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class="entry-header"> <h1 class="entry-title">How Organizations Can Make Better Use of Limited Resources for More Effective Mental Health Services</h1> </header> <figure class="post-thumbnail "> <img width="2560" height="1707" src="https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-scaled.jpg" class="attachment-post-thumbnail size-post-thumbnail wp-post-image" alt="Top-level view of a therapist taking notes during a therapy session." decoding="async" fetchpriority="high" srcset="https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-scaled.jpg 2560w, https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-300x200.jpg 300w, https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-1024x683.jpg 1024w, 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data-permalink="https://www.hsph.harvard.edu/ecpe/diversity-equity-and-inclusion-through-future-oriented-lens/mental-health-care-program-article-image/" data-orig-file="https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-scaled.jpg" data-orig-size="2560,1707" data-comments-opened="0" data-image-meta="{"aperture":"0","credit":"","camera":"","caption":"","created_timestamp":"0","copyright":"","focal_length":"0","iso":"0","shutter_speed":"0","title":"","orientation":"0"}" data-image-title="Mental Health Care Program Article Image" data-image-description="" data-image-caption="" data-medium-file="https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-300x200.jpg" data-large-file="https://www.hsph.harvard.edu/ecpe/wp-content/uploads/sites/2020/2022/06/Mental-Health-Care-Program-Article-Image-1024x683.jpg" /></figure> <div class="entry-content"> <p class="article-author">by Katherine J. Igoe</p> <div class="hsph-share-buttons hsph-bootstrap"><span class="hsph-share-btns-label">Share this:</span><a rel="external noreferrer nofollow" target="_blank" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.hsph.harvard.edu%2Fecpe%2Fhow-organizations-can-make-better-use-of-limited-resources-for-more-effective-mental-health-services%2F" aria-label="Facebook button link" class="btn btn-light btn-sm btn-squared shadow-none mr-2 mb-2 hsph-share-button-facebook"><i class="fa fa-facebook" aria-hidden="true"></i>Facebook</a><a rel="external noreferrer nofollow" target="_blank" href="https://twitter.com/intent/tweet?url=https%3A%2F%2Fwww.hsph.harvard.edu%2Fecpe%2Fhow-organizations-can-make-better-use-of-limited-resources-for-more-effective-mental-health-services%2F&text=How+Organizations+Can+Make+Better+Use+of+Limited+Resources+for+More+Effective+Mental+Health+Services" aria-label="Twitter button link" class="btn btn-light btn-sm btn-squared shadow-none mr-2 mb-2 hsph-share-button-twitter"><i class="fa fa-twitter" aria-hidden="true"></i>Twitter</a><a rel="external noreferrer nofollow" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Fwww.hsph.harvard.edu%2Fecpe%2Fhow-organizations-can-make-better-use-of-limited-resources-for-more-effective-mental-health-services%2F&title=How+Organizations+Can+Make+Better+Use+of+Limited+Resources+for+More+Effective+Mental+Health+Services" aria-label="LinkedIn button link" class="btn btn-light btn-sm btn-squared shadow-none mr-2 mb-2 hsph-share-button-linkedin"><i class="fa fa-linkedin" aria-hidden="true"></i>LinkedIn</a><a rel="external noreferrer nofollow" target="_blank" href="http://www.reddit.com/submit?url=https%3A%2F%2Fwww.hsph.harvard.edu%2Fecpe%2Fhow-organizations-can-make-better-use-of-limited-resources-for-more-effective-mental-health-services%2F&title=How+Organizations+Can+Make+Better+Use+of+Limited+Resources+for+More+Effective+Mental+Health+Services" aria-label="Reddit button link" class="btn btn-light btn-sm btn-squared shadow-none mr-2 mb-2 hsph-share-button-reddit"><i class="fa fa-reddit-alien" aria-hidden="true"></i>Reddit</a></span></div> <p><span style="font-weight: 400">It’s a well-known fact that, even in high-income countries like the United States, </span><a href="https://www.bmj.com/content/366/bmj.l4516"><span style="font-weight: 400">mental health resources are insufficient</span></a><span style="font-weight: 400"> to address the overall mental health need. Waiting time to see a mental health specialist is usually from several weeks to several months. In practice, this means that there are fewer specialists able to see potential and existing mental health patients, and fewer resources to manage access and cost barriers for those who need help the most. The COVID-19 pandemic has exposed and, to an extent, exacerbated this problem—indicating more clearly that mental wellness exists on a spectrum, and even people who are not dealing with clearly identifiable disorders could benefit from support. </span></p> <p><span style="font-weight: 400">A Harvard T.H. Chan School of Public Health Executive and Continuing Education program</span><span style="font-weight: 400"> called </span><a href="https://www.hsph.harvard.edu/ecpe/programs/mental-health-leadership/"><i><span style="font-weight: 400">Mental Health Leadership: Transformation Through Innovation</span></i></a> <span style="font-weight: 400">addresses implementation, deployment, scaling, and dealing with pushback, among other topics. </span></p> <p><span style="font-weight: 400">“We want mental health experts to enhance their knowledge and skills to take a system-wide approach rather than to look at just the problems directly facing them explains </span><a href="https://www.hsph.harvard.edu/ecpe/faculty/shekhar-saxena/"><span style="font-weight: 400">Shekhar Saxena</span></a><span style="font-weight: 400">, professor of the practice of Global Mental Health at the Department of Global Health and Population, former director of the Department of Mental Health and Substance Abuse at the World Health Organization, and program director.</span></p> <h2><b>What It Means to Leverage Financial and Human Resources in Mental Health Care</b></h2> <p><span style="font-weight: 400">The financial challenges for mental health care organizations can be substantial on a systems level. “Even higher income countries devote a much smaller proportion of financial resources to mental health care compared to other parts of health care,” explains Saxena—and even though </span><a href="https://www.nami.org/Press-Media/Press-Releases/2022/NAMI-Applauds-Key-Mental-Health-Investments-Made-in-FY-2022-Federal-Budget"><span style="font-weight: 400">the United States recently increased mental health care spending</span></a><span style="font-weight: 400">, it still can be insufficient. </span></p> <p><span style="font-weight: 400">One of the solutions to this problem is to help organizations gain access to more financial resources—but this is a long-term strategy that likely won’t be implemented right away. The program focuses on mental health resources that organizational leaders may not be utilizing as effectively as they could, including: formal and informal governmental and community based resources.</span></p> <p><span style="font-weight: 400">In the meantime, explains Saxena, there are also opportunities to provide psychological and social interventions, which means getting away from a strict focus on diagnosis in the field—in other words, not needing to tie mental health care to a specific clinical diagnosis like depressive disorder or post-traumatic stress disorder (PTSD), which is what’s currently used by professionals and health insurance systems for treatment, payment, and coverage. </span></p> <p><span style="font-weight: 400">This also means leveraging existing resources both within the health care community and outside it so that individuals who want to help have the correct training to offer individual or group support. This could open up the ability for more people embedded in communities to offer assistance, including: </span></p> <ul> <li style="font-weight: 400"><span style="font-weight: 400">Community health workers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Peer support workers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">General health workers: doctors, nurses, medical assistants, etc.</span></li> <li style="font-weight: 400"><span style="font-weight: 400">HR chief wellness officers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">School psychologists and counselors</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Social welfare officers and support workers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Business managers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Nonprofit workers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Volunteers</span></li> <li style="font-weight: 400"><span style="font-weight: 400">Lay people, including family members</span></li> </ul> <p><span style="font-weight: 400">In this way, people in schools, workplaces, nonprofits, support centers, and elsewhere in the community can be primed to help those with a mild to moderate mental health need.</span></p> <h2><b>What This Mental Health Systems-Level Approach Could Look Like</b></h2> <p><span style="font-weight: 400">This sounds, in theory, like a positive solution, but it can be challenging both to conceptualize and implement. Looking at this more practically, a more optimized system of mental health care resources could mean that more highly trained, mental health professionals focus on the patients with the highest need. </span></p> <p><span style="font-weight: 400">Since those people who need more help may have less paying capacity (in other words, they may not have the funds available to justify intensive inpatient or outpatient support), the systems-level work focuses on helping defray those costs. “We want to begin developing a system where the needs are matched with the resources rather than the paying capacity,” explains Saxena. </span></p> <p><span style="font-weight: 400">Meanwhile, other resources—including hundreds of thousands of peer counselors all over the country—can assist people who may have less intense mental health issues. This can look like individual or group support sessions, for example. People who are unemployed or jobless, isolated older individuals, young people who are facing general challenges, people who are suffering from chronic illnesses, and people with mild depression and/or anxiety may find support from these community resources. </span></p> <p><span style="font-weight: 400">Often, Saxena finds that when leaders start local programs and funnel money into them, they haven’t necessarily thought about longevity either in terms of human or financial resources. This is one of the major reasons these programs may not have been sustainable in the long-term. “They have a bunch of money, they start something, the money runs out, and then nothing remains,” he says. The second module of the program will be structured in a way that allows for open discussion and dialogue—experts bringing their own background and learning from each other as well as the faculty—to enable optimum solutions for specific contexts and scenarios.</span></p> <p><span style="font-weight: 400">“The course is going to talk about how to train the second level of human resources, how to integrate this within the existing system rather than to separate it as a project, how to utilize the available funding mechanisms to make that happen, and how to integrate it within government or insurance programs,” says Saxena.</span></p> <p><i><span style="font-weight: 400">Harvard T.H. Chan School of Public Health offers </span></i><a href="https://www.hsph.harvard.edu/ecpe/programs/mental-health-leadership/"><i><span style="font-weight: 400">Mental Health Leadership: Transformation Through Innovation</span></i></a><i><span style="font-weight: 400">, an online course to help health care leaders address the mental health needs of their communities with knowledge, skills, and support.</span></i></p> </div> <footer class="entry-footer"> <div class="hsph-share-buttons hsph-bootstrap"><span class="hsph-share-btns-label">Share this:</span><a rel="external noreferrer nofollow" target="_blank" href="https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.hsph.harvard.edu%2Fecpe%2Fhow-organizations-can-make-better-use-of-limited-resources-for-more-effective-mental-health-services%2F" aria-label="Facebook button link" class="btn btn-light btn-sm btn-squared shadow-none mr-2 mb-2 hsph-share-button-facebook"><i class="fa fa-facebook" aria-hidden="true"></i>Facebook</a><a 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