Canada Ontario faces psychiatrist shortage: report

14:52  08 august  2018
14:52  08 august  2018 Source:   msn.com

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The majority of US states face a shortage of psychiatrists , while the need for specialists is growing. The council coordinates a network of 2,300 not-for-profit clinics nationwide that provide psychiatric help.

Furthermore, the report indicates Merritt conducted “more searches for psychiatrists in the last year than it has in any previous 12 months in the firm’s 30-year Some argue the psychiatry shortage could get even worse as insurance payment shifts to value-based care from fee-for-service medicine.

TORONTO - A new report urges the Ontario government to offer incentives to psychiatrists in order to make up for a shortage it says is contributing to a growing mental health crisis across the province and the country.

The report, released Wednesday by the Coalition of Ontario Psychiatrists, says the province should also increase the number of psychiatry residency spots available to medical students and increase exposure to the field in medical school to six weeks.

The organization, which represents 1,900 Ontario psychiatrists, says boosting the ranks in psychiatry would help improve access to mental health at a time when demand continues to outpace supply, particularly in rural areas.

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It is an irony that troubles health care providers and policymakers nationwide: Even as public awareness of mental illness increases, a shortage of psychiatrists worsens. In vast swaths of America, patients face lengthy drives to reach the nearest psychiatrist

“We face a broad range of mental health issues, including the acute problems of opioid addiction and increasing rates of depression and suicide,” Dr. Darrell Kirch, CEO of the Association of American Medical Colleges and a psychiatrist , said in a report out this month on the psychiatrist shortage .

It says that while Canada as a whole is experiencing a shortage of psychiatrists, the situation in Ontario is "uniquely difficult to manage and continues to persist and deepen" despite a rise in psychiatrists' workload.

The report says the average number of patients each Ontario psychiatrist sees per year outside of a hospital setting has gone up to 249 in 2013 from 208 a decade earlier, and psychiatrists are working, on average, an additional eight hours a week compared with 2007.

The shortage is linked in the report to the large number of psychiatrists nearing retirement age, combined with a lack of a younger cohort to succeed them.

"Virtually all psychiatric care will be impacted by this demographic shift as over half of practising psychiatrists approach retirement," the report says.

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Atascadero State Hospital is admitting fewer patients each week and has closed one of its special admission units in response to a shortage of psychiatrists there. “The department faces an ongoing challenge to retain and recruit psychiatrists at (Atascadero) due to several factors including

The majority of US states face a shortage of psychiatrists , while the need for specialists is growing. "That interferes with our ability to have the time to sit with our patients," Dr. Renee Binder, president of the American Psychiatric Association, told AP.

"These statistics are particularly concerning for rural communities, which are notoriously difficult to recruit new doctors to. A disproportionate number of near retirement psychiatrists currently serve these areas, and often see high volumes of patients to compensate for the access issues."

And though enrolment in medical school is growing, the percentage of applicants choosing psychiatry is declining, the report says.

"Governments are investing a significant amount of money into improving mental health services, which is great ... (but) there's some issues with access to treatment at this point, and if we don't have enough psychiatrists to see those patients, then we may have issues with access to treatment still," said Dr. Mathieu Dufour, the coalition's co-chair.

If the shortage is allowed to worsen, wait times for treatment will increase, he said. The gap is particularly high when it comes to child psychiatry, which has seen a "sharp increase" in demand, he said.

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And Coleman Professional Services that is based in the Akron area provides psychiatric services to people in Lima using telemedicine devices, he said. In Texas, which faces a severe shortage , lawmakers recently voted to pay the student loans of psychiatrists willing to work in underserved

Seventy-seven percent of U.S. counties are currently seeing a serious psychiatrist shortage , according to a Merrit Hawkins report released in recent months. “It is one of the areas where we are most at risk,” said Dr. Nathaniel Clark, who oversees behavioral health care at Vanderbilt Psychiatric

"More work needs to be done to promote psychiatry as a profession for medical students," Dufour said.

Increasing pay for psychiatrists would also make the profession more appealing, he said, noting that some medical specialties earn up to four times more.

"The fact that psychiatry has been at the bottom of the list for medical specialties, I do think that it plays a role in terms of the fact that we have difficulties recruiting candidates," he said.

The report says psychiatrists receive lower base pay than other medical specialties and are more likely to lose billable hours to patients who don't show up.

"It is particularly important for incentives to be considered for improving recruitment to underserved areas, including rural and remote communities, and for subspecialties," the document says.

"Creating incentives for psychiatrists to specialize, in order to serve the growing demand for child psychiatric services and the growing aging population, will help address the ongoing shortage of subspecialists."

Ontario's Progressive Conservative government has earmarked $1.9 billion over 10 years for mental health. The minister of health did not immediately respond to a request for comment.

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