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Mental health care equity and access

A group therapy solution

Bibliographic Data

ID8720247
AuthorsMartyn Whittingham (0000-0001-8655-4677, Whittington Hospital, corresponding author), Cheri L Marmarosh (0000-0001-9601-7752), Peter J Mallow (0000-0001-9642-2977), Michael Scherer (0000-0001-5772-9976)
Year2023
Volume78
Issue2
Pages119-133
Publication date2023-02-01
Open AccessNo
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/amp0001078
PMID37011164
OpenAlexW4362497423
LanguageEN
Citations received5

Mental health services are experiencing unprecedented levels of demand from clients during COVID resulting in longer wait lists and therapist burnout. As Nemoyer et al. (2019) point out, minorities experience a higher burden of mental illness while having less access and lower quality treatments. COVID has increased demands for mental health services even further, creating bottlenecks of care, therapist burnout, and leading to ever longer wait lists. This article will argue that inefficient supply of services is created by mental health providers being incentivized toward individual therapy. Group therapy offers a solution because it is a "triple E treatment"-efficient, effective, and equivalent to individual therapy in terms of outcomes (Burlingame & Strauss, 2021). Group interventions also address systemic racism and the needs of minorities who have been marginalized and cope with minority stress. This article will utilize a labor and financial impact analysis to demonstrate how increasing group therapy by 10% nationally, particularly in private practice and primary care integration settings, would increase treatment access for over 3.5 million people while reducing the need for 34,473 additional new therapists and simultaneously saving over $5.6 billion. It will discuss how incentivizing groups while holding therapists accountable for training, competency when working with people from diverse backgrounds, and outcomes can result in improved efficiency. This will allow therapists greater freedom to collaboratively select the most effective treatments for those from underserved and minority backgrounds and create easier access to quality treatments. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Burnout · Equity (law · Group psychotherapy · Health care · Health equity · MEDLINE · Mental health · Political science · Psychiatry · Psychological intervention · PsycINFO · Public health · Public relations · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Clinical Psychology

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Citations per year5
Citation span2025 - 2026 (2)
Highly citedNo

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