The shortage of psychiatrists and other mental health providers: Causes, current state, and potential solutions

Butryn, Tracy; Bryant, Leah E.; Marchionni, Christine; Sholevar, Farhad

doi:10.4103/ijam.ijam_49_17

Cited by 77 publications

(5 citation statements)

References 36 publications

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“…The shortage of behavioral health services in the United States is well documented, and contributing factors to this trend are numerous and varied. 1 , 2 Limitations in psychiatric services are attributable to factors such as a small proportion of psychiatrists practicing full-time, a high rate of psychiatrists preparing to retire, and a stagnant number of psychiatric residencies. 1 A national survey conducted by the National Center for Rural Health Professions found that many rural hospitals report a lack of mental health services as limiting their ability to provide referrals in rural communities.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 Limitations in psychiatric services are attributable to factors such as a small proportion of psychiatrists practicing full-time, a high rate of psychiatrists preparing to retire, and a stagnant number of psychiatric residencies. 1 A national survey conducted by the National Center for Rural Health Professions found that many rural hospitals report a lack of mental health services as limiting their ability to provide referrals in rural communities. 3 Relatedly, shortages among master’s-trained behavioral health professionals may be attributed to burnout, desire to practice in metropolitan areas, and aversions to treating severe mental disorders.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Maxey,

Vaughn,

Dickinson

et al. 2024

INQUIRY

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Integration of medication-assisted treatment (MAT) for opioid use disorder in primary care settings is an emerging health care delivery model that supports increased access to specialized care but requires primary care provider engagement. Examining the characteristics of providers who provide this service is key to informing targeted recruitment. Using administrative and supplemental data collected during license renewal, this study aimed to identify the characteristics of primary care physicians and nurse practitioners (NPs) associated with greater odds of providing MAT in their practice. A retrospective observational study was conducted using a descriptive correlational design. The analysis included 5259 physicians and 3486 NPs who renewed their licenses electronically in 2021 and specialized in primary care or psychiatry. Chi-square and logistic regression analyses were conducted to identify the demographic and clinical characteristics of physicians and NPs associated with MAT participation in their practice. Physicians had a higher odds ratio (OR) of providing MAT if they were younger than 35 years (OR = 1.334; P = .0443), practiced in a federally qualified health center (OR = 3.101, P < .0001), and offered a sliding fee scale in their practice (OR = 2.046; P < .0001). Likewise, NPs had higher odds of providing MAT if they practiced in a public or community health center (OR = 3.866; P < .0001). The results of this study highlight the personal and professional characteristics of physicians and NPs associated with higher odds of providing MAT. These findings may have implications for the recruitment and sustainability of MAT integration in primary care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Maxey,

Vaughn,

Dickinson

et al. 2024

INQUIRY

View full text Add to dashboard Cite

show abstract

“…Some might avoid seeking out or disclosing their problems to a psychiatrist. Additionally, the number of psychiatrists available is insufficient for the number of patients who require consultation (Butryn et al 2017;Kakuma et al 2011), leading to long waiting times, which can cause delays in initiating treatment. A simple to use screening software application might be able to help reduce the availability problem and can help lead more people with high depressive symptoms to seek professional help (BinDhim et al 2016).…”

Section: Introductionmentioning

confidence: 99%

An Application for Mental Health Monitoring Using Facial, Voice, and Questionnaire Information

Boonvitchaikul,

Cheetanom,

Sompong

et al. 2023

AAAI-SS

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Depression is a major societal issue. However, depression can be hard to self-diagnose, and people suffering from depression often hesitate to consult with professionals. We discuss the design and initial testings of our prototype application that performs depression detection using multi-modal information such as questionnaires, speech, and face landmarks. The application has an animated avatar ask questions concerning the users’ well-being. To perform screening, we opt for a 2-stage method which first predicts individual HAM-D ratings for better explainability, which may help facilitate the referral process to medical professionals if required. Initial results show that our system archives 0.85 Marco-F1 for the depression detection task.

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“…

Mental health care in the United States is prohibitively difficult to access. Barriers of entry include a shortage of licensed providers (Butryn et al, 2017), high cost of services, insufficient insurance coverage (Walker et al, 2015), and layers of inefficient bureaucracy. This problem of low supply and high demand has created a unique environment for capitalist problem solvers to enter the therapeutic market.

…”

mentioning

confidence: 99%

“Better” Help? Ethical Considerations for Therapists Using Telehealth Matching Platforms

Delawalla,

Lorenzo-Luaces

2024

Preprint

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Third party “therapy matching” platforms such as BetterHelp offer easily accessible and affordable therapy for the lay public. While at face these companies meet this goal, a recent FTC complaint highlighted issues around client data security and privacy. The introduction of profit-motivated third parties into the therapeutic relationship brings forth new ethical dilemmas for clinicians. This commentary focuses on relevant APA Ethical Standards and Guidelines related to a clinician’s decision to work with these companies and provides guidance on the decision-making process.

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The shortage of psychiatrists and other mental health providers: Causes, current state, and potential solutions

Cited by 77 publications

References 36 publications

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study

An Application for Mental Health Monitoring Using Facial, Voice, and Questionnaire Information

“Better” Help? Ethical Considerations for Therapists Using Telehealth Matching Platforms

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