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The purpose of this article is to provide an historical overview of the clinical nurse
specialist and nurse practitioner roles in psychiatric nursing. This article is written
as a follow-up to that of Dyer, Hammill, Regan-Kubinski, Yurick, & Kobert, (1997),
Archives of Psychiatric Nursing, 11, 2–11, in which a new paradigm for delivering comprehensive mental and general health
services is conceptualized, i.e., the psychiatric-primary care nurse practitioner
role. In this article an alternative model is presented: the psychiatric clinical
nurse specialist/nurse practitioner role. Similarities and differences in the two
roles are discussed.
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© 1998 W.B. Saunders Company. Published by Elsevier Inc.
