Medicaid is the largest single payer for behavioral health services, and managed care is the predominant delivery system for Medicaid enrollees. However, states have the flexibility to decide if behavioral health providers and their services are reimbursable and subject to same-day billing restrictions. The state-specific nature of the Medicaid program, overwhelming use of managed care…
Mental Health Counselors (MHCs) are a large and rapidly growing segment of the mental health workforce. However, little is known about this workforce other than its education and training requirements. This report describes a study that utilized an online survey to examine the characteristics of the current MHC workforce for the purposes of developing a…
Medication-assisted treatment (MAT) has been shown to be effective for treating opioid use disorders (OUDs), but implementation is lagging, particularly in rural areas. Telehealth may be an effective solution for helping to make MAT more accessible for patients suffering from OUDs in geographically remote areas. This report described a study that utilized geospatial analysis and…
Novel approaches to providing access to behavioral health care, like collaborative care and integrated behavioral health primary and social care models, have shown short and long-term positive patient and family outcomes in frontier, rural, and urban communities. These approaches are complex and rely upon coordination, systems-based management, efficient communications, team and community relationships, and virtual…
The psychiatric workforce shortage remains a serious issue in the field of behavioral health. In 2018, the Health Resources and Services Administration (HRSA) designated 5,124 mental health professional shortage areas in the United States. Demand for the psychiatry workforce is projected to exceed the supply by 16,450 workers by 2030. Studies continue to show that…
A large percentage of patients experiencing behavioral health issues seek help in primary care settings. Most are discharged without receiving behavioral health treatments. Furthermore, roughly half of all care for common psychiatric disorders is provided in primary care settings, and patients are often more open to discussing mental health concerns with their primary care physicians….
Currently, around 47.6 million Americans are living with a mental illness and 20.3 million adults are living with a substance use disorder (SUD). In 2016, only 43% (20.6 million) of adults living with any mental illness received mental health (MH) care, and only 3.7 million adults (18.2%) living with an SUD received any treatment. Peer…
Subspecialists of psychiatrists that treat vulnerable populations are in short supply across the country. Discrepancies in supply between rural and urban areas are likely, but little is known about how these subspecialties are geographically distributed. This report examined county-level data of different subspecialties of psychiatrists to determine how the subspecialties were distributed and whether there…
Minimum data sets (MDS) can be effective for the standardized collection of granular workforce data that allows policymakers to confront important health access issues. In 2016, the Behavioral Health Workforce Research center developed and refined a comprehensive MDS for the entire behavioral health workforce. This report describes a study that conducted interviews and focus groups…
After the passage of the Affordable Care Act and the Mental Health Parity and Addiction Equity Act, behavioral health coverage has expanded to cover more US citizens. However, access to behavioral health services remains an issue, owing in part to maldistribution of the workforce. The psychiatric workforce, in particular, is in the middle of a…
