Ziemann Margaret P, Dent Randl B, Schenk Ellen D, Strod Deborah, Luo Qian, Banawa Rachel A, Westergaard Sara, Erikson Clese E
Fitzhugh Mullan Institute for Health Workforce Equity, Milken Institute School of Public Health, The George Washington University, 2175 K Street NW, Suite 250, Washington, DC, 20037, USA.
DMA Health Strategies, Lexington, MA, USA.
J Behav Health Serv Res. 2023 Jul;50(3):413-424. doi: 10.1007/s11414-023-09832-9. Epub 2023 Feb 10.
The past decade has seen peer support providers increasingly incorporated as part of a recovery-oriented approach to behavioral health (BH) services for mental illness and substance use disorder. Despite this, there are few data sources to track this sector of the BH workforce, and understanding of peer support provider supply, demand, distribution, and associated factors is limited. In this retrospective, observational study, the authors analyzed job postings from 2010 to 2020 to assess employer demand for peer support providers and the factors associated with its growth, using a labor market data set from Emsi Burning Glass. The authors identified peer support job postings using a three-pronged, stepwise approach. Then, bivariate regression analyses using robust standard errors were conducted to examine state-level relationships between the number of peer support job postings per 100,000 population and Medicaid policies and indicators of states' BH infrastructure. The authors identified approximately 35,000 unique postings, finding the number increased 17-fold between 2010 and 2020. Bivariate analysis found significant state-level associations between peer support job postings and Medicaid expansion, as well as states' mean number of mental health facilities. This analysis represents the first to quantify employer demand for peer support providers, clearly demonstrating robust growth over time. Findings underscore the importance of continuing to develop data on this workforce to better understand factors driving its growth.
在过去十年中，同伴支持提供者越来越多地被纳入针对精神疾病和物质使用障碍的行为健康（BH）服务的以康复为导向的方法中。尽管如此，几乎没有数据源来跟踪BH劳动力的这一领域，对同伴支持提供者的供应、需求、分布及相关因素的了解也很有限。在这项回顾性观察研究中，作者分析了2010年至2020年的招聘信息，以评估雇主对同伴支持提供者的需求及其增长相关因素，使用的是来自Emsi Burning Glass的劳动力市场数据集。作者采用三管齐下的逐步方法确定同伴支持招聘信息。然后，进行了使用稳健标准误差的双变量回归分析，以检验每10万人口中同伴支持招聘信息数量与医疗补助政策及各州BH基础设施指标之间的州级关系。作者识别出约35000条独特的招聘信息，发现2010年至2020年间数量增长了17倍。双变量分析发现同伴支持招聘信息与医疗补助扩张以及各州精神卫生设施的平均数量之间存在显著的州级关联。该分析首次对雇主对同伴支持提供者的需求进行了量化，清楚地表明其随时间强劲增长。研究结果强调了持续收集该劳动力数据以更好地理解推动其增长因素的重要性。
