providing ECT, TMS, and KIT related services. All participants reported confidence in their professional self-efficacy with these procedures to independently provide protocol driven services with minimal ongoing supervision with a consulting psychiatrist experienced with these procedures. Following completion of the CE training, this cohort of NP participants participated in 43 patient encounters involving the provision of ECT, TMS and KIT related services over a 60-day follow-up period. This 60-day follow-up period was noted for the absence of adverse and untoward events, patient satisfaction was routinely in the 'satisfied' to 'fully satisfied' range, and clinical outcomes for those patients completing a course of treatment were reported as efficacious for 90% of ECT cases, 80% of KIT cases and 70% of TMS cases. These results are consistent with typical outcomes for psychiatrist provided services at these three clinical sites.