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8/28/2018State of Iowa Mail - Prescribing PsychologistsDozier, Sharon sharon.dozier@idphiowa.gov Prescribing Psychologists1 messageLes or Linda YoungTo: sdozier@idph.state.ia.usSun, Aug 19, 2018 at 7:20 PMTo Ms Sharon Dozier - Iowa Board of PsychologyHaving reviewed the administrative rules for prescribing psychologists as they are noticed, I am writing to supportboth those administrative rules and the law under which they were created. The law required sub-committees fromboth the Board of Psychology and the Board of Medicine to work collaboratively to reach consensus on those rules,and they achieved consensus in April 2018. The approximately 18 months that were required to reach that consensusrepresents a more than sufficient period for representatives of each Board to have thoughtfully addressed anyreasonable concerns.These rules articulate training and supervision requirements for prescribing psychologists here in Iowa that exceedthose for the two states with proven history of psychologists prescribing: New Mexico and Louisiana. While therehave been concerns voiced regarding the sufficiency of this training to allow psychologists to prescribe safely, theseconcerns were given adequate consideration by the sub-committee who worked collaboratively to make certain thoseconcerns were addressed. Furthermore, there is over 20 years of data that suggest no evidence exists thatpsychologists with prescriptive privileges are unsafe. To date, there have also been no complaints raised againstprescribing psychologists, nor have there been any liability claims to the APA Trust. Finally, the safety of prescribingpsychologists, like any healthcare provider, is evaluated based on their adherence to accepted standards of care.Prescribing psychologists have practiced within those standards of care since the first training program in the military,and no evidence is known to exist to the contrary.The State of Iowa has long recognized the valuable and important role played in healthcare by non-physicianproviders. The need to increase the availability of healthcare, especially mental health care, has been an importantreason the legislators voted to create and pass this legislation. Psychologists are doctoral-level healthcare providers,and the additional master's degree in clinical psychopharmacology will provide in-depth training in physiology,pharmacology, neuroscience, ethics/professional issues, and psychopharmacology that will make prescribingpsychologists among the most extensively-trained non-physician healthcare providers in Iowa.To contrast, psychiatrists typically spend 4 years in undergraduate education, 4 years in medical school, and 4 years inresidency for a total of 12 years. Under these proposed rules, a prescribing psychologist in Iowa would typically have4 years of undergraduate education, 5-6 years in their doctoral program, 1-2 years in residency, 1-3 years of practice asa licensed psychologist, 2 years of didactic training in their postdoctoral master's degree psychopharmacologyprogram, most of another year in psychopharmacology practicum, and two more years in supervised conditionalprescribing.As the people of Iowa continue to seek solutions to the critical healthcare needs of our state, adopting these rules tomove forward in the process of training and licensing prescribing psychologists will assist in creating a better deliveryhttps://mail.google.com/nnail/?ui 2&ik 16342feffa&jsver xs54muYgHM.en.&cbl gmail fe 180820.11 0&view Pt&q (in%3Ainbox%200R%201abel.1/2
8/28/2018State of Iowa Mail - Prescribing Psychologistssystem for the people of Iowa. Any reasonable concerns about the safety of prescribing psychologists, as I havedelineated above, have been addressed through the collaborative process of writing these rules, and by the substantialeducational and clinical experiences a prescribing psychologist will accrue.Please adopt these rules on which the sub-committees worked so hard to reach consensus, and allow Iowans improvedaccess to mental healthcare under the law these rules were created.Thank you for your attention to this important matter.Sincerely,Linda Younghttps://mail.google.com/mail/?ui 2&ik 16342feffa&jsyer xs54cwwYgHM.en.&cbl gmail fe 180820.11 p4&view pt&g (in%3Ainbox%200R%20Iabel.2/2
8/28/2018State of Iowa Mail - Support for rulesDozier, Sharon sharon.dozier@idph.iowa.gov Support for rules1 messageMaggie Doyle maggie@iowacounseling.com Bcc: sdozier@idph.state.ia.usWed, Aug 15, 2018 at 4:32 PMHello,I am emailing to give my support for the rules for prescribing psychologists (ARC#3904C). The training requirements written in these rules exceed the requirements of thetwo other states where psychologist prescribe, and for the last 20 years psychologistshave been safely prescribing in Louisiana and New Mexico, and with the Indian HealthService, and through the DoD.Thank you for your time,Dr. Maggie DoyleMaggie (Phillips) Doyle, Psy.D.Licensed Psychologist (Iowa #081736)Health Service Psychologist (Iowa #088049)Central Iowa Psychological Services223 S WalnutAmes, IA 50010(515) 233-1122Notice: The information contained in this transmission may contain privileged and confidentialinformation, including patient information protected by federal and state privacy laws. It is intendedonly for the use of the person(s) named above. If you are not the intended recipient, you are herebynotified that any review, dissemination, distribution or duplication of this communication is strictlyprohibited. Please contact the sender by reply email and delete this message and destroy all copies.Thank you.httos://mailmoale.com/mail/?ui 2&ik 16342feffa&isver xs54cwwYaHM.en.&cbkomail fe 180820.11 o4&view ot&a lin%3Ainbox%200R%201abe1.1/1
8/28/2018State of Iowa Mail - Comment on Prescribing Privileges in IowaDozier, Sharon sharon.dozier@idphiowa.gov Comment on Prescribing Privileges in Iowa1 messageEdman, Sally sedman@nwciowa.edu Tue, Aug 14, 2018 at 4:13 PMTo: "sdozier@idph.state.ia.us" sdozier@idph.state.ia.us , "kent.nebel@iowa.gov" kent.nebel@iowa.gov Dear Sharon and Kent,I would like to comment on the Administrative rules process for prescribing psychologists in Iowa. I work in a ruralarea in Northwest Iowa. When a student at my college is in need of medication, the wait to see a psychiatrist here isso many months long that I often encourage them to see someone in their home state or area, at some cost andinconvenience. I am very pleased that the administrative rules are finally moving along, and look forward to the dayIowa can provide some prescribing psychologists to assist the Iowans that need those services.I would like to say the education as already specified and required seems to be quite adequate. It is similar to that forprescribing psychologists in New Mexico, Louisiana, and the U.S. military. Iowa already is requiring more supervisionand a longer practicum experience than is required in any of those settings.I hear that the psychiatry lobbying group is wanting to add even more to the education and training requirements thanis already there. This seems like overreaching. We have over a decade of research showing that current prescribingpsychologists are safe and effective prescribers, meeting patients' needs competently and to the patient's satisfaction.The need is great. There is plenty of demand to go around. Iowans deserve access to quality prescribers as well asquality psychotherapists. I encourage you to move the process forward as expeditiously as possible, without adding tothe requirements which already exceed those found to work well in other states.Thank you.Sally Oakes Edman, Ph.D.Licensed PsychologistDirector of Counseling Servicessedman@nwciowa.eduNorthwestern College208 8th St. SWOrange City, IA 51041FAX: 712-707-7498Office: 712-707-7321https://mail.google.com/mail/?ui 2&ik 16342feffa&jsver xs54cwwYgHM.enAcbl gmail fe 180820.11 p4&view pt&q.(in%3Ainbox%200R%201abel.1/2
8/28/2018State of Iowa Mail - Comment on Prescribing Privileges in IowaA WHOLE EDUCATIONFOR YOUR WHOLE LIFEcrI usually find happiness right where I planted it.NOTE: Email is not a secure form of communication; thus, confidentiality cannot be ensured. In case of emergency, do not use e-mail. Instead NWCstudents may contact an RD or call 911. This electronic document may contain confidential information and is intended for use only by the addresseeor their representative. This information is solely for the intended recipients. If you are not the intended recipient, you are hereby notified that anyreview, use, dissemination, distribution, copying, or storing of this email or any attachments is prohibited. If you have received this electronictransmission in error, please notify the sender immediately and delete the message.Thank you for your cooperation.https://mail.google.com/mail/?ui 2&ik 16342feffa&jsver xs54cwwYgHM.en.&cbl gmail fe 180820.11 p4&view pt&g fin%3Ainbox%200R%201abel.2/2
and the additional master's degree in clinical psychopharmacology will provide in-depth training in physiology, pharmacology, neuroscience, ethics/professional issues, and psychopharmacology that will make prescribing psychologists among the most extensively-trained non-physician healthcare providers in Iowa.
