Training the Future Child Health Care Workforce to Improve Behavioral Health Outcomes for Children, Youth, and Families Proceedings of a Workshop--in Brief (2017) / Chapter Skim
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Training the Future Child Health Care Workforce to Improve Behavioral Health Outcomes for Children, Youth, and Families: Proceedings of a Workshop--in Brief
Training the Future Child Health Care Workforce to Improve Behavioral Health Outcomes for Children, Youth, and Families: Proceedings of a Workshop--in Brief
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Washington, DC: Na tional Academies Press. VOICES OF PARENTS The workshop's first panel featured five parents, because "the experts are the parents, who really know day to day what is needed for their child with a behavioral health issue," said Deborah Klein Walker, president of the Global Alliance for Behavioral Health and Social Justice and senior fellow at Abt Associates.
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that the field of behavioral health is in the midst When a child has a disorder, the entire family of a workforce crisis for several reasons: suffers, not just that child who is sick, and she emphasized the toll a serious illness takes on • an increased demand for behavioral health parents and other caregivers. Families and care- services, givers need to find a way of gaining a sense of • too few workers to meet the demand, control and advocacy, she said, so they can deal • a poorly distributed workforce, with their own mental health challenges.
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to become more diverse, and people serving Beck reported that the behavioral health work- specialized populations need more specialized force does not meet current needs, and short- training, Beck observed. Table 1 National Projections of Supply and Demand for Selected Behavioral Health Practitioners by 2025 Occupa on Supply Demand Di erence Psychiatrists 45,210 60,610 -15,400 Behavioral Health Nurse Prac oners 12,960 10,160 2,800 Behavioral Health Physician Assistants 1,800 1,690 110 Clinical, Counseling, and School Psychologists 188,930 246,420 -57,490 Substance Abuse and Behavioral Disorder Counselors 105,970 122,510 -16,540 Mental Health and Substance Abuse Social Workers 145,700 172,630 -26,930 Mental Health Counselors 243,450 321,500 -78,050 School Counselors 109,220 157,760 -48,540 Marriage and Family Therapists 29,780 40,250 -10,470 TOTAL 883,020 1,133,530 -250,510 Source: Presentation at workshop by Angela Beck.
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management, and prevention. It also has Peer providers–people who have used their skills-building components, noted Bernadette lived experiences of recovery from mental ill- Melnyk, associate vice president for health ness or addiction and have received training promotion, university chief wellness officer, to work with others -- represent another seg- professor and dean at the College of Nursing, ment of the behavioral health care workforce.
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In this at the Association of American Medical Collegprogram, the federal funding has gone toward es. In this context, improving behavioral health training social workers to focus on the behav- outcomes for children and families requires ioral health challenges and issues of young considering the critical competency gaps at adults and toward a leadership program for so- each level of physician training.
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port services into a recognized profession has led to the development of a consensus definiThe American Board of Pediatrics (ABP) also has tion for family peer support services, noted been leveraging its influence to ensure that pe Susan Burger, director of family peer advocate diatricians are appropriately trained in behav credentialing and workforce development at ioral health care, noted Julia McMillan, emerita Families Together.
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frastructure for the training of professional liAddressing behavioral health in the juvenile censed behavioral health and pediatric providjustice setting can save considerable money by ers. Barbara Ward-Zimmerman, an integrated providing less expensive preventive and treat- care consultant and chair of the Connecticut ment interventions before arrest, rearrest, or Psychological Association's Health Care Reform placement in more restricted settings, said José Task Force described the Child Health and DeSzapocznik, professor of public health scienc- velopment Institute, a nonprofit subsidiary of es, architecture, psychology and educational the Children's Fund of Connecticut.
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Disciplinegovernment has been working with the states specific competencies could be reviewed for to clarify issues involving the behavioral health behavioral health promotion and risk prevenworkforce, such as encouraging states to pro- tion through multigenerational surveillance vide a continuum of care for children with be- to identify cross-disciplinary overlap and gaps, havioral health conditions, she said. with any competencies that have gaps being updated (examples of competencies include POSSIBLE NEXT STEPS taking complete family histories, parent/family In the final session of the workshop, partici- involvement, positive parenting, motivational pants met in eight breakout groups to discuss interviewing, and care across the continuum ideas to move workforce issues forward and the from prevention to treatment)
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(2) Stakeholders might inture child health care workforce to meet the clude policy makers, funders, accrediting offineeds of children with disabilities and complex cials, consumers and families, students in the health conditions, McCabe reported ideas gen- health professions, faculty, and schools.
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FROGNER, University of Washington; ELIZABETH HAWKINSWALSH, Catholic University of America; KIMBERLY EATON HOAGWOOD, Society of Clinical Child and Adolescent Psychology, American Psychological Association; and Department of Child and Adolescent Psychiatry, School of Medicine, New York University; MARSHALL "BUZZ" LAND, JR., American Board of Pediatrics and University of Vermont; MARY ANN McCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; School of Medicine, George Washington University; and Affiliate Faculty in Psychology, George Mason University; and SARAH M TRACEY, Study Director.
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Hilton Foundation; Community Anti-Drug Coalitions of University of Pittsburgh LAWRENCE A PALINKAS America; the Centers for Disease Control and Prevention; School of Social Work, University LAUREN CALDWELL Department of Justice; the Hogg Foundation for Mental of Southern California American Psychological Health; Global Alliance for Behavioral Health and Social Jus- Association MARY JANE ROTHERAM-BORUS tice; the Robert Wood Johnson Foundation; the Society for University of California, Los Child and Family Policy and Practice; the Society of Clinical ALEXA EGGLESTON Angeles Child and Adolescent Psychology; the Society of Pediatric Conrad N
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