Objective:
Federal
loan
repayment
programs
are
one
strategy
to
address
the
U.S.’s
shortage
of
behavioral
health
providers.
This
scoping
review
aims
identify
and
characterize
evidence
federal
programs’
impact
on
workforce
in
U.S.
Methods:
A
was
conducted
accordance
with
Joanna
Briggs
Institute’s
methodology
for
reviews.
Databases
searched
were
Ovid
Medline,
Web
Science,
PsycInfo,
EconLit,
PAIS
Index,
Embase;
grey
literature
also
reviewed.
Two
coders
screened
each
abstract
full-text
extracted
study
data.
Findings
narratively
synthesized
conceptually
organized.
Results:
After
screening,
search
yielded
17
articles
that
met
eligibility
criteria.
Of
these,
8
peer-reviewed
publications,
all
but
article
evaluated
National
Health
Service
Corps
(NHSC)
program.
organized
into
six
categories:
1)
descriptive
studies
NHSC
needs
(k=4);
2)
providers’
perceptions
experiences
(k=2);
3)
associations
between
funding
number
providers
4)
productivity
capacity
(k=3);
5)
program
recruitment
retention
(k=4).
Conclusions:
The
scientific
their
is
relatively
limited.
Though
an
important
effective
tool
shortage,
additional
policy
strategies
needed
attract
retain
diversify
workforce.
Proceedings of the National Academy of Sciences,
Год журнала:
2023,
Номер
120(19)
Опубликована: Май 1, 2023
In
recent
years,
the
United
States
has
been
experiencing
historically
high
suicide
rates.
face
of
mental
health
care
provider
shortages
that
leave
millions
needing
to
travel
longer
find
providers
with
schedule
openings,
if
any
are
available
at
all,
inaccessibility
become
increasingly
central
in
explaining
suicidality.
To
examine
relationship
between
access
and
suicide,
we
leverage
a
dataset
mapping
all
licensed
US
psychiatrists
psychotherapists
(
N
=
711,214),
as
early
2020,
employ
real-world
transportation
data
model
patients’
mobility
barriers.
We
strong
association
reduced
spatial-social
accessibility
heightened
risk.
Using
machine
learning
approach
condition
on
host
22
contextual
factors
known
be
implicated
(e.g.,
race,
education,
divorce,
gun
shop
prevalence),
locales
where
individuals
seeking
can
fewer
providers,
already
more
likely
saturated
by
demand,
risk
is
increased
(3.2%
for
each
SD
psychiatrist
accessibility;
2.3%
psychotherapists).
Additionally,
observe
local
inequalities
associated
further
underscoring
need
research
account
highly
localized
barriers
preventing
many
Americans
from
accessing
needed
services.
Current Opinion in Neurobiology,
Год журнала:
2024,
Номер
86, С. 102881 - 102881
Опубликована: Май 1, 2024
Studying
the
intricacies
of
individual
subjects'
moods
and
cognitive
processing
over
extended
periods
time
presents
a
formidable
challenge
in
medicine.
While
much
systems
neuroscience
appropriately
focuses
on
link
between
neural
circuit
functions
well-constrained
behaviors
short
timescales
(e.g.,
trials,
hours),
many
mental
health
conditions
involve
complex
interactions
mood
cognition
that
are
non-stationary
across
behavioral
contexts
evolve
timescales.
Here,
we
discuss
opportunities,
challenges,
possible
future
directions
computational
psychiatry
to
quantify
continuously
monitored
behaviors.
We
suggest
this
exploratory
effort
may
contribute
more
precision-based
approach
treating
disorders
facilitate
robust
reverse
translation
animal
species.
conclude
with
ethical
considerations
for
any
field
aims
bridge
artificial
intelligence
patient
monitoring.
JAMA Network Open,
Год журнала:
2024,
Номер
7(8), С. e2427748 - e2427748
Опубликована: Авг. 14, 2024
Importance
Depressive
symptoms
have
increased
among
US
adolescents
since
2010.
It
remains
unclear
as
to
what
extent
this
increase
will
persist
into
young
adulthood,
potentially
turning
the
youth
mental
health
crisis
a
adult
crisis.
Objective
To
test
association
between
birth
cohort
and
adolescent
depressive
at
ages
18,
19
20,
21
22
years
changes
in
these
by
cohort.
Design,
Setting,
Participants
This
panel
study
analyzed
data
from
Monitoring
Future
longitudinal
survey
1990
2019,
including
cohorts
1972
2001.
Survey
respondents
were
recruited
high
schools
12th
grade
approximately
aged
18
(at
baseline)
through
age
(during
mail
web
follow-up).
Data
analysis
was
conducted
April
October
2023.
Exposure
score
(>12
vs
≤12,
with
>12
representing
top-decile
scores)
on
scale
examining
affective
items
(eg,
“Life
often
seems
meaningless”).
Main
Outcomes
Measures
High
(vs
lower)
20
years.
Results
The
36
552
included
597
females
(50.5%),
most
reported
having
parent
who
graduated
college
(44.8%).
Among
females,
19.1%
(95%
CI,
16.7%-21.4%)
of
recent
(born:
1997-2001)
had
years,
higher
than
any
previous
While
prevalence
declined
it
remained
that
age.
males,
13.4%
11.2%-15.6%)
adulthood.
Males
baseline
10.24
7.01-14.97)
times
odds
6.20
3.93-9.78)
Females
9.16
6.57-12.76)
7.28
4.92-10.78)
magnitude
associations
did
not
vary
over
time.
Population
attributable
fractions
indicated
total
proportion
associated
has
increased;
cohort,
55.25%
38.11%-65.13%)
Conclusions
Relevance
found
increases
adolescence
persisted
suggesting
need
for
primary
prevention
resources
during
Psychiatric Services,
Год журнала:
2024,
Номер
75(7), С. 652 - 666
Опубликована: Фев. 19, 2024
Federal
loan
repayment
programs
(LRPs)
are
one
strategy
to
address
the
shortage
of
behavioral
health
providers.
This
scoping
review
aimed
identify
and
characterize
federal
LRPs'
impact
on
U.S.
workforce.
Epidemiology and Psychiatric Sciences,
Год журнала:
2024,
Номер
33
Опубликована: Янв. 1, 2024
While
past
research
suggested
that
living
arrangements
are
associated
with
suicide
death,
no
study
has
examined
the
impact
of
sustained
and
change
in
arrangements.
Also,
previous
survival
analysis
studies
only
reported
a
single
hazard
ratio
(HR),
whereas
actual
HR
may
over
time.
We
aimed
to
address
these
limitations
using
causal
inference
approaches.
Abstract
Background
Suicide
mortality
remains
a
global
health
concern,
and
community
characteristics
affect
regional
variations
in
suicide.
This
study
investigated
spatially
clustered
patterns
of
suicide
rates
South
Korea
evaluated
the
impact
factors
on
Methods
were
estimated
by
sex,
age
group,
district,
using
2021
Cause
Death
Statistics
from
MicroData
Integrated
Service.
Community-determinant
data
for
or
nearest
year
collected
Korean
Statistical
Information
The
spatial
autocorrelation
sex
was
examined
based
Global
Moran’s
I
index.
Geographically
weighted
regression
(GWR)
used
to
discern
influence
determinants
Results
significantly
higher
among
men
(40.64
per
100,000)
adults
over
65
years
(43.18
100,000).
male
exhibited
strong
dependence,
as
indicated
high
with
p
<
0.001,
highlighting
importance
conducting
analysis.
In
GWR
model
calibration,
subset
community’s
structure,
single-person
household
composition,
access
mental
healthcare
centers,
unmet
medical
needs
selected
explain
mortality.
These
disproportionately
increased
risk
suicide,
varying
region.
coefficients
each
variable
vary
widely
across
249
districts:
aging
index
(Q1:0.06–Q3:0.46),
households
(Q1:0.22–Q3:0.35),
psychiatric
clinics
(Q1:-0.20–Q3:-0.01),
(Q1:0.09–Q3:0.14).
Conclusions
Community
cultural
structural
exacerbate
disparities
men.
influencing
exhibit
differential
effects
significance
depending
community,
need
efficient
resource
allocation
A
regionally
tailored
approach
is
crucial
effective
control
management
system.
