But, they're not really concerned about patient safety, it's simply a turf was issue. They'll probably fight it pretty hard until about 15 states get it done and then they'll drop it as the horse will have officially left the barn. As for RxP, there are better options than TCSPP and Alliant. We have FDU, NMSU ISU and Drake, I believe.
I'd recommend FDU and NMSU. I wouldn't recommend Alliant, ever, for anything. I'm not familiar with ISU and Drake, but now I'm curious.
I think more states can achieve Psych RxP, but I don't view Psych RxP as the panacea some believe it could be for the field. The distribution of providers will likely mirror psychiatrists, unless programs and states offer incentives for clinicians to work in rural and underserved areas. Our training as psychologists is being sold short if we just pursue RxP, as most places will want you to Stack & Wack 15-25+/day, which doesn't leave much time for other clinical work, research, etc.
For those curious about prescribing jobs outside of a solo practice, there are definitely options, but recruiters are still hit and miss about understanding psychologists prescribing. Beware of Stack & Wack places who think the vast majority of patients
should be 15min med checks, and new patients
only need a 30min intake. Those can be a grind, and if their patient mix has more acute cases and more more severe cases, that setup could be a nightmare for some (me included).
I only seriously considered calls from hospital systems that came with faculty appointments/options, which eliminated like 90% of the prescribing calls, who were almost exclusively looking to fill higher-volume out-pt clinics. Full disclosure, me being a neuropsych who worked in head injury was a big draw for most/all of the calls that fit my requirements. I had one military adjacent opportunity (hired as a civilian) where I'd be a neuropsych doing head injury assessment, but I would have time in the out-pt clinic to do therapy, prescribing, or a combo. They were willing to pay me $$$, but I'd have to live in Texas, which was one of the dealbreakers.I also had one hospital system (Louisiana) offer me carte blanche as to how I'd arrange my day. They wanted me as both a neuropsych & also prescriber. We explored some different setups, varying the days I'd do neuropsych and the days I'd be out-pt to prescribe. This was pretty appealing to me, but I ended up going with a different offer for other reasons.
Long story short....most jobs I've seen are for prescribers to work out-pt. If you go this route, work for yourself because most places will just grind you with volume and why give away a % when you should be able to keep everything? You can earn very good money running your own cash practice, and you should be able to fill up pretty quickly and only work 25-40+hr/wk. Since I do quite a bit of legal work as a neuropsych, the money is better just doing the work I am doing now, though as a generalist or other type of specialist, I can definitely see how prescribing could bump up hourly earnings with very little overhead cost added.