Training the Future Child Health Care Workforce to Improve the Behavioral Health of Children, Youth, and Families Proceedings of a Workshop (2017) / Chapter Skim
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3 The National Landscape of Health Care Training and Workforce Processes
3 The National Landscape of Health Care Training and Workforce Processes
Pages 19-30
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From page 19... ...
(Chapman) • Peer providers who use their lived experiences and have re ceived training to work with others represent another segment of the behavioral health care workforce.
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From page 20... ...
Parent and peer support providers, parent coaches, and community health workers may all work on behalf of children's behavioral health. As Thomas Boat, dean emeritus of the College of Medicine at the University of Cincinnati, professor of pediatrics in the Division of Pulmonary Medicine at Cincinnati Children's Hospital Medical Center, and cochair of the workshop planning committee, pointed out during a panel discussion of health care training and workforce processes, all of these groups are the products of workforce training and, to some extent, all are involved in that training.
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From page 21... ...
, the crisis has several interconnected elements: • an increased demand for behavioral health services, • too few workers to meet the demand, • a poorly distributed workforce, • a need for additional training, • an increased emphasis on integrated team-based care and treatment of co-occurring disorders, and • a lack of systematic workforce data collection in behavioral health. The core licensed professionals in the behavioral health workforce are psychiatrists, psychologists, marriage and family therapists, social workers, licensed professional counselors, and psychiatric nurse practitioners, Beck explained.
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From page 22... ...
This list does not include peer providers or other nonli Child, Family, and School Social Workers 291,990 Mental Health Counselors 128,200 Psychiatric Aides & Technicians 128,000 Mental Health/Substance Abuse Social Worker 110,070 Clinical, Counseling, School Psychologists 105,240 Substance Abuse/Behavioral Disorder Counselors 94,900 Marriage and Family Therapists 32,070 Advanced Practice Psych Nurses 13,701 Child and Adolescent Psychiatrists 8,719 0 50,000 100,000 150,000 200,000 250,000 300,000 Total Behavioral Health Workforce: 912,890 Child/Family Focus: 437,929 FIGURE 3-1 Distribution of the behavioral health workforce.
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From page 23... ...
"Recommendations or priorities around scopes of practice may be important to keep in mind," she suggested. NURSES AND SCHOOLS AS PROVIDERS OF BEHAVIORAL HEALTH SERVICES Susan Chapman, professor in the Department of Social and Behavioral Sciences at the University of California, San Francisco School of Nursing, spoke about two valuable providers of behavioral health services in communities: nurses and schools.
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From page 24... ...
. Nurses, with a Focus on Psychiatric Nurse Practitioners Nurses, including pediatric nurse practitioners, family nurse practitioners, and psychiatric mental health nurse practitioners, are particularly valuable providers of child and family behavioral health services, noted Chapman.
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From page 25... ...
Also, she said, re cruiting and retaining psychiatric mental health nurse practitioners is some times difficult, a lack of awareness surrounds their roles and competencies, their salaries are generally not competitive in public settings, and they still can have difficulties being accepted by other providers on health care teams. Schools Schools present another valuable opportunity for enhancing behavioral health services, noted Chapman, citing research that 70 percent of U.S.
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From page 26... ...
PEER PROVIDERS The Substance Abuse and Mental Health Services Administration has defined a peer provider as "a person who uses his or her lived experience of recovery from mental illness and/or addiction, plus skills learned in formal training, to deliver services in behavioral health settings to promote mind body recovery and resilience" (Kaplan, 2008)
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From page 27... ...
They can provide assistance in navigating systems, support youth participation in treatment and service meetings, model positive selfadvocacy and leadership, and provide guided support in individual recovery and in building resiliency. A limited amount of research points toward the value of peer support -- especially youth peer support, and especially with groups such as first-generation college students and students with disabilities, said Bergan -- but additional research on this topic is needed.
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From page 28... ...
In addition, continuing education, both for youth peers who are already practicing and for those who interact with youth peers, can help reveal the value of their work, especially in team-based care. In addition, Bergan pointed out, each new level of required training, testing, and certification can act as a barrier to a young person with strong empathy skills who wants to offer support to his or her peers.
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From page 29... ...
"Many of us are in this field because it is not only our passion but it is also our experience," she said. "It's with that lived experience component that we have a true peer definition." A MEDICAL STUDENT'S PERSPECTIVE "Everybody remembers the first and second year of med school, where you sat in the library or in a corner and you studied and cried yourself to sleep and ate ramen noodles and studied again," said Christen Johnson, a fourth-year medical student at Wright State University's Boonshoft School of Medicine and national president of the Student National Medical Association.
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From page 30... ...
One question, observed Chapman, is the role of lived experience and "whether that's part of the community health worker background or not." Certification, training, and payment are other issues, "but we're certainly looking at community health workers as part of the [health care] team," Chapman said.
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