Geographic distribution of California mental health professionals in relation to sociodemographic characteristics.

Sharma, Ryan N.; Casas, Rachel; Crawford, Nicole M.; Mills, Lauren N.

doi:10.1037/cdp0000147

Cited by 4 publications

(3 citation statements)

References 29 publications

(43 reference statements)

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“…California not only has the largest Latino population in the country, encompassing nearly 40% of the state and a large immigrant population (37% of Latinos in California are foreign-born), but is also overwhelmingly home to Mexican-origin Latinos, which represent the largest subgroup in the nation ( U.S. Census Bureau, 2019 ). The social ecology of the state contains a diversity of large urban regions, 21 rural counties, large agriculture and migrant labor sectors, and numerous areas with limited or inequitable health resources, including drug treatment and harm reduction access ( Langabeer et al., 2020 , Rocha, 2017 , Sharma et al., 2017 ). Thus, with Latinos making up a growing proportion of the US, California provides a unique opportunity to understand the nature and extent of opioid overdoses for Latino subgroups living in distinct contexts across the state.…”

Section: Introductionmentioning

confidence: 99%

The opioid epidemic among the Latino population in California

Valdez

Cepeda

Frankeberger

et al. 2022

Drug and Alcohol Dependence Reports

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Section: Introductionmentioning

confidence: 99%

The opioid epidemic among the Latino population in California

Valdez

Cepeda

Frankeberger

et al. 2022

Drug and Alcohol Dependence Reports

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“…In general, access to mental health services affects people in poverty the most since the mental health care density tends to be lower in less affluent areas (Ellis et al, 2009 ; Hendryx, 2008 ; Sharma et al, 2017 ). As researchers have pointed out, “we might expect such programs to be located farther away from higher-poverty areas in order to attract fee-paying clients.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Care Access and Individual Help-Seeking During the Covid-19 Pandemic

Jacoby

2022

Community Ment Health J

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The UJA Covid-19 Jewish Impact Study constitutes a random sample of 4403 adults in Jewish households in the New York area. Collected between February and May 2021, the data include symptoms of depression and anxiety and the use of professional help. Via respondents’ zip code tabulation areas (ZCTAs), these data are linked to contextual measures of mental health care access from two data sources: the SAMHSA Locator on specialty community treatment clinics, and the Zip Code Business Patterns database on solo and small group practices. Both treatment facilities and office practices are added to multilevel logistic regression models as density rates (per 10,000 people) and as binary indicators of presence . While we find no meaningful relationship between the general presence of mental health care services and help-seeking behavior, the ZCTA-level density of office practices is significantly associated with service utilization among the socially isolated, foreign-born and Hispanics or non-white respondents.

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“…Even on the coasts of the United States, distribution of psychologists is uneven. Sharma, Casas, Crawford, and Mills (2017) found that in California, licensed psychologists were clustered in the population centers of the state, and in areas in which residents were older, more educated, wealthier, and more likely White. Given this, it is important that education, employment, and public health stakeholders understand more about the pipeline in psychology as it pertains to individual patterns and choices.…”

mentioning

confidence: 99%

Internship factors associated with the mobility of early career psychologists.

Ameen

Bergner

Grus

et al. 2021

Training and Education in Professional Psychology

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Retaining interns to work in the communities and settings in which they trained helps ensure a workforce that is well prepared to meet the needs of society. Psychology workforce data suggest that the supply of psychologists is not always sufficient in some areas, leading to unmet need. However, patterns of mobility in the psychology workforce are not well understood, nor are factors that might impact decisions to move away from a particular location or setting. This study surveyed early-career psychologists about the distance between their internship and other training and employment settings. Of the 2,206 respondents, individuals were significantly more likely to do their internship at a setting more than 75 miles from their doctoral program and take a first position less than 75 miles from their internship. Individuals were also significantly more likely to have their second position more than 75 miles from their internship (although 40% reported their second position was still less than 75 miles from their internship). Older individuals were less likely to take a first or second position more than 75 miles from their internship, whereas identifying as an ethnic minority was not related to location. Results also indicate that certain states are more likely to lose/gain interns as they pursue employment. Employment setting, job responsibilities, and opportunities for growth were early-career psychologists' top factors for selecting first and second positions. Compared with other settings, military medical centers, school districts/ systems, and university counseling centers were significantly more likely to retain trainees in that setting as they advanced in their careers. Finally, about as many respondents stated that their internship site did bill for their services as those who said their site did not bill. Collectively, these results have implications for efforts to recruit and retain a sufficient psychology workforce. Public Significance StatementThis article reports on the results of a survey intended to gather information about prevalence and reasons psychology interns take positions more than 75 miles from their internship. Findings can be used to guide efforts to better align needs for psychologists and the locations and settings where they work.

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Geographic distribution of California mental health professionals in relation to sociodemographic characteristics.

Abstract: Policy and advocacy efforts in health service psychology can help assure more equitable distribution of mental health services. (PsycINFO Database Record

Cited by 4 publications

References 29 publications

The opioid epidemic among the Latino population in California

The opioid epidemic among the Latino population in California

Mental Health Care Access and Individual Help-Seeking During the Covid-19 Pandemic

Internship factors associated with the mobility of early career psychologists.

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