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The Development of a Comprehensive Mental Health Service for Medical Trainees.

Samia Hasan¹, Stacie L Pozdol², Brian K Nichelson³

¹S. Hasan is assistant professor, Department of Psychiatry, and director, Mental Health Services, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0002-6546-5007 .

Academic Medicine : Journal of the Association of American Medical Colleges

|June 22, 2022

Summary

A comprehensive mental health service for medical learners significantly increased utilization and satisfaction by addressing access barriers. This demonstrates the value of tailored, responsive care for trainee well-being.

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Area of Science:

Medical Education
Psychiatry
Healthcare Management

Background:

Mental distress is prevalent among medical learners, impacting their personal and professional lives.
Existing healthcare systems often present barriers to accessing mental health support for trainees.
There is a critical need for accessible and responsive mental health services in academic medical settings.

Purpose of the Study:

To review the development and utilization of a comprehensive mental health service for medical learners.
To assess the impact of a new service designed to be equitable, accessible, and responsive to trainee needs.
To identify factors contributing to the successful uptake of mental health services by medical trainees.

Main Methods:

Development of a mental health service focused on eliminating cost, privacy, and flexibility barriers.
Implementation of outreach initiatives including psychoeducational programming and faculty liaison.
Longitudinal analysis of service utilization and patient satisfaction data from 2017 to 2021.

Main Results:

Service utilization increased significantly, with a 2.2x rise in trainees served and 2.4x rise in annual visits over four academic years.
In 2020-2021, 821 medical learners received 5,656 visits; 30% of students and 25% of residents/fellows sought treatment.
High patient satisfaction ratings indicate perceived value and willingness to seek care when barriers are removed.

Conclusions:

A well-designed, accessible mental health service can effectively meet the needs of medical learners.
Institutional support, targeted outreach, and barrier reduction are key to promoting mental health service utilization.
Further research should explore factors influencing sustained engagement with mental health support for trainees.