The dangerously small number of psychiatrists

The dangerously small number of psychiatrists

A shortage of psychiatrists and addiction counselors could thwart the Biden administration’s plan to expand mental health care.

The Ministry of Health and Social Services moved to expand Community behavioral health clinics certified in all 50 states last week. The enhanced clinics provide coordinated mental and physical health services and addiction treatment, all reimbursed by Medicaid.

They need adult and child psychiatrists, social workers, nurses and counselors to provide these services, a median of 43 workers per clinic, according to to data collected from demonstration clinics in ten states.

A agency study suggests that it will be difficult to find psychiatrists and addiction counselors who specialize in treating adults.

By 2030, HHS projects:

  • A 20% drop in the number of psychiatrists for adult patients against a 3% increase in demand for their services
  • A 3% increase in addiction counselors amid a 15 percent increase in demand

Only one in three psychiatrists accepts Medicaid, according to data of the National Ambulatory Medical Care Survey.

A bipartisan bill in Congress could help.

Debbie Stabenow (D-Mich.) and Steve Daines (R-Mont.), chair and senior member of the health care subcommittee of the Senate finance committee, published a bill which includes provisions to expand a bonus program to attract practitioners to rural areas, increase the number of Medicare-sponsored residencies, and require Medicare to develop guidance to help states develop the mental health workforce.

Stabenow, who led the charge of certified community behavioral health clinics with Senator Roy Blunt (R-Mo.), said she hopes to see movement on her labor legislation in the lame session after next month’s election.

Editors of scientific journals are much more likely to publish research by famous authors, according to a study by Austrian scholars. A way around the problem is doubly anonymized peer review, in which neither the editors nor the researchers know each other’s names.

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Today on our Pulse Check podcast, Ruth talks with Katherine Ellen Foley about how big health care systems are pouring big money into providing more care at home, monitoring patients remotely — and how state Medicaid offices are often barriers to scaling up these programs nationwide.

High-tech mouth guards could help detect when soldiers have head injuries, Defense Ministry officials think.

The Pentagon has given Minnesota-based Prevent Biometrics more than $4 million, supplemented by outside funding, to study the devices on 2,500 soldiers between 2018 and 2021.

Mouth guards measure the force of impacts to the head, allowing commanders to remove soldiers from training if they take significant hits.

The main conclusions of the study:

  • The vast majority of hits to the head in training were light.
  • Significant impacts occurred approximately 0.3% of the time.
  • Serious hits happened “rarely and unpredictably”, including during athletics and hand-to-hand combat drills.

Cmdt. Christopher Steele, director of Army medical research, and Richard Shoge, head of military health systems research, said future impulse the results showed that the military could use the mouthguards to signal when a soldier might be in danger in much the same way a driver uses a car’s check engine light.

But they said more research was needed to determine when impacts caused injuries and to assess the effect of multiple blows to the head over time.

Rugby and soccer players have also used Prevent Biometrics mouth guards.

Imagine a cloud-based digital infrastructure it would remind adults when they should get their next vaccinations, not just for Covid-19, but for everything.

Some Americans would be wary, while others would adopt it as common sense.

The Global Health Security Consortium – a partnership between the Lawrence J. Ellison Institute for Transformative Medicine, the Tony Blair Institute for Global Change and the University of Oxford – launched a campaign this month to design such a system for the world.

Pandemic innovations: David Agus, CEO of the Ellison Institute, cites Covid digital certificates, green passes and Covid passports that allowed vaccine recipients to travel and visit public places as examples of technology that can be repurposed to keep the world up to date .

“Technology has gotten to the place, the pandemic has changed a lot of norms about how we process data and we have vaccines, so it’s really time to move things forward,” he said. future impulse.

The technological orientation of the institute is not surprising: its namesake is Lawrence J. Ellison who founded the software giant Oracle.

Points of sale: A booster system could prevent some of the 10 million deaths a year from disease with existing or upcoming adult vaccines and preventative therapies.

Collecting and monitoring data would make it easier to target vaccines and preventive treatments for tuberculosis, dengue fever, human papillomavirus, HIV or even high cholesterol where they are most needed, according to the consortium.

And the system could be anonymized by giving each person a unique ID that doesn’t reveal their identity, Agus said.

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