A Review of Mental Healthcare Provider Types

Join Our Mailing List

Implications for Staffing Modern Mental Health Facilities

[By Carol Miller RN MBA]

Carol S. MillerCommunity Mental Health Centers are also referred to as County Mental Health Centers and treat patients usually with no or limited insurance in a domiciliary setting versus an inpatient state or community facility.

And, both children and adults are eligible to receive such assistance.

These programs provide a wide range of psychiatric and counseling services to the residents in their community as well
as other types of assistance. But, what type of mental healthcare staff, and providers, are involved with these facilities?


Staffing levels at community mental health facilities depend on the size and funding of each clinic, and vary in number, qualifications, and mix. Many personnel hold or are working on Master’s degrees and various professional certifications.

Typical staffing would include:

  • Administrative or Mental Health Director ¾ This individual, working under general policy directives, is responsible for planning, organizing, coordinating, and directing delivery of a community’s comprehensive mental health programs and services. This would include the development and implementation of goals, objectives, policies, procedures, budget, standard compliance, and work standards for mental health services. The Director is responsible not only for the services offered under the program, but also for extensive coordination with other county departments, public and private organizations, citizen groups, and the Board of Supervisors.
  • Case management staff ¾ These personnel are responsible for compiling all the services related to the treatment program.
  • Psychiatrists ¾ These individuals may work for a mental health center full or part time, and be Board-eligible or Board-certified in Psychiatry.
  • Psychologists ¾ These individuals will hold Ph.D., Psy.D. or Ed.D. qualifications and be licensed as clinical psychologists in the state.
  • Licensed Independent Social Worker (LISW) ¾ These individuals will have expertise in such services as family counseling, child psychology, geriatric dementia, psychological testing, and so on.
  • Licensed Marriage and Family Therapist (LMFT) — These individuals are specialized in various fields and provide an array of counseling services to patients, dependent on the nature of their problem.
  • Clinical Nurse Specialists ¾ These personnel are certified in psychiatric nursing by a national nursing organization such as the American Nurses Association to practice within the scope of these services and are licensed in the state.
  • Support staff ¾ These staff members would include an administrative assistant to the Director, medical billers, transcriptionist, and possibly a receptionist.
  • Substance Abuse Counselor or Licensed Professional Clinical Mental Health Counselor (LPC or LPCC) — An individual who takes a holistic approach where they exam a person’s external environmental and societal influences while also monitoring inner emotion, physical and behavioral health.


ME-P Careers


Counselor Qualifications

A licensed mental health counselor has met or exceeded the following professional qualifications:

  • earned a Master’s degree in counseling or a closely related mental health discipline;
  • completed a minimum of two years post-Master’s clinical work under the supervision of a licensed or certified mental health professional; and
  • passed a state-developed or national licensure or certification examination.



Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, URLs and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com


Product Details

6 Responses

  1. An epic fail when it comes to mental health

    Carol – Sometimes the health care system just does not work. An article by Peter Elias, MD.




  2. The Rise of the Non-Physician Expert and Implications for Care Management


    Ann Miller RN MHA


  3. Mental Health Status of Inmates & the Homeless Population

    In the third installment of this four-part Health Capital Topics series, the state of mental illness was discussed generally, along with the availability of services, popular treatments, and government implementation of mental health resources with the Affordable Care Act (ACA).

    The National Sheriffs’ Association and the Treatment Advocacy Center have reported that there are more than three times as many mentally ill people housed within prisons and jails in the U.S. as are in hospitals (including psychiatric homes). Similarly, the study found that nearly 40% of the U.S. homeless population has a serious form of mental illness.

    This last installment will focus on these two special populations within the mental healthcare system: (1) prisoners; and, (2) the homeless.

    Click to access MENTAL.pdf

    Robert James Cimasi; MHA ASA FRICS MCBA CVA CM&AA CMP


  4. May is Mental Health Month

    For over 65 years, Mental Health America and affiliates across the country have led the observance of May is Mental Health Month by reaching millions of people through the media, local events and screenings.


    We welcome other organizations to join us in spreading the word that mental health is something everyone should care about by using the May is Mental Health Month toolkit materials and conducting awareness activities.

    Hope R. Hetico RN MHA


  5. US is Short 2,707 Psychiatrists

    Merritt Hawkins recently released its 2015 Review of Physician and Advanced Practitioner Recruiting Incentives. Here are key findings from the report regarding mental health practitioner shortages:

    • Merritt Hawkins conducted more searches for psychiatrists in the past year than any other time in 27 years.
    • 3,968 U.S. counties are Health Professional Shortage Areas (less than one psychiatrist per 30,000 people).
    • 2,707 psychiatrists are needed to remove the HPSA designations for mental health from these counties.
    • In Texas, 185 of 254 counties have no general psychiatrist.
    • Massachusetts has 18 psychiatrists per 100,000 population and Idaho has 5.
    • 48% of practicing psychiatrists are likely to retire over the next five years.

    Source: Merritt Hawkins, July 15, 2015


  6. Despair about mental health research?

    According to Bill Gardner, Thomas Insel was formerly the director of the National Institute of Mental Health (NIMH). He works now at Google and recently gave an interview to the New Scientist:


    Dr. David Marcinko MBA


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: