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Improving Behavioral Healthcare Access Disparities by Training Providers in Disadvantaged Communities - Evidence of
Ariel B Neikrug1, Shreya S Cho2, Ethan S Nguyen2
1Department of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, USA. aneikrug@hs.uci.edu.
Journal of General Internal Medicine
|November 1, 2024
Summary
The Train New Trainers (TNT) fellowship successfully recruits primary care providers (PCPs) from disadvantaged areas, enhancing behavioral health services. This strategy improves access to care in underserved communities.
Area of Science:
- Behavioral Health
- Primary Care
- Health Services Research
Background:
- Inadequate access to behavioral health services disproportionately affects marginalized populations in disadvantaged areas.
- Targeted educational programs are crucial for enrolling providers serving these communities.
Purpose of the Study:
- To evaluate the effectiveness of the Train New Trainers (TNT) fellowship recruitment strategy.
- To assess the use of scholarships in recruiting primary care providers (PCPs) who practice in disadvantaged communities.
Main Methods:
- Observational study of TNT fellows from 2016 to 2023.
- Utilized state/federal classifications of medically underserved counties and Area Deprivation Index (ADI) for recruitment criteria and evaluation.
Main Results:
- 88.8% of 347 fellows received scholarships.
- 86.5% of practices served medically underserved areas; 32.3% served highest ADI areas (deciles 9-10).
- Progressive annual increase observed, with 89.9% meeting shortage criteria and 40.5% serving highest ADI areas by 2023.
Conclusions:
- The TNT recruitment strategy effectively targets PCPs in high medical need areas.
- This program brings behavioral health education to underserved and disadvantaged communities.
- Equipping PCPs in these areas enhances behavioral medicine skills, potentially reducing the access gap.
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