The Impact of the Health Professions Educational Assistance Act on State Mental Health Systems

Day, Harvey; Smith, Donald C.; Eenzer, Norbert B.; Knesper, David J.; Mowbray, Carol T.

doi:10.1176/ps.29.2.127

Cited by 5 publications

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“…At least one state, Michigan, examined the possible impact of the 1976 law and concluded that USMGs would be unable to replace the needed psychiatric workforce in that state. At that time, the psychiatry profession had already reported that it depended on IMGs as a primary source of psychiatrists (Day et al 1978). Similarly, current psychiatric training programs have come to rely on IMGs to fill residency slots left vacant by USMGs.…”

Section: Issues For Psychiatristsmentioning

confidence: 99%

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

1998

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The U.S. mental health workforce is varied and flexible. The strong growth in supply of nonphysician mental health professionals, ranging from psychologists to "midlevel" professionals like social workers and nurse specialists, helps to offset the dwindling numbers of medical graduates entering the field of psychiatry. Primary care physicians often see patients who have some form of mental illness, which they are not always trained to recognize and treat. The data on the supply of several specialists--psychiatrists, clinical psychologists, and clinical social workers--indicate that the distribution of mental health professionals varies widely by state. The composition, supply, and distribution of workers in this field also affect the care of vulnerable populations. Broader policy questions, including the lack of parity between mental and physical health insurance coverage and barriers to entry by nonphysician professions, may limit the cost-effective expansion of this diverse and dynamic workforce.

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Section: Issues For Psychiatristsmentioning

confidence: 99%

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

1998

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“…The group concluded that it was a problem that states relied on FMGs and that psychiatrists were not distributed well across the state (or the country). They estimated that it would take 8–10 years of recruiting and training USMGs to fill in the gaps left by the restrictions of the new law with regard to FMGs (Day et al, 1978).…”

Section: Symbol Of the Travesty Of Institutionsmentioning

confidence: 99%

Foreign medical graduates and American psychiatry

Hirshbein

2022

Hist Psychiatry

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Graduates from foreign medical schools (FMGs) began to staff US state psychiatric hospitals after World War II, and became increasingly associated with the poor quality of those institutions. Public and professional commentary on FMGs criticized their skills and suitability for the US healthcare system in the 1970s, at the same time that state hospitals were under increasing attack. By the 1980s and 1990s, the association between international medical graduates (as they became known) and underserved populations became an argument in favour of easing restrictions on these graduates. The role of foreign-trained psychiatrists in the US public sector became a way for American psychiatry leaders to manage the problems of the seriously mentally ill, first with blame and then with neglect.

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The Psychiatrist Shortage

Liptzin¹

1979

Arch Gen Psychiatry

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The Impact of the Health Professions Educational Assistance Act on State Mental Health Systems

Cited by 5 publications

References 0 publications

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

Supply Dynamics of the Mental Health Workforce: Implications for Health Policy

Foreign medical graduates and American psychiatry

The Psychiatrist Shortage

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