Our Strained Behavioral Health Workforce
The United States is experiencing a critical shortage in the behavioral health workforce, which has been exacerbated by rising demand for mental health services.
This shortage includes key professionals such as psychiatrists, psychologists, and licensed clinical social workers, leading to a significant gap in the availability of care. Almost half of the U.S. population lives in areas designated as mental health professional shortage regions, with rural and economically disadvantaged urban areas being the most affected. The challenges in recruiting and retaining providers are compounded by factors such as burnout, low reimbursement rates for behavioral health services, and limited diversity within the workforce. Additionally, the pandemic has intensified the demand for services, further straining an already overburdened system (NIHCM, 2023; Commonwealth Fund, 2023).
Access to mental health services remains difficult, especially during critical periods when they are most needed. While nearly half of Americans will experience a behavioral health issue in their lifetime, fewer than half of those affected are able to access timely care. Disparities in access are worsened by workforce shortages, insurance barriers, and geographic disparities. According to the Kaiser Family Foundation, a mental health in America survey found that 80% of adults say the cost of mental health care is a “big problem” in the U.S., and 90% of adults think there is a mental health crisis in the country.
People in the low-income bracket, people of color, and those living in rural areas face heightened challenges accessing mental health services, with many struggling to find providers who accept Medicaid or Medicare. Furthermore, the lack of culturally and linguistically appropriate care contributes to the difficulties faced by marginalized groups. Telehealth has offered some solutions, but many underserved populations remain without adequate access to behavioral health services (Commonwealth Fund, 2023; NIHCM, 2023).
Challenges facing the behavioral health workforce extend beyond the supply and demand issues and include:
Patient-level barriers, such as stigma and ability to pay, that both hinder access to care
Provider-level barriers, such as limited scopes of practice, reimbursement challenges, and clinician burnout, all of which limit the ability to provide high-quality care.