I support the changes in the Clinical Nurse Specialist regulations. I believe that clilnical nurse specialist should be allowed to practice to the full scope of their nursing practice as outoined in the APRN guidelines.  As the public as gained more access to care given by APRNs including Clinical Specialists, the demand is increasing.  This is reflected in my own multidisciplinary private practice9 Family Therapy Center)  in which the providers most requested are the Psychiatric Nurse Clinicl Specialists. Patients like the fact that their therapist  can treat them in a wholistic way , integrating physical and emotional needs, as well as coordinating care with other providers, in other words, using the Nursing Process, to treat individuals and families throughout the lifespan.