Projected Workforce of Psychiatrists in the United States: A Population Analysis

Satiani, Anand; Niedermier, Julie; Satiani, Bhagwan; Svendsen, Dale

doi:10.1176/appi.ps.201700344

Cited by 162 publications

(87 citation statements)

References 14 publications

(11 reference statements)

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“…There are too few physicians trained in treating substance use disorders to meet the demands of the current opioid epidemic in the United States —a symptom of the broader shortage of behavioral health clinicians. The US Department of Health and Human Services forecasts a national shortage of 6080–15 400 psychiatrists by 2025 .…”

mentioning

confidence: 99%

Extension for Community Healthcare Outcomes (ECHO) as a tool for continuing medical education on opioid use disorder and comorbidities

2018

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confidence: 99%

Extension for Community Healthcare Outcomes (ECHO) as a tool for continuing medical education on opioid use disorder and comorbidities

2018

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“…Given the need for social isolation and fear of SARS-CoV-2, there is a worry that depressive symptoms and mental health challenges may increase, especially in vulnerable populations. 51,52 Finally, many people in need of mental health and substance use services are not identified as needing these services, [53][54][55][56][57][58] in part, due to lack of screening, human resource shortages, [59][60][61] fragmented and underfunded service delivery models, 62,63 and lack of youthfriendly services. 64 This issue is especially relevant in California where only *2% of young adults are engaged with community mental health programs, lower than the nationwide average.…”

Section: Discussionmentioning

confidence: 99%

Video-Counseling Intervention to Address HIV Care Engagement, Mental Health, and Substance Use Challenges: A Pilot Randomized Clinical Trial for Youth and Young Adults Living with HIV

Saberi

McCuistian

Agnew

et al. 2021

Telemedicine Reports

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Background: Substance use and mental health are two barriers to engagement in care and antiretroviral therapy (ART) adherence among youth and young adults living with HIV (YLWH). The consequences of suboptimal adherence in YLWH are increased risk of HIV transmission and a future generation of immunodeficient adults with drug-resistant virus. Methods: The Youth to Telehealth and Texting for Engagement in Care (Y2TEC) study was a pilot randomized crossover trial that examined the feasibility and acceptability of a novel video-counseling series and accompanying text messages aimed at mental health, substance use, and HIV care engagement for YLWH. The intervention consisted of twelve 20–30-min weekly video-counseling sessions focused on identifying and addressing barriers to HIV care, mental health, and substance use challenges. Participants completed quantitative surveys at baseline, 4 months, and 8 months. Feasibility and acceptability were evaluated using prespecified benchmarks. Results: Fifty YLWH aged 18–29 years living in the San Francisco Bay Area were enrolled. Eighty-six percent and 75% of participants were retained at 4 and 8 months, respectively. A total of 455 (76%) video-counseling sessions were completed. In 82% of sessions, participants responded that they strongly agreed/agreed with this statement: “I felt heard, understood, and respected by the counselor.” In 81% of sessions, participants responded that they strongly agreed/agreed with this statement: “Overall, today's session was right for me.” At baseline, among participants reporting mental health challenges, only 10% noted having ever received mental health services, and among those who reported substance use challenges, ∼19% reported ever receiving substance use services. After 4 months of the Y2TEC intervention, participants reported slightly higher ART adherence and HIV knowledge, decreased depression and anxiety, and reduced stigma related to mental health and substance use. Conclusions: The Y2TEC intervention using video-counseling and text messaging was feasible and acceptable for YLWH. ID: NCT03681145

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“…Furthermore, different patterns of healthcare services utilization for each mental illness were not considered in the analysis, and changes in the population structure might not be consistent with the utilization patterns of patients. A study from the US [16], in which the population is predicted to increase in the future, indicated that a shortage of psychiatrists per population will occur despite the increasing number of psychiatrists. Apart from mental illness, Ishikawa and colleagues forecasted the distribution of physicians for patients with acute myocardial infarction, cerebral stroke, and all medical care in Hokkaido [5].…”

Section: Discussionmentioning

confidence: 99%

Projections of Psychiatrists’ Distribution for Patients in Japan: A Utilization-Based Approach

Sugawara

Yasui‐Furukori

Saito

2020

Preprint

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Background: Depopulation accompanied by population aging is a major public health concern in Japan. Although adequate allocation of mental healthcare resources is needed, there have been few studies on the impact of population change on the supply-demand balance for mental illness in Japan. The aim of this study is to predict psychiatrists' distribution for patients with mental illness via a utilization-based approach.Methods: We set patients with schizophrenia, mood disorders, vascular dementia or Alzheimer’s disease as study subjects and conducted analyses for 2015, 2025, 2035, and 2045 across all prefectures. Moreover, we evaluated the regional maldistribution of demand and supply by calculating the number of psychiatrists per patient, Gini coefficients (GC), and Herfindahl-Hirschman Index (HHI).Results: The mean number of psychiatrists per patient for patients with schizophrenia, mood disorders, vascular dementia, and Alzheimer’s disease in 2025, 2035, and 2045 was significantly lower than in 2015. For all of the abovementioned diseases, both the GC and HHI will increase until 2045.Conclusion: If psychiatrists are allocated at the current population-to-psychiatrist ratio, the shortage of psychiatrists will continue to worsen in the future. To overcome this inequity, policy makers should make plans for the adequate geographical allocation of healthcare resources or the use of information and communication technologies for the delivery of health services to rural communities.

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Projected Workforce of Psychiatrists in the United States: A Population Analysis

Cited by 162 publications

References 14 publications

Extension for Community Healthcare Outcomes (ECHO) as a tool for continuing medical education on opioid use disorder and comorbidities

Extension for Community Healthcare Outcomes (ECHO) as a tool for continuing medical education on opioid use disorder and comorbidities

Video-Counseling Intervention to Address HIV Care Engagement, Mental Health, and Substance Use Challenges: A Pilot Randomized Clinical Trial for Youth and Young Adults Living with HIV

Projections of Psychiatrists’ Distribution for Patients in Japan: A Utilization-Based Approach

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