Keynote address on strengthening the mental health and behavioral health workforce by Sunita Mutha, MD, FACP, director of Healthforce Center at UCSF.

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Morning Keynote Address
Sunita Mutha, MD
Director and Professor of Medicine, Healthforce Center
University of California, San Francisco
#MHWorkforce #KPIHP

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3. Acknowledgements
• Susan Chapman, PhD, MPH, RN
• Janet Coffman, PhD, MPP
• Joanne Spetz, PhD
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Credit: Ivelin Radkov

5. Workforce is foundational
Quality
Access
Workforce
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6. Worse quality of care when BH not addressed
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Source: https://www.samhsa.gov/capt/practicing-effective-prevention/prevention-behavioral-health/adverse-childhood-experiences

7. Inadequate access
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Source: Kaiser Family Foundation May 2017

8. Access affected by expanded coverage
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9. Expanded access through coverage
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Source: Kaiser Family Foundation February 2018

10. Quality
Access
Workforce
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11. Behavioral Health Workforce
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Licensed professionals
 Psychiatrists
 Psychologists
 Marriage and family therapists
 Social workers
 Licensed professional counselors
 Psychiatric mental health nurses
Certified professionals
 Addiction counselors
 Peer providers
 Psychiatric rehabilitation specialists
 Psychiatric aide/technicians
 Case managers
Primary care clinicians
Adapted from: Behavioral Health Workforce Research Center University of Michigan

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Uneven distribution
of psychiatrists
across U.S. and lacking
in rural areas

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Source: Cummings JR et al JAMA Psychiatry. 2017;74(5):476-484.
Office-based mental health specialists (non-physicians)

14. Office-based mental health specialist (physicians) 14
Source: Cummings JR et al JAMA Psychiatry. 2017;74(5):476-484.

15. In rural U.S.
• More than 60% of Americans live in HPSA
• <10% psychologists and psychiatrists and 20% of MSWs
work in these areas
• 65% get mental health care from primary care provider
• Mental health crisis responder is often law enforcement
officer
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Source: http://www.behavioralhealthworkforce.org/wp-content/uploads/2018/05/ACA-Full-Paper_4.16.18-1-1.pdf

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Geographic
distribution of
shortages
in California
Source: Coffman et al. California’s Current and Future Behavioral Health Workforce, February 2018

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19. Medicaid peer provider States
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Source: http://www.mentalhealthamerica.net

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21. Search for solutions
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