Lessons From Low- and Middle-Income Countries: Alleviating the Behavioral Health Workforce Shortage in the United States.

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-07-01 Epub Date: 2024-01-31 DOI:10.1176/appi.ps.20230348
Franz F Belz, Natan J Vega Potler, Isaac N S Johnson, Rick P F Wolthusen
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Abstract

The United States is facing a mental health workforce shortage, exacerbated by the COVID-19 pandemic. Low- and middle-income countries (LMICs) have historically grappled with even greater shortages. Therefore, LMICs have thought creatively about expanding the mental health workforce and the settings in which to deliver evidence-based and equitable mental health care. The authors introduce some mental health interventions in LMICs, describe evidence of the efficacy of these interventions gleaned from this context, and discuss the applicability of these interventions to the United States. The authors also reflect on the benefits and challenges of implementing these interventions in the U.S. mental health care system to alleviate its current workforce shortage.

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中低收入国家的经验教训:缓解美国行为健康人才短缺问题。
美国正面临着心理健康人才短缺的问题,而 COVID-19 的流行又加剧了这一问题。中低收入国家(LMICs)历来面临着更严重的短缺问题。因此,中低收入国家在扩大心理健康人才队伍以及提供以证据为基础的公平心理健康护理的环境方面进行了创造性的思考。作者介绍了低收入与中等收入国家的一些心理健康干预措施,描述了在这种情况下收集到的这些干预措施的有效性证据,并讨论了这些干预措施在美国的适用性。作者还思考了在美国心理保健系统中实施这些干预措施以缓解当前劳动力短缺问题的益处和挑战。
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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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