In summary, the issue of prescription privileges has been discussed at open monthly Legislative Committee meetings as posted in the quarterly newsletter sent to all IPA members. The results of the Committee meetings are brought to Council for discussion and vote. Elected IPA officers then pursue Council objectives based upon the results of any votes. As far back as 1991 there have been discussions, motions, and votes to pursue prescription privileges in Illinois at Quarterly Council meetings, in quarterly newsletters and, since at least 2006, at every All- Association meeting. All IPA meetings are open to any IPA member and dates and times are posted in the newsletter. Given the track record of psychologists who have attained prescriptive authority in other states and/or through employment in Federal agencies or in the Federal government, liability and insurance rates have not been at all adversely affected. In 2011 and 2012 prescription privileges have, as voted for by Council, been pursued with funding outside of typical IPA revenue streams and as such have been funded, either by a grant from APA or in specific funds raised by IPA leadership by outside contributions specifically earmarked for this purpose. Once the legislative agenda has been approved by the IPA Council, the IPA legislative agenda will be pursued aggressively by the IPA and its lobbyists.

Beth N. Rom-Rymer, Ph.D.
IPA President

Bruce E. Bonecutter, Ph.D.
Past IPA President
Past IPA Representative to APA Council
IPA Parliamentarian

Terrence Koller, Ph.D., ABPP
Past IPA President
IPA Executive Director

Steven Rothke, Ph.D., ABPP
Past IPA President
Chair, IPA Consulting Section
Chair, IPA By-Laws Committee

And in consultation with the following IPA officers:

Armand Cerbone, Ph.D.
IPA Past President
IPA Representative to APA Council

Randy Georgemiller, Ph.D.
IPA Past President
IPA Representative to APA Council

Blaine Lesnik, Psy.D.
IPA Membership Chair

Patricia Pimental, Psy.D., ABPN
IPA Past President
Chair, IPA Legislative Committee

Bob Rinaldi, Ph.D.
Chair, IPA RxP Subcommittee

Greg Sarlo, Ph.D.
IPA Immediate Past President

Joseph Troiani, Ph.D.
IPA Treasurer

Is the IPA RxP Initiative new or sudden in its process?

The RxP Subcommittee of the IPA Legislative Committee was established in 1991 with the express purpose of pursuing prescriptive authority for psychologists with APA approved specialized training in clinical psychopharmacology. IPA first introduced a prescriptive authority bill in 1998 with state Senator Carol Ronen as our chief sponsor. This RxP initiative has been routinely discussed in association meetings or forums that are open to all members. Since 1991 prescription privileges for psychologists in Illinois has been discussed and designated as an active agenda item with the membership of IPA and publicly on numerous and regular occasions. IPA elected officers and section chairs have followed specific IPA policies regarding IPA activities on prescription privileges just as it follows these specific processes for other action items. The issue of prescription privileges has been regularly discussed at monthly Legislative Committee meetings. These meetings are open to any IPA member and the times and dates of these monthly open meetings are posted in every issue of the IPA quarterly Newsletter. Since 2006, the issue of prescription privileges has been the subject of at least one article in every newsletter except for 2 of the last 19 issues of the Illinois Psychologist and has been discussed at every Legislative Committee meeting in all but 2 Council meetings. We know that IPA Area Code Representatives have discussed RxP with their constituents in both formal and informal meetings. From January 2011 through the present, the RxP legislative initiative has been discussed at every Council meeting (January 22, 2011, April 16, 2011, June 18, 2011, September 17, 2011, and January 21, 2012). At the January 2011, the September 2011, and the January 2012 meetings votes had been taken on this initiative. At every one of these votes, the RxP initiative had been confirmed nearly unanimously with, at times one abstention or, at other times, two abstentions. There were no negative votes. Moreover, in every IPA Newsletter, an RxP Committee is shown as an official Committee of the Association.

How has the IPA Council tried to balance competing opinions about RxP?

During the last five years of IPA Council Meetings, there have been several votes on RxP activities and all of these Council votes have included thorough discussions of this complex issue with consideration of minority and majority Council and member opinions. Each of these votes affirmed the IPA’s engagement in RxP lobbying activities. During the last year, as noted above, RxP votes had been taken at the January 2011, September 2011, and January 2012 meetings. At every one of these votes the RxP initiative had been confirmed nearly unanimously with at times one abstention. There were no negative votes.

Have General IPA Membership Dues or Contributions been used in the IPA – RxP Initiative?

No. The IPA Executive Committee and Council have been sensitive to Council and Member wishes that the funding for the RxP Initiative come from separate funding sources rather than from the general legislative fund. This is done so that members may choose to fund or not to fund the RxP initiative. The source of funding for the RxP effort is from monies contributed solely for the purpose of the RxP legislative effort. The RxP funding is not coming from any general IPA membership revenue stream. The details of the Treasurer’s Report are available to the IPA Executive Committee and the IPA Council. Any IPA member who wishes to know details about the IPA Treasurer’s Report should talk with any member of the IPA Executive Committee or the IPA Executive Director. IPA will follow established procedures for releasing budgetary information.

What are defamation and libel guidelines and sanctions for discussing any science/practice issue on the IPA Listserv.

There were over 200 emails on this issue in a three week period of time. This resulted in a disruption of the listserv with several members resigning from the listserv. In addition, there has been a rancor expressed toward IPA staff members and volunteer officers of the Association. For example, there have been accusations of secrecy, officers’ dishonest motives, and officers’ unethical behavior. All of this besmirches people’s reputations, integrity and credibility. This is potentially libelous and actionable behavior, which we do not want on our listserv. Below is the relevant paragraph from the APA/IPA Rules of the listserv.

Defamation and libel – In exchanges on the listserv and when referring to others, avoid personal attacks and characterizations that question a person’s motives or qualifications. Sometimes a robust debate about ideas spills over into attacks on the proponents or opponents of the ideas. List members need to be reminded that a false statement that harms someone’s reputation can be actionable as libel. There is a substantial difference between disagreeing with how someone did their research or treated a patient and accusing the person of fraud or incompetence. Because negative statements that impugn someone’s professional qualifications can cause substantial economic and emotional harm, this is an area for careful scrutiny. Keeping criticism on an objective basis that is factually verifiable and skipping personal commentary about character, competence or motive minimizes legal risk.

The following statement defines the action that can be taken if discussion begins to violate the above listserv rule:

It is always appropriate to express dissenting opinions on the listserv. However, the listserv moderator’s job is to ensure that these opinions are expressed in a civil way and that the poster does his or her best to present factual information. If opinions are expressed in a manner that is not civil, then the post is not appropriate on a professional listserv. If in the judgment of the listserv moderator such a posting does occur, he/she will back channel the person and ask that language be toned down. If the person does not post respectfully after that, the moderator has the authority to place the person on a read-only basis for a probationary period. If the person comes back after a read-only probation and continues to be disrespectful, the moderator will have to remove the person from the listserv.

What is the relationship between the IPA Listserv and IPA Policy?

Since the listserv is very public, we value it as a tool for encouraging civil and scientific debate. We do not make IPA policy on the listserv. Policy is made by the IPA governing structure that includes Area Code Representatives, Section Chairs, and IPA Executive Officers. IPA members are welcome to observe IPA Executive Committee and Council meetings (with at least 24 hours’ notice to the President) and may speak on an issue if requested of the President (and granted by the President) at least 24 hours in advance of the meeting. We encourage all members to take the time to attend and participate in Section Meetings, Regional Meetings, educational and social IPA events, and, of course, our annual Convention. This follows the IPA (and APA) rules for meetings, IPA Bylaws, and Keesey’s Rules of Order, the rules of order adopted by both the IPA and the APA.

Is there a place that an IPA Member can go to Fact Check Listserv Postings?

Yes, using search engines like “Google” and “Bing” to learn about the history of an issue as well as the history of those advocating an opinion about an issue has become standard in this electronic communications era. Using the APA Website to research information, such as the APA training requirements and opportunities for a degree or certification in Clinical Psychopharmacology, is highly advised. Checking the IPA Website for postings of meetings, where the RxP issue, as well as other complex professional issues, may be discussed, is highly recommended.

Does the IPA only Support Activities in which all Psychologists Participate or wish to Participate or does it also Support Activities in which many Psychologists Participate or wish to Participate?

We are a professional, scientific association and, as such, we support professional activities, backed by empirically valid data, in which many of our members engage or wish to engage. The RxP legislative initiative can be seen as an empirically supported professional activity in which many members wish to engage. We do not only support professional activities in which there is unanimous agreement. Certainly, it has been noted, by Dr. Mary Kay Pribyl and others, that the legislative initiative to secure insurance reimbursement for psychologists in 1976 and the legislative initiative to license psychologists in 1981 were not unanimously supported by psychologists. In fact, throughout history, many of the most important scientific and professional advances have been made by individuals with whom some have disagreed. Adhering to the IPA Mission, the IPA supports evidence based science and practice in Illinois. (This is one reason why the APA and IPA have adopted “Keesey’s Rules of Order,” a paradigm of governance that balances the rights of many different opinions in professional organizations.)