Monday, December 7, 2020

The Mental Health Care Shortage in the Rocky Mountain Region

According to September 30, 2020 data published by the Health Resources and Services Administration (HRSA), more than 119 million Americans lived in areas or settings designated as a Health Professional Shortage Area (HPSA) for mental health care services. A mental health care HPSA is a geographic area, population group, or facility where access to mental health care is substandard because it lacks a sufficient number of mental health care providers. With respect to mental health care, HRSA designation criteria is based upon the population within the HPSA relative to the number of mental health care providers that service the area. Certain areas receive a shortage designation based on its population relative to the number of psychiatrists in the area, while others are designated based upon its population relative to the number of psychiatrists and core mental health providers. For HRSA purposes, core mental health providers include clinical social workers, clinical social psychologists, marriage & family therapists and psychiatric nurse specialists. Although the population-to-provider ratio necessary to qualify for designation varies by HPSA type (geographic, population or facility), all HPSAs with a mental health care shortage designation have a population-to-provider ratio that meets or exceeds certain thresholds stipulated by federal regulations. Areas designated as a mental health care HPSA are eligible to participate in federal programs aimed at attracting more mental health care providers to work with these medically underserved communities. The HRSA estimates that, as of September 30, 2020, all mental health care HPSAs in the U.S. would need about 6,500 more mental health care providers to eliminate all shortage designations.

HPSAs in the Rocky Mountain states account for about 6.5% of the U.S. population who live in mental health care shortage areas.  The HRSA estimates that HPSAs in the Rocky Mountain states would need 363 more mental health care providers in order to eliminate the mental health care shortage in the region.  Here is a summary look at the mental health care shortage in the Rocky Mountain region:

The Mental Health Care Shortage in the Rocky Mountain Region

The Mental Health Care Shortage in the Rocky Mountain Region


State (1) HPSAs (2) Population (3) Shortage
CO 68 2,575.0 123
ID 63 1,274.3 55
MT 110 573.8 73
UT 48 2,708.8 87
WY 28 561.2 25
Region 317 7,693.1 363
U.S. 5,733 119,344.0 6,464

(1) Designated Geographic, Population Group and Facility HPSAs with a mental health care shortage
(2) Population of designated HPSAs, in thousands
(3) Mental Health Care practitioners needed to remove HPSA Designation

Source:  Designated HPSA Quarterly Summary, 9/30/20 (HRSA)