BOSTON, May, 18, 2021 - Leading advocates and researchers in the mental health field published new data today in JAMA showing that state medical board license applications do not follow national recommendations to protect the mental health of physicians.
Physicians have high rates of burnout and consistently report they do not have adequate support for their emotional wellness. Despite this context, physicians infrequently seek mental health care, often fearing that it will result in loss of their medical license. In 2018, the Federation of State Medical Boards (FSMB) published recommendations to limit medical license application questions regarding mental health to only what is necessary and relevant, and to provide language supportive of mental health treatment seeking.
Today's findings in JAMA show that as of July 2020, these recommendations have not been widely adopted. Only 1 of 54 US state and territory medical licensing applications evaluated in the study fully adopted the FSMB recommendations (North Carolina), and five states were not consistent with any of the recommendations. Thus, broad questions about mental health history remain on medical board licensing applications, even though they are inconsistent with expert recommendations. For the full study findings, the JAMA publication can be accessed at the JAMA Network website.
This latest paper is one in a series of publications over the past year that have brought awareness to the multitude of barriers that physicians face when seeking mental health care. Advocacy organizations such as The Emotional PPE Project, the American Medical Women's Association (AMWA), and the National Association for Mental Illness (NAMI) have emerged as some of the leaders in the efforts to lift these barriers.
"COVID-19 has significantly increased psychological distress in physicians, above and beyond what was already disproportionately experienced. It is imperative that we act quickly to reduce barriers to help-seeking for physicians, for the benefit of individuals, their families, the healthcare system, and patients," says Daniel Saddawi-Konefka, MD, MBA, the study's first author and co-founder of The Emotional PPE Project. "Changing licensing applications so that they comply with the Americans with Disabilities Act and FSMB recommendations is a positive and tangible step in the right direction."
Mental health advocates suggest taking the following concrete actions to lift barriers to mental health care present in medical licensing applications:
Jessi Gold, MD, MS is a co-senior author on the JAMA paper and a psychiatrist at Washington University St Louis School of Medicine who sees physicians in her practice. She has written extensively on burnout and barriers to care for NPR, Forbes, and other notable publications. "We have known that physicians have one of the highest suicide rates of any profession, long before COVID-19. The pandemic has just brought our stories to the front pages." says Dr. Gold. "No one, especially physicians who have dedicated their lives to helping others, should ever have to choose, or think they have to choose, between getting help and their career. This needs to change, and not years from now, but tomorrow."
"My sister-in-law was afraid to ask for professional help." says Corey Feist, co-founder of the Dr. Lorna Breen Heroes' Foundation. Dr. Lorna Breen was the head of New York-Presbyterian Allen Hospital Emergency Department who lost her life to suicide last year during the peak of the COVID-19 outbreak in NY. "One of the real struggles Lorna faced was the worry that she would lose her medical license, that it would end the career that she had spent her entire life working for. I believe this substantiated fear contributed to the loss of Lorna's life."
"The barriers to accessing mental health care in our country are already significant, and can be surprisingly more difficult for health care professionals who may face additional risk to their licensure," said NAMI CEO Daniel H. Gillison, Jr. "Ongoing research and advocacy efforts, along with concrete actions being taken by organizations like The Emotional PPE Project, are major steps toward helping more health care professionals get the care they need and deserve, without stigma or fear of professional consequences."
In addition to authors Saddawi-Konefka and Gold, co-authors also include Ariel Brown, PhD; Eileen Barrett, MD, MPH; Isabella Eisenhart, BS; and Katharine Hicks, BA.
Healthcare workers are often deterred from accessing mental health care due to barriers such as lack of time, stigma, and concern about professional repercussions. The Emotional PPE Project is a 501(c)(3) nonprofit charitable organization with the mission to reduce these barriers through research, advocacy, and the promotion of our directory of volunteer therapists available to provide no cost, no insurance, confidential therapy to any US healthcare worker in need.
Visit emotionalPPE.org:
Media Inquiries should be addressed to media@emotionalPPE.org.
BOSTON, June, 16, 2020 - The Emotional PPE Project, a non-profit initiative created to connect healthcare workers with no cost therapy, recently launched to address the growing mental health needs of healthcare workers affected by the COVID-19 pandemic.
"Over the last few months, some healthcare workers have described being in a war zone – with long hours, high exposure rates, and unfathomable sadness," said Ariel Brown, PhD, founder of The Emotional PPE Project. "Even before the pandemic hit, healthcare professionals had disproportionately high rates of mental distress, addiction, and suicide. With the added stress of the current crisis and mounting evidence that COVID-19 is not going away anytime soon, we need to break down as many barriers as possible to offer healthcare workers access to professional support."
After a successful pilot at Massachusetts General Hospital, The Emotional PPE Project has expanded nationwide, mobilizing over 300 volunteer therapists in 40 states. The nonprofit's directory includes psychologists, psychiatrists, and clinical social workers, with specialties ranging from marriage counseling to post-traumatic stress disorder (PTSD). The project serves any individual affected by the COVID-19 crisis who is working in a healthcare-related field, including physicians, nurses, EMTs, assisted living managers, among others.
"Many healthcare professionals are uninsured or underinsured and are concerned there may be personal and professional consequences if they use employee-based services like employee assistance programs (EAPs)," says Brown. "Because the Emotional PPE Project is independent from any other institution, and all services are free, key barriers that may stop people from getting support have been removed."
Healthcare workers are often deterred from accessing mental health care due to barriers such as lack of time, stigma, and concern about professional repercussions. The Emotional PPE Project is a 501(c)(3) nonprofit charitable organization with the mission to reduce these barriers through research, advocacy, and the promotion of our directory of volunteer therapists available to provide no cost, no insurance, confidential therapy to any US healthcare worker in need.
Visit emotionalPPE.org:
Media Inquiries should be addressed to media@emotionalPPE.org.