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The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
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    Mental disorders affect 25% globally and 50% of Americans. Registered nurses (RNs) can improve behavioral health care access, reduce costs, and enhance quality, addressing the U.S. mental health crisis.

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    Area of Science:

    • Public Health
    • Healthcare Economics
    • Mental Health Services

    Background:

    • Mental disorders represent a significant global health burden, affecting approximately 25% of individuals worldwide.
    • In the U.S., an estimated 50% of the population will experience a mental disorder during their lifetime.
    • The economic impact of the U.S. mental health crisis is substantial, estimated at $444 billion annually, with a significant portion attributed to lost productivity.

    Purpose of the Study:

    • To explore the potential of the generalist registered nurse (RN) workforce as an underutilized resource in addressing the U.S. mental health crisis.
    • To identify how RNs can contribute to improving access to behavioral health care.
    • To assess the economic implications of integrating RNs more effectively into mental health service delivery.

    Main Methods:

    • This study reviews existing literature and economic data related to mental health care delivery and workforce utilization in the U.S.
    • Analysis focuses on the current role and potential expanded scope of practice for generalist RNs in behavioral health.
    • Economic modeling considers cost-effectiveness and return on investment for increased RN involvement.

    Main Results:

    • The generalist RN workforce is identified as a key, yet largely untapped, asset within the U.S. healthcare system.
    • RNs are uniquely positioned to enhance the accessibility and quality of behavioral health care services.
    • Strategic integration of RNs can lead to significant cost reductions in mental health care provision.

    Conclusions:

    • The generalist RN workforce offers a viable and cost-effective solution to improve U.S. mental health care.
    • Leveraging RNs can mitigate the economic burden of mental disorders by enhancing care delivery efficiency and patient outcomes.
    • Policy and practice changes supporting RNs in behavioral health are recommended to address the ongoing crisis.