NHSPI_measure_metadata: 90

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rowid	obsid	index	item_code	domain_code	domain_name	domain_description	subdomain_code	subdomain_name	subdomain_description	subdomain_long_desc	measure_name	measure_description	measure_rationale	data_source	verbose_data_source	data_dates	limitations
90	191.0	Index	4.4.5	4.0	HD	Healthcare Delivery	13.0	MBH	Mental & Behavioral Healthcare	Mental and behavioral healthcare is the provision and facilitation of access to medical and mental/behavioral health services including: medical treatment, substance abuse treatment, stress management, and medication with the intent to restore and improve the resilience and sustainability of health, mental and behavioral health, and social services networks. It includes access to information regarding available mass care services for at-risk individuals and the entire affected population.	M317	Percent of need met for mental health care in health professional shortage areas (HPSA) in the state	It is reasonable to assume that if an area has existing shortages in key behavioral health personal, preparedness for and response to a disaster may not be as robust as in areas where there are not staff shortages. It might also be assumed that if there are shortages in mental health professionals, there may also be shortages in other specialty care professions, again indicating that overall disaster health and mental/behavioral health preparedness and response may be limited.	HRSA HPSA	The Henry J. Kaiser Family Foundation, Mental Health Care Health Professional Shortage Areas (HPSA)	2014, 2016—2018	The measure data is based on the availability of psychiatrists, and does not include other behavioral health professionals (e.g., psychologists, social workers, licensed counselors, pastoral counselors, psychiatric nurses) who provide the majority of behavioral health services following disasters. The measure does not consider the ability of a state to temporarily move mental health resources within the state in response to a disaster, such as state trained and certified crisis teams that can be activated and deployed to disaster zones and rapidly supplement local resources. In addition, the measure does not evaluate lack of provider availability and readiness during disasters due to appointment waiting lists, contractual obligations to serve certain populations, or their status of skills and training necessary for optimal performance in disasters.