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RXP RESEARCH

RECENT RXP RESEARCH IS HELPING STATE, PROVINCIAL, AND NATIONAL PSYCHOLOGICAL ORGANIZATIONS TO MAKE THE CASE FOR PRESCRIPTIVE AUTHORITY FOR PSYCHOLOGISTS. 

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Dr. Bailey-Sawatzky has selected a few of her favourite recent research articles, dissertations, and masters thesis projects that she has no doubt will help you in your legislative efforts. Please note that many of these articles may require you to purchase the article, as per the authors' copyright and publishing agreements.

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Click the button above to email Dr. Erinn to get a FREE copy of her full research paper!

01

Prescribing Psychologists: A Systematic Literature Review with Considerations for Canada

Author: Erinn C. Bailey-Sawatzky (2024)​Purchase Link: https://www.proquest.com/docview/3131731496/previewPDF/B0F9FB4984E241FFPQ/1?sourcetype=Dissertations%20&%20Theses

Content: Four research questions answered through a systematic literature review related to RxP safety, competence, training in comparison to other prescribers, colleague and patient experiences with RxPs, and how RxPs are being utilized in the healthcare system.

Includes: specific recommendations for RxP implementation in Canada.

02

Evaluating the Impact of Prescriptive Authority for Psychologists on the Rate of Deaths Attributed to Mental Illness

Young Man in Therapy

Authors: Phillip M Hughes, Robert E McGrath, Kathleen C Thomas (2023)

Link: Evaluating the impact of prescriptive authority for psychologists on the rate of deaths attributed to mental illness

Content: Five states have enacted policies granting prescriptive authority to psychologists in an effort to increase access to psychoactive medications; however, little is known regarding the public health impact of these policies. Policies in two of these states, New Mexico and Louisiana, have had sufficient time to license more than a handful of prescribing psychologists. This study estimates the impact of psychologist prescriptive authority policies in New Mexico and Louisiana on deaths attributable to mental illness and suicides.

Psychologist's Office

03

Examining Psychologists Prescriptive Authority as a Cost- Effective Strategy for Reducing Suicide Rates

Authors: Phillip M Hughes, Derek C Phillips, Robert E McGrath, Kathleen C Thomas (2023)

Link: APA PsycNet Buy Page​

Content: Six states (New Mexico, Louisiana, Illinois, Iowa, Idaho, and Colorado) grant prescriptive authority to qualified psychologists, and research has shown that these policies are associated with a reduction in suicides. In this study, we assess the cost-effectiveness of these policies in reducing suicide rates. 

04

Psychotropic Medication Prescribing Across Medical Providers (2016-2019)

Authors: Phillip M Hughes, Izabella E Annis, Robert E McGrath, Kathleen C Thomas

​Link: Psychotropic Medication Prescribing Across Medical Providers, 2016–2019 | Psychiatric Services (psychiatryonline.org)

Content: The authors sought to provide updated estimates of the proportion of psychotropic medications prescribed by different medical providers.

Detoxification
Doctor and Patient

05

Simulating the Impact of Psychologist Prescribing Authority Policies on Mental Health Prescriber Shortages

Phillip M Hughes, Robert E McGrath, Kathleen C Thomas (2024)

​Link: APA PsycNet Buy Page

Content: This study simulated the impact of granting prescriptive authority to licensed psychologists on shortages of mental health providers with prescriptive authority. 

06

Pediatric Mental Health Care and Scope of Practice Expansions

Authors: Phillip M Hughes, Genevieve Graaf, Kristin H Gigli, Neal A deJong, Robert E McGrath, Kathleen C Thomas (2024)

Link: Pediatric Mental Health Care and Scope-of-Practice Expansions - PMC (nih.gov)

Content: To examine the association between psychologist and nurse practitioner scope-of-practice (SoP) regulations and pediatric mental health service access.

Children Playing
Children's Race

07

Scope of Practice Expansions Associated with Reduced Racial Disparities in Pediatric Mental Health

Authors: Phillip M Hughes, Genevive Graaf, Kristin H Gigli, Neal A deJong, Robert E McGrath, Kathleen C Thomas (2024)

Link: Scope-of-Practice Expansions Associated with Reduced Racial Disparities in Pediatric Mental Health Care | Community Mental Health Journal (springer.com)

Content: To examine the association between scope-of-practice (SoP) regulations and racial disparities in pediatric mental health services. We used the National Survey of Children’s Health (2016–2020; n = 33,790) to examine racial disparities in unmet mental health care needs and receipt of mental health medication between states with and without SoP expansions for psychologists and nurse practitioners (NP). 

08

Comparing Psychopharmacological Prescriber Training Models

Authors: RR Cooper (2020)

Link: Comparing Psychopharmacological Prescriber Training Models via Examination of Content-Based Knowledge - ProQuest

Content: The debate over whether psychologists with postdoctoral degrees in psychopharmacology are adequately trained to prescribe (RxP), has grown increasingly contested over the years. Five states, the US government, and Guam currently allow psychologists with advanced training to prescribe limited medications. The literature is wrought with strong opinions on both sides of the debate. RxP opposers argue that the prescribing psychologists’ training is truncated and less effective than other available options (medical and nursing school); while RxP supporters argue that medical school is essentially overkill for prescribing psychology’s narrow aim, and that nursing schools are less rigorous than the postdoctoral training uniquely designed for psychologists. Comparing each prescriber’s basic competence, side-by-side, via examination, had never been attempted (each has their own licensing examination). This study tested 66 providers: psychiatrists, general physicians, psychiatric nurse practitioners, general nurse practitioners, prescribing psychologists, and general psychologists.

Filling Prescription

09

Prescribing Psychologists: Forgotten Providers in the Battle Against Opioid Use Disorder

Hughes, P. M., Phillips, D. C., & Fagan, E. B. (2023). Prescribing psychologists: Forgotten providers in the battle against opioid use disorder. Addiction. https://doi.org/10.1111/add.16204

Children's Race
Children's Race

10

Assessing Psychologists' Intentions...

Hughes, P. M., Warner, D. N., Phillips, D. C., McGrath, R. E., & Thomas, K. C. (2024). Assessing psychologists’ intentions to become licensed prescribers in Pennsylvania using the theory of planned behavior. Professional Psychology: Research and Practice, 55(4), 324–335. https://doi.org/10.1037/pro0000575

10

Demographics and Clinical Characteristics of Patients of...

Hughes, P. M., Niznik, J. D., McGrath, R. E., Tak, C. R., Christian, R. B., Sleath, B. L., & Thomas, K. C. (2024b). Demographics and clinical characteristics of patients of prescribing psychologists, psychiatrists, and primary care physicians. American Psychologist. https://doi.org/10.1037/amp0001352

Children's Race

Dr. Erinn Can Help With

White Papers

Are you a provincial psychological association looking for a white paper to submit to government and health partners on why RxP should be legislated for your province? Dr. Erinn can write this for you.

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Are you a conference organizer, podcaster, or psychological association looking to have Dr. Erinn present her RxP research and provide education for your members, conference attendee's, or listeners on RxPs? Reach out to Dr. Erinn for her video and in-person educational series as CEU credits for your members.

Health Department Consults

Are you a provincial or state government department looking for a private or public consultation related to the research on RxPs and their implementation in Canada? Dr. Erinn would be happy to assist.

Sample Bills & Legislation

Are you drafting same Bills or sample legislation? Don't make the mistake of blindly copying RxP enabled states legislation from the past, as new research now informs new 'asks' in those bills which will reduce the amount of times you then advocate for changes to the legislation after the fact. Avoid after-the-fact changes and contact Dr. Erinn today.

RxP Research & Surveys

For all things RxPs, and as it applies to the Canadian healthcare system, please feel free to reach out to Dr. Erinn for the information you need. If there is a question you have that she didn't study, she will put you in touch with a researcher who did.

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Should you want to survey your psychological association members to determine their interest in or support of prescriptive authority for psychologists, Dr. Erinn can help!

Provincial Advocacy

Is your provincial psychological association engaged in RxP advocacy and you are looking for evidence-based recommendations and strategies? Reach out to Dr. Erinn today.

MSCP Consulting

Are you an educational institution in Canada considering the creation of a Masters of Science in Clinical Psychopharmacology for Doctoral level psychologists? Do you have questions on the creation of this program and/or obtaining government financial support? Give Dr. Erinn a call!

Lobbying Efforts

Have you hired a professional lobby group to assist you with RxP advocacy in your province or state, and you are looking for Dr. Erinn to consult with that lobbyist for a specific reason? Reach out today. Dr. Erinn loves nothing more than seeing RxP movements move forward!

© 2025 by Dr. Erinn C. Bailey-Sawatzky

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