By. Bart Magee, Ph.D. While promising increase access, the teletherapy boom has left us with greater disparities
While higher income groups have taken advantage of the technology, increasing their access to therapy, vulnerable populations – low-income families, non-white communities, older adults, the unemployed and individuals with severe mental illness have not. Rather than closing the access gap, teletherapy has widened it.
How did we get it so wrong and what can be done to reverse the trend?
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Another culprit is insurance companies who keep reimbursement for treatment low. Despite a federal mental health parity law enacted over 15 years ago, insurance plans still limit coverage for mental health treatment. Those who do manage to begin therapy often cannot afford to keep going. A 2022 survey of 1,000 adults in therapy from Verywell Mind, found that seventy percent of people either limited their sessions or temporarily suspended treatment to due to cost and almost half were worried about continuing to pay.
This is why I’m proud of Access Institute and the work it does every day to remove the cost burden and make care accessible and affordable to all San Franciscans. Demand for our low-fee services continues to grow. Calls to our intake line jumped by 55% this year and remain at a high volume. Callers are reaching out seeking individual therapy, couples' treatment, psychological assessment and psychiatry services. By Bart Magee, Ph.D.
After a close election, Proposition 1, the bond measure sponsored by Governor Newsom to provide billions for mental health and substance abuse-related housing and treatment, passed. This comes on the heels of the recent establishment “Care Courts”, and changes in conservatorship laws, which will allow, for the first time in decades, compelled treatment for individuals with schizophrenia and other forms of severe mental illness. There is no question that these hotly debated proposals now being implemented add up to a paradigm shift in the approach to the treatment of severe mental illness. The question is: Will they work as intended? By Bart Magee, Ph.D.
Dear friends of Access Institute, Everyone is taking about mental health - Access Institute is doing something about it! For over two decades, Access Institute has been San Francisco's Mental Health Safety net, addressing the needs of the most vulnerable residents of our city. We pride ourselves on ensuring that no one is turned away and everyone who seeks our help receives the care they deserve. That's not all - we have expanded the reach of our services. This year, Access Institute: By Bart Magee, Ph.D.
The contemporary mental healthcare crisis encompasses so many dimensions, with an alarming component being the shortage of available psychiatric care. And the future presents a troubling challenge, as the demand for psychiatric medication services continues to surge while the number of psychiatrists diminishes. The American Psychiatric Association projects 20% decline in the psychiatrist workforce by the year 2030. Numerous factors contribute to this issue, chief among them being reimbursement rates that fall below those of other medical fields, coupled with a deficiency in available residency slots. These and other circumstances combine to deter medical practitioners from pursuing psychiatry as a specialty. This scarcity of psychiatrists is further compounding the preexisting mental health crisis, leaving a substantial portion of the population—especially those who face economic disadvantages—bereft of accessible services. |
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