Hooley Cole, Graaf Genevieve, Gopalan Geetha
School of Social Work, Brigham Young University.
School of Social Work, University of Texas at Arlington.
Hum Serv Organ Manag Leadersh Gov. 2021;45(5):375-388. doi: 10.1080/23303131.2021.1970069. Epub 2021 Sep 1.
Youth behavioral healthcare workforce shortages have inhibited the scale-up of evidence-based treatments to address longstanding unmet needs andinequitable 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 taskshifting efforts to scale-up evidence-based treatments.
青少年行为健康护理劳动力短缺阻碍了扩大基于证据的治疗方法，以满足长期未得到满足的需求和不公平的服务覆盖范围。任务转移是一种可以缓解劳动力短缺的策略。法律和监管障碍，如执业范围许可规定，阻碍了任务转移的使用。在美国，社会工作者构成了行为健康护理劳动力的大多数，并且大多数社会工作者为儿童和家庭提供服务。因此，社会工作者在任何扩大规模的努力中都将发挥关键作用。在这篇客座社论中，我们讨论了社会工作许可的重要性，并使用一个案例来说明某些许可规定对通过任务转移扩大基于证据的治疗方法所产生的意外后果。我们最后提出了关于社会工作者如何参与任务转移努力以扩大基于证据的治疗方法的建议。
