The purpose of this article is to provide an historical overview of the cli
nical nurse specialist and nurse practitioner roles in psychiatric nursing.
This article is written as a follow-up to that of Dyer, Hammill, Regan-Kub
inski, Yurick, & Kobert, (1997), Archives of Psychiatric Nursing, 11, 2-11,
in which a new paradigm for delivering comprehensive mental and general he
alth services is conceptualized, i.e., the psychiatric-primary care nurse p
ractitioner role. In this article an alternative model is presented: the ps
ychiatric clinical nurse specialist/nurse practitioner role. Similarities a
nd differences in the two roles are discussed. Copyright (C) 1998 by W.B. S
aunders Company.