As the conversation around mental health continues to evolve in Virginia, it’s clear that hospitals need more behavioral and mental health resources to address patient needs adequately. The demand for behavioral health specialists is especially urgent for inpatient settings that treat acute mental health episodes.
We talk to Aimee Larrain, the Senior Director of Talent Acquisition at Valley Health, to understand why more hospitals in Virginia are recruiting behavioral health RNs to alleviate patient overload in emergency departments.
Read our guide to learn:
•What Is Behavioral Health Nursing?
•Behavioral Health Nursing Job Outlook in Virginia
•Benefits of Becoming a Behavioral Health RN
•Behavioral Health Nurse Salary in Virginia
•Top Skills for Behavioral Nurses
•How to Become a Behavioral Health RN in Virginia
Explore behavioral health RN jobs in Virginia at our interactive job board!
What Is Behavioral Health Nursing?
Behavioral health nurses—also known as psychiatric mental health nurses (PMHNs) or psychiatric nurses—specialize in the care of patients dealing with behavioral and mental health conditions, substance use disorders, and emotional challenges. Their responsibilities include:
•Assessing patients
•Administering medications
•Providing crisis intervention
•Assisting with therapy
•Managing cases
•Supporting long-term mental health management plans
•Educate patients and their families on behavioral and mental health
Larrain mentions, “In hospitals, behavioral nurses typically work alongside other health professionals in acute care settings such as emergency departments or dedicated psychiatric units. Valley Health recruits top behavioral health nurses at our EmPATH UnitM to treat mental health emergencies.”
Behavioral Health Nursing Job Outlook in Virginia
The demand for behavioral health nurses is rising in response to the rising mental health crisis in the U.S. According to the National Alliance on Mental Illness (NAMI), nearly 1 in 5 U.S. adults experience a mental illness each year. In Virginia, about 1.1 million adults live with a mental health condition.
“The demand is there, and more nurses are transitioning into behavioral health RN roles as a result,” Larrain notes. “Psychiatric nurses currently make up the second largest group of behavioral health professionals in the U.S.”
The job outlook remains consistent with other healthcare positions. The U.S. Bureau of Labor Statistics (BLS) projects that RN jobs will grow by 6% from 2022 to 2032, with even higher demand for nurses specializing in behavioral health due to increasing mental health awareness and expanded treatment programs.
Growing Demand for Behavioral Nurses at Valley Health’s EmPATH Unit
In 2024, Valley Health opened its groundbreaking EmPATH Unit to provide a full spectrum of mental health services within a hospital setting. One of the main goals of the unit was to redirect the flow of inpatient psychiatric patients from the Winchester Medical Center’s Emergency Department.
“In 2023, the Emergency Department received 2,478 psychiatric assessments, admitting 1,596 of those,” Larrain recalls. “By funneling patients to a dedicated department better equipped to treat patient needs, the EmPATH Unit reduces strain on the Emergency Department while improving our patient care quality.”
Valley Health plans to expand the EmPATH Unit and Winchester Medical Center’s psychiatric services to encompass outpatient and adolescent behavioral health support. “We need RNs with behavioral health or emergency department experience to staff our Unit,” Larrain says.
Related: Apply to be a behavioral health nurse at Valley Health.
Benefits of Becoming a Behavioral Health RN
Many professionals enter behavioral health nursing because they have a personal connection to mental health—whether through a family member, friend, or personal experience. Having a strong connection to purpose can help nurses develop a rewarding career.
Additionally, hospitals in Virginia often offer work incentives to attract top talent such as sign-on bonuses, employer tuition reimbursement, and more.
For example, Valley Health has relocation packages for out-of-state health professionals looking to move to Virginia (provided they become licensed in the state). The healthcare system will also help eligible health workers cover education costs toward a relevant degree such as a BSN or MSN.
Behavioral Health Nurse Salary in Virginia
The average salary for behavioral health nurses varies based on experience and location. According to ZipRecruiter, behavioral health RNs in Virginia earn an average of $80,000–$95,000 per year, with salaries increasing for those with advanced certifications or working in high-demand areas.
Psychiatric-mental health nurse practitioners (PMHNPs), who hold advanced degrees, can earn upwards of $120,000 annually in Virginia.
Top Skills for Behavioral Nurses
Like other nursing fields, behavioral health requires empathy and understanding to treat psychiatric patients successfully. Mental health isn’t like treating a wound—it involves a holistic approach to address underlying behaviors, beliefs, lifestyles, and chemical imbalances that can express themselves in unpredictable ways.
“A good behavioral health RN needs to be able to think on their feet,” Larrain mentions. “I look for nurses who’ve worked in emergency departments (ED) because they have experience dealing with unexpected situations and acting with urgency effectively.”
To succeed in this field, behavioral health nurses need a unique combination of skills, including:
•Empathy for People in Crisis – Behavioral health is a sensitive field. Good nurses need to know how to provide non-judgmental, compassionate care.
•Emotional Resilience – Maintain professional boundaries to stay emotionally composed when treating others for mental trauma.
•Quick Decision-Making – You never know what will happen when facing a patient experiencing a mental health crisis. Stay calm and flexible to adapt to the situation.
•De-escalation Skills – Manage crisis situations and help patients regain control in high-stress moments. The goal is maintaining stability and safety.
•Experience in Emergency Settings – Familiarity with emergency departments or crisis units can be beneficial to understanding how to best support patients in an acute psychiatric care unit.
How to Become a Behavioral Health RN in Virginia
Behavioral health nursing is relatively new, so requirements may vary between employers. While all hospitals will require an active RN license, some may look for transferable skills and experience while others may prefer certifications.
Here are the 5 basic steps to becoming a behavioral nurse:
1.Earn a Nursing Degree – Associate’s Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN). A BSN is preferred by many employers. RNs can use
2.Pass the NCLEX-RN Exam – This is required to become a licensed RN. Apply for an RN license from the Virginia Board of Nursing (VBON).
3.Gain Clinical Experience – Many behavioral health nurses start in emergency departments, psychiatric units, or substance use treatment centers. Work as a full-time RN for at least two years to gain general experience and hone skills.
4.Apply to Be a Behavioral Health RN – At this point, you can pursue entry-level behavioral nurse roles by emphasizing your transferable skills. Shadow or transfer to psychiatric units within your hospital to gain specialized experience and pursue continuing education courses to stay updated.
5.Earn Psychiatric Nursing Certification (optional) – The Psychiatric-Mental Health Nursing Certification (PMH-BC) can boost career opportunities for psychiatric nurses. To qualify, you must hold a current RN license and have practiced for two years. You also need at least 2,000 hours of clinical practice and 30 hours of continuing education within the last three years.
Advancing Your Career: Becoming a PMHNP
For those looking to specialize further, becoming a psychiatric-mental health nurse practitioner (PMHNP) is an option. These advanced practice registered nurses undergo specialized training, affording them more independence to assess, diagnose, and treat mental health conditions, including prescribing medications.
To become a PMHNP, qualified candidates must:
•Earn a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)
•Complete 500+ faculty-supervised clinical hours in mental health settings
•Pass the PMHNP exam
•Apply for PMHNP certification in Virginia (Virginia Board of Nursing)
Virginia Needs Behavioral Health RNs
Behavioral health nursing is a meaningful career that allows nurses to make a real impact on the lives of individuals facing mental health challenges. With increasing demand for mental health professionals in Virginia, now is a great time to enter the field. Whether you’re starting as an RN or planning to become a PMHNP, a career in behavioral health nursing provides stability, purpose, and opportunities for growth.
Related: Explore other behavioral health specialist careers at On Board Virginia!





