Impact of U.S. Federal Loan Repayment Programs on the Behavioral Health Workforce: Scoping Review.

IF 3.3 3区 医学 Q1 HEALTH POLICY & SERVICES
Psychiatric services Pub Date : 2024-07-01 Epub Date: 2024-02-19 DOI:10.1176/appi.ps.20230258
Briana S Last, Erika L Crable, Gabriela Kattan Khazanov, Laurel P Scheinfeld, Emma E McGinty, Jonathan Purtle
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引用次数: 0

Abstract

Objective: Federal loan repayment programs (LRPs) are one strategy to address the shortage of behavioral health providers. This scoping review aimed to identify and characterize the federal LRPs' impact on the U.S. behavioral health workforce.

Methods: A scoping review was conducted in accordance with JBI (formerly known as the Joanna Briggs Institute) methodology for scoping reviews. The authors searched the Ovid MEDLINE, Web of Science, APA PsycInfo, EconLit, PAIS Index, and Embase databases, and gray literature was also reviewed. Two coders screened each article's abstract and full text and extracted study data. Findings were narratively synthesized and conceptually organized.

Results: The full-text screening identified 17 articles that met eligibility criteria. Of these, eight were peer-reviewed studies, and all but one evaluated the National Health Service Corps (NHSC) LRP. Findings were conceptually organized into five categories: descriptive studies of NHSC behavioral health needs and the NHSC workforce (k=4); providers' perceptions of, and experiences with, the NHSC (k=2); associations between NHSC funding and the number of NHSC behavioral health providers (k=4); NHSC behavioral health workforce productivity and capacity (k=3); and federal LRP recruitment and retention (k=4).

Conclusions: The literature on federal LRPs and their impact on the behavioral health workforce is relatively limited. Although federal LRPs are an important and effective tool to address the behavioral health workforce shortage, additional federal policy strategies are needed to attract and retain behavioral health providers and to diversify the behavioral health workforce.

美国联邦贷款偿还计划对行为健康工作者的影响:范围审查。
目标:联邦贷款偿还计划 (LRP) 是解决行为健康服务提供者短缺问题的策略之一。此次范围界定审查旨在确定联邦贷款偿还计划对美国行为健康服务人员队伍的影响并描述其特点:根据 JBI(前身为 Joanna Briggs 研究所)的范围界定综述方法进行了范围界定综述。作者检索了 Ovid MEDLINE、Web of Science、APA PsycInfo、EconLit、PAIS Index 和 Embase 数据库,还查阅了灰色文献。两名编码员筛选了每篇文章的摘要和全文,并提取了研究数据。对研究结果进行了叙述性综合和概念性整理:全文筛选确定了 17 篇符合资格标准的文章。其中,8 篇为同行评议研究,除一篇外,其余均对国家卫生服务团(NHSC)LRP 进行了评估。研究结果在概念上分为五类:关于国家卫生服务团行为健康需求和国家卫生服务团劳动力的描述性研究(k=4);医疗服务提供者对国家卫生服务团的看法和经验(k=2);国家卫生服务团资金与国家卫生服务团行为健康医疗服务提供者数量之间的关联(k=4);国家卫生服务团行为健康劳动力的生产力和能力(k=3);以及联邦LRP的招募和保留(k=4):有关联邦 LRP 及其对行为健康劳动力影响的文献相对有限。尽管联邦 LRP 是解决行为健康劳动力短缺的一个重要而有效的工具,但还需要更多的联邦政策战略来吸引和留住行为健康服务提供者,并使行为健康劳动力多样化。
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来源期刊
Psychiatric services
Psychiatric services 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
7.90%
发文量
295
审稿时长
3-8 weeks
期刊介绍: Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
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