“Let’s Talk”: Behavioral Health Workforce

Charles Smith, Ph.D.SAMHSA Regional Administrator

Region VIII (CO, MT, ND, SD, UT, WY)

Wyoming Methamphetamine and Substance Abuse Conference

Casper, WyomingApril 15, 2015

SAMHSA Strategic Initiative: Workforce Development

Workforce Development

1. Develop and disseminate behavioral health workforce trainings, education tools and core competencies;

2. Support peer providers development and deployment;

3. Understand the behavioral health workforce needs through consistent data collection; and,

4. Support and influence funding for the behavioral health workforce.

Workforce Questions

What is your definition of a behavioral health workforce?

What types of professions are included in this definition?

Workforce Questions

Describe your WY’s workforce needs?1. Pre-service

2. Recruitment

3. Retention

4. Continuing Education

5. Supervision

6. Leadership

7. Other: Finance, Research, Legal, Technology

Workforce Questions

What role do you see Peers playing in WY’s behavioral health workforce?

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Workforce Questions

What are WY’s promising/successful behavioral health workforce practices?

Workforce Questions

What are WY’s challenges in achieving an adequately trained and credentialed/licensed behavioral health workforce ?

Workforce Questions

Who are the key workforce influencers or stakeholders in WY?

Workforce Questions

What can SAMHSA and/or other Federal agencies do to help build WY’s behavioral health workforce?

Region VIII Behavioral Health Workforce

R8 Pop. Psychiatrist Psychologist Social Worker

SA Counselor

MH Counselor LMFT

#Avg

Salary#

Avg Salary

#Avg

Salary#

Avg Salary

#Avg

Salary#

Avg Salary

CO 5.4M 460 $194,560 2240 $73,390 1860 $41,290 1420 $40,640 3480 $43,800 500 $48,020

MT 989K 120 $156,380 370 $62,490 580 $34,250 480 $37,020 1000 $31,360 NA $36,340

ND 672K 130 $193,790 200 $61,860 250 $43,610 280 $47,900 80 $42,030 110 $42,790

SD 814K NA NA 240 $65,680 250 $36,500 560 $35,280 250 $40,580 70 $38,160

UT 2.8M 280 $86,260 1110 $66,030 1380 $41,650 310 $49,760 930 $49,080 180 $49,040

WY 563K 40 $225,380 270 $68,110 190 $44,850 220 $45,190 300 $53,570 40 $64,270

Bureau of Labor Statistics, 2014. NA = Data not available from BLS

Employment of Psychiatrists

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25,040National

number of Psychiatrists

Location Quotient for Psychiatrists

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Wages of Psychiatrists

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$182,660Average Salary of

Psychiatrists

Industry Employment for Psychiatrists

Office of Physicians

28%

Psychiatric/SA Hospital

15%

Outpatient Care14%

General Hospital13%

Colleges/Universities

8%

Other22%

Employment of Psychologists

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104,480National

number of Psychologist

Location Quotient of Psychologists

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Wages of Psychologists

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$72,710Average Salary of

Psychologist

Distribution of Psychologists

Distribution by Work Setting

Distribution by Age/Sex

Future of Psychologists

• Employment of psychologist will grow 11 % between 2012 – 2022

• Greater demand for psychological services in schools, hospitals, mental health centers, and social services agencies should drive employment growth.

Mental Health Counselors

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115,580National number of Mental Health

Counselors

Location Quotient of Mental Health Counselors

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Average Salary of Mental Health Counselors

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$43,700Average Salary

for Mental Health Counselor

Distribution of Mental Health Counselors

Outpatient21%

Indiv & Family Services

20%

Residential15%Local Govt

7%

Offices of Other Health Profes-

sionals7%

Psychiatric & SA Hospitals

6%

Other24%

Future of Mental Health Counselors

• Employment of mental health counselors and marriage and family therapists is projected to grow 29% from 2012 - 2022

• Increased demand due to Parity• Increasing numbers of people are

expected to seek treatment for problems with mental and emotional problems than in earlier decades. This trend will cause continued demand for counselors in mental health centers, hospitals, and colleges.

• Number of military veterans seeking mental health treatment is expected to increase over the next decade. The federal govt, community clinics, and hospitals will need to expand counseling staff to met demand.

Substance Abuse Counselors

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National number of Substance

Abuse & Behavioral Disorder

Counselors83,120

Location Quotient of Substance Abuse Counselors

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Average Salary of Substance Abuse Counselors

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$41,090Average Salary for Substance

Abuse Counselors

Distribution of Substance Abuse Counselors

Outpatient29%

Residential28%

Individual & Fam-ily

18%

Local Govt8%

General Hospital7%

Psychiatric & SA Hospital

6%

Elem & Secondary School4%

Future of Substance Abuse Counselors

• Employment of substance abuse and behavioral disorder counselors is projected to grow 31 percent from 2012 to 2022. (2012 Estimate: 89,600)

• Demand for substance abuse and behavioral disorder counselors may also increase as states seek treatment services for drug offenders rather than jail time.

• In recent years, the criminal justice system has recognized that drug and other substance abuse addicts are less likely to offend again if they get treatment for their addiction.

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Marriage & Family Therapists

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26,060National

number of LMFTs

Location Quotient of LMFTs

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Average Salary of MFTs

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$51,690Average Salary

for LMFTs

Distribution of LMFTs

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Individual & Family Services

32%

State Govt17%

Outpatient16%

Other Health Of-fices9%

Local Govt7%

Other 19%

Future of LMFTs

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• Employment of mental health counselors and marriage and family therapists is projected to grow 29 percent from 2012 to 2022

• Increasing numbers of people are expected to seek treatment for problems with mental and emotional problems than in earlier decades.

• Number of military veterans needing and seeking mental health treatment is expected to increase over the next decade. The federal government, community clinics, and local hospitals will need to expand to meet demand.

Social Workers

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110,010 National number of Social

Workers

Location Quotient Social Workers

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Average Salary of Social Workers

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$44,420Average Salary

for Social Workers

Distribution of Social Workers

Distribution by Work Setting

Distribution by Sex and Age

Future of Social Workers

• Expected job growth of 12% between 2012 -2022.

‾ Employment of social workers working in mental health and substance abuse treatment is projected to grow 23%.

‾ Employment of social workers in healthcare settings is projected to grow 27%

‾ Employment of social workers working in child, family, and school settings is projected to grow 15%

• As drug offenders are increasingly being sent to treatment programs rather than to jail, the use of social workers in substance abuse treatment programs is expected to grow.

Registered Nurses by Industry

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1%

7%

37%

17%

19%

20%

MH Practitioners (540) MH & SA Centers (7,050)

Psychiatric & SA Hospitals (34,690) State Psychiatric & SA Hospitals (15,970)

Private Psychiatric & SA Hospitals (17,920) Residential SA & MH (18,710)

Total Registered Nurses in Behavioral Health

94,880 or 3%

Total Registered Nurses 3.1M

Graduates

Represents the number of graduates at the post-graduate bachelor, master and doctoral degree in

academic year 2009-2010

Resources

• The U.S. Health Workforce Chartbook, released in November 2013, http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/chartbook/index.html

• Details on the data sources, definitions, analysis, and other information provided in the State Profiles are available in The U.S. Health Workforce Chartbook: Technical Documentation, http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/chartbook/chartbookdocumentation.pdf

• Work settings, U.S. Census Bureau. www.census.gov/eos/www/naics • For more information about the National Center, e-mail us at

healthworkforcecenter@hrsa.gov or visit website http://bhpr.hrsa.gov/healthworkforce/index.html.

• Bureau of Labor Occupational Employment Statistics: http://www.bls.gov/oes/home.htm

• Bureau of Labor Occupational Outlook Handbook: http://www.bls.gov/ooh/home.htm

Using Quotient Locator Calculator

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