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Mental Health HPSA Designation Overview
Also see:
There are three different types of HPSA designations,
each with its own designation requirements:
- Geographic Area
- Population Groups
- Facilities
Geographic Areas must
- Be a rational area for the delivery of mental
health services
- Meet one of the following conditions:
- A population-to-core-mental-health-professional
ratio greater than or equal to 6,000:1 and a
population-to-psychiatrist ratio greater than
or equal to 20,000:1 or
- A population-to-core professional ratio greater
than or equal to 9,000:1 or
- A population-to-psychiatrist ratio greater
than or equal to 30,000:1
- Have unusually high needs for mental health services,
and
- A population-to-core-mental-health-professional
ratio greater than or equal to 4,500:1 and a
population-to-psychiatrist ratio greater than
or equal to 15,000:1, or
- A population-to-core-professional ratio greater
than or equal to 6,000:1, or
- A population-to-psychiatrist ratio greater
than or equal to 20,000:1
- Mental health professionals in contiguous areas
are overutilized, excessively distant or inaccessible
to residents of the area under consideration.
Population Groups must
- Face access barriers that prevent the population
group from use of the area's mental health providers
- Meet one of the following criteria:
- Have a ratio of the number of persons in the
population group to the number of FTE core mental
health professionals serving the population
group greater than or equal to 4,500:1 and the
ratio of the number of persons in the population
group to the number of FTE psychiatrists serving
the population group greater than or equal to
15,000:1; or
- Have a ratio of the number of persons in the
population group to the number of FTE core mental
health professionals serving the population
group greater than or equal to 6,000:1; or
- Have a ratio of the number of persons in the
population group to the number of FTE psychiatrists
serving the population group are greater than
or equal to 20,000:1
Facilities must
- Be either Federal and/or State correctional institutions,
State/County mental hospitals or public and/or non-profit
mental health facilities
- Federal or State Correctional facilities must:
- Have at least 250 inmates and
- Have a ratio of the number of internees per
year to the number of FTE psychiatrists serving
the institution of at least 2,000:1
- State and county mental health hospitals must:
- Have an average daily inpatient amount of
at least 100; and
- The number of workload units per FTE psychiatrists
available at the hospital exceeds 300, where
workload units are calculated using the following
formula: Total workload units = average daily
inpatient census + 2 x (number of inpatient
admissions per year) + 0.5 x (number of admissions
to day care and outpatient services per year).
- Community mental health centers and other public
and non-profit facilities must:
- Be providing (or responsible for providing)
mental health services to an area or population
group designated as having a shortage of mental
health professionals and
- Have insufficient capacity to meet the psychiatric
needs of the area or population group
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