Snapshot: The Crisis in Texas
s o March 2009,
173 out o 254 exas counties(68%) and two partial counties were designated asHealth Proession Shortage Areas (HPSAs) or mentalhealth.
In 2009, 102 exas counties did not have a psycholo-gist, 48 counties did not have a licensed proessional coun-selor, and 40 counties did not have a social worker. Even morestriking is the act that 171 counties did not have a singlepsychiatrist.
Prepared By:Health Professions Resource CenterCenter for Health StatisticsTexas Department of State Health ServicesMarch 16, 2010
Federally Designated MentalHealth Professional ShortageAreas as of March 2010
Number Served inDSHS-Funded CommunityMental Health Services(including NorthSTAR)156,880 or 33.6%
Texas Adults (FY 2010)
Adult Population(18+ years)18,789,238EstimatedNumber withSerious PersistentMental Illness488,520Number Served inDSHS-Funded CommunityMental Health Services(including NorthSTAR)44,787 or 28.9%
Texas Children (FY 2010)
Child Population(9-17 years)3,094,475Estimated Numberwith SevereEmotional Disturbance154,724
Source: Texas Department of State Health Services (February 2011)
Unmet Need for Community Mental Health Services
Sources:*U.S. Census Data, National and State Population Estimates, 2000 – 2009. Retrieved Nov. 28, 2010 at www.census.gov/popest/states/NST-ann-est.html ** Texas Department of State Health Services, Supply and Distribution Tables (November 2010).
While the population in exas has increased and becomemore diverse and health care needs have grown more complex,the supply o psychologists and social workers has remainedat, causing an overall decline in the ratio o provider to popu-lation. Culturally competent and linguistically diverse mentalhealth proessionals are particularly difcult to nd.Many actors contribute to and exacerbate the mental health workorce shortage in exas: An aging workorce that is beginning to retire. (able 3)
Recruitment and training challenges or mental health
proessionals.Lack o exas mental health proessional internship sites.
Inadequate pay and reimbursement rates in the public
mental health system.Lack o cultural and linguistic diversity in the work-
orce, causing a signicant shortage o mental healthproviders with the knowledge, training and skills toserve people who speak languages other than English orare o racial or ethnic minority populations.Unless steps are taken to address the shortage o mentalhealth care proessionals in exas, the state’s growing demandor mental health services will go unmet.
Table 2: Mental Health Workforce Trends in Texas 2000 20,945,963 1,422 6.79 14,549 69.46 3,417 16.31 2009 24,782,302 1,634 6.59 16,574 66.88 2,789 11.26
YearTexasPopulation*# ofPsychiatristsper 100,000residentsPsychiatrists**
SocialWorkers**Marriageand Family Counselors**# ofSocialWorkersper 100,000residents# of Marriage& Family Counselorsper 100,000residents