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Institute for Health Policy Forum: Strengthening America’s Mental Health Workforce

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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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Institute for Health Policy Forum: Strengthening America’s Mental Health Workforce

  1. 1. 1 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. 3. Acknowledgements • Susan Chapman, PhD, MPH, RN • Janet Coffman, PhD, MPP • Joanne Spetz, PhD 3
  4. 4. 4 Credit: Ivelin Radkov
  5. 5. Workforce is foundational Quality Access Workforce 5
  6. 6. Worse quality of care when BH not addressed 6 Source: https://www.samhsa.gov/capt/practicing-effective-prevention/prevention-behavioral-health/adverse-childhood-experiences
  7. 7. Inadequate access 7 Source: Kaiser Family Foundation May 2017
  8. 8. Access affected by expanded coverage 8
  9. 9. Expanded access through coverage 9 Source: Kaiser Family Foundation February 2018
  10. 10. Quality Access Workforce 10
  11. 11. Behavioral Health Workforce 11 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
  12. 12. 12 Uneven distribution of psychiatrists across U.S. and lacking in rural areas
  13. 13. 13 Source: Cummings JR et al JAMA Psychiatry. 2017;74(5):476-484. Office-based mental health specialists (non-physicians)
  14. 14. Office-based mental health specialist (physicians) 14 Source: Cummings JR et al JAMA Psychiatry. 2017;74(5):476-484.
  15. 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 15
  16. 16. 16 Source: http://www.behavioralhealthworkforce.org/wp-content/uploads/2018/05/ACA-Full-Paper_4.16.18-1-1.pdf
  17. 17. 17 Geographic distribution of shortages in California Source: Coffman et al. California’s Current and Future Behavioral Health Workforce, February 2018
  18. 18. 18
  19. 19. Medicaid peer provider States 19 Source: http://www.mentalhealthamerica.net
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  21. 21. Search for solutions 21

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