4.0 Article

Scaling up Evidence-based Treatments in Youth Behavioral Healthcare: Social Work Licensing Influences on Task-shifting Opportunities

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/23303131.2021.1970069

Keywords

scale-up; children and youth; behavioral health; task-shifting; social work licensing; occupational licensing

Funding

  1. National Institute of Mental Health [R21MH102544, T32MH19960]

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This article discusses the workforce shortages in youth behavioral healthcare and the strategy of task-shifting as a solution. Social workers in the U.S. play a crucial role in this field, and they are expected to play a key role in scaling up evidence-based treatments.
Youth behavioral healthcare workforce shortages have inhibited the scale-up of evidence-based treatments to address longstanding unmet needs and inequitable service coverage. Task-shifting is a strategy that could bolster workforce shortages. Legal and regulatory barriers, such as scope of practice licensing regulations, have hampered the use of task-shifting. Social workers make up the majority of the behavioral healthcare workforce in the U.S. and most social workers provide services to children and families. As such, social workers would play a pivotal role in any scale-up effort. In this guest editorial, we discuss the importance of social work licensing and use a case example to illustrate the unintended consequences that certain licensing regulations have on scaling-up evidence-based treatments via task-shifting. We conclude with recommendations on how social workers could be involved in task-shifting efforts to scale-up evidence-based treatments.

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