A mental health professional is a health care practitioner or social and human services provider who offers services for the purpose of improving an individual's mental health or to treat mental disorders. This broad category was developed as a name for community personnel who worked in the new community mental health agencies begun in the 1970s to assist individuals moving from state hospitals, to prevent admissions, and to provide support in homes, jobs, education, and community. These individuals (i.e., state office personnel, private sector personnel, and non-profit, now voluntary sector personnel) were the forefront brigade to develop the community programs, which today may be referred to by names such as supported housing, psychiatric rehabilitation, supported or transitional employment, sheltered workshops, supported education, daily living skills, affirmative industries, dual diagnosis treatment,[1] individual and family psychoeducation, adult day care, foster care, family services and mental health counseling.
Psychiatrists - physicians who use the biomedical model to treat mental health problems - may prescribe medication. The term counselors often refers to office-based professionals who offer therapy sessions to their clients, operated by organizations such as pastoral counseling (which may or may not work with long-term services clients) and family counselors. Mental health counselors may refer to counselors working in residential services in the field of mental health in community programs.
As community professionals[edit]
As Dr. William Anthony, father of psychiatric rehabilitation, described, psychiatric nurses (RNMH, RMN, CPN), clinical psychologists (PsyD or PhD), clinical social workers (MSW or MSSW), mental health counselors (MA or MS), professional counselors, pharmacists, as well as many other professionals are often educated in "psychiatric fields" or conversely, educated in a generic community approach (e.g. human services programs or health and human services in 2013). However, his primary concern is education that leads to a willingness to work with "long-term services and supports" community support[2][3] in the community to lead to better life quality for the individual, the families and the community.
The community support framework in the US of the 1970s[4][5][6] is taken-for-granted as the base for new treatment developments (e.g., eating disorders, drug addiction programs) which tend to be free-standing clinics for specific "disorders". Typically, the term "mental health professional" does not refer to other categorical disability areas, such as intellectual and developmental disability (which trains its own professionals and maintains its own journals, and US state systems and institutions). Psychiatric rehabilitation has also been reintroduced into the transfer to behavioral health care systems.
As certified and licensed (across institutions and communities)[edit]
These professionals often deal with the same illnesses, disorders, conditions, and issues (though may separate on-site locations, such as hospital or community for the same clientele); however, their scope of practice differs and more particularly, their positions and roles in the fields of mental health services and systems. The most significant difference between mental health professionals are the laws regarding required education and training across the various professions.[7] However, the most significant change has been the Supreme Court Olmstead decision on the most integrated setting which should further reduce state hospital utilization; yet with new professionals seeking right for community treatment orders and rights to administer medications (original community programs, residents taught to self-administer medications, 1970s).
In 2013, new mental health practitioners are licensed or certified in the community (e.g., PhD, education in private clinical practice) by states, degrees and certifications are offered in fields such as psychiatric rehabilitation (MS, PhD), BA psychology (liberal arts, experimental/clinical/existential/community) to MA licensing is now more popular, BA (to PhD) mid-level program management, qualified civil service professionals, and social workers remain the mainstay of community admissions procedures (licensed by state, often generic training) in the US. Surprisingly, state direction has moved from psychiatry or clinical psychology to community leadership and professionalization of community services management.
Entry level recruitment and training remain a primary concern (since the 1970s, then often competing with fast food positions), and the US Direct Support Workforce includes an emphasis on also training of psychiatric aides, behavioral aides, and addictions aides to work in homes and communities.[8] The Centers for Medicaid and Medicare have new provisions for "self-direction" in services and new options are in place for individual plans for better life outcomes. Community programs are increasingly using health care financing, such as Medicaid, and Mental Health Parity is now law in the US.