Cost Trade-Offs Between Accessing and Retaining Uniformed Mental Health Providers.

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01
Avery Calkins, Michael G Mattock, Shannon D Donofry, Daniel Schwam, Anthony Lawrence, Kimberly A Hepner
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Abstract

The Military Health System does not have enough military mental health providers to meet demand among active-duty service members, despite efforts in the U.S. Department of Defense (DoD) to leverage special pays to recruit and retain staff. Maintaining adequate military mental health care services is important for maintaining the readiness of the overall force. To expand its mental health workforce and stabilize its care delivery system, DoD needs cost-effective options for increasing the force size of military mental health providers in both the short and long terms. In this study, the authors used the RAND Dynamic Retention Model to simulate how changing retention bonuses for uniformed mental health providers increased active component retention and per capita personnel cost. Using these results, the authors determined the most cost-effective way to increase the force size of the uniformed mental health provider workforce; specifically, accessing more providers or retaining more providers. The authors also compared military compensation for psychiatrists, clinical psychologists, social workers, and mental health nurse practitioners with expected civilian compensation for these types of providers. DoD leaders and personnel managers can use the key findings and recommendations offered to make informed choices among potential strategies for expanding its uniformed mental health workforce.

获得和保留统一精神卫生服务提供者之间的成本权衡。
尽管美国国防部(DoD)努力利用特殊薪酬来招募和留住员工,但军事卫生系统没有足够的军事心理健康提供者来满足现役军人的需求。维持充足的军事心理保健服务对于保持整个部队的战备状态非常重要。为了扩大其心理健康队伍并稳定其护理服务系统,国防部需要在短期和长期内增加军事心理健康提供者的部队规模的成本效益选择。在这项研究中,作者使用RAND动态保留模型来模拟制服心理健康提供者的保留奖金的变化如何增加活跃成分的保留和人均人力成本。利用这些结果,作者确定了最具成本效益的方式来增加统一的精神卫生服务人员队伍的规模;具体来说,就是访问更多的提供者或保留更多的提供者。作者还比较了精神科医生、临床心理学家、社会工作者和心理健康护士从业人员的军事补偿与这些类型提供者的预期平民补偿。国防部领导人和人事经理可以利用提供的主要发现和建议,在扩大其统一的精神卫生工作队伍的潜在战略中做出明智的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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