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Los Angeles County Aims to Sharpen Mental health Crisis Response with Enhanced Recruitment Incentives
By Headlinez News Staff
February 11, 2025
Los Angeles County is doubling down on its commitment to improving mental health crisis response, addressing a critical need for timely intervention. Over the past four years,the county has significantly expanded its mental health crisis team infrastructure,boasting more than 70 teams,a ample increase aimed at providing immediate,on-the-ground support for individuals experiencing a mental health crisis. This expansion has led to a notable reduction in response times, now averaging two hours, offering a vital alternative to involving law enforcement or paramedics in situations where mental health professionals are better equipped to assist.
Despite this progress, the county recognizes that there is still considerable ground to cover. The ultimate goal is to reduce response times to an average of 30 minutes,a benchmark that would bring Los Angeles County in line with leading mental health crisis response systems across the nation. To achieve this enterprising target, the Los Angeles County Board of Supervisors took decisive action last week, voting to explore and implement strategies focused on the recruitment and retention of qualified professionals for its field teams.
The proposed measures include a range of financial incentives designed to attract and keep talented clinicians and mental health experts. Signing bonuses, retention bonuses, and the reinstatement of loan forgiveness programs for psychiatrists are all under consideration. Thes incentives are modeled after successful programs in other states, such as new York and Texas, which have demonstrated the effectiveness of financial support in bolstering the mental health workforce.
Supervisor Janice Hahn, who authored last week’s motion, emphasized the urgency of the situation, stating, I think there’s nothing more frustrating to family members or for our public — who many times comes across people in the streets having a mental health crisis — to call and hear it will be two hours.
This sentiment reflects the widespread concern among residents and officials alike regarding the need for more rapid and effective mental health crisis intervention.
The Board of Supervisors has directed county staff to provide a report within two months outlining specific plans for maintaining these crucial incentives. This expedited timeline underscores the county’s commitment to addressing the challenges head-on and ensuring that the mental health crisis response system is adequately staffed and equipped to meet the needs of the community.
The Challenge of Hiring and retaining Talent
The Los Angeles County Department of Mental Health has consistently highlighted the difficulties in recruiting and retaining qualified personnel for its alternative crisis response teams. These teams, which are composed of trained mental health professionals and individuals with lived experience of mental illness, represent a specialized workforce that is in high demand across the country.
One of the primary challenges is the demanding nature of the work, which ofen involves long hours, exposure to stressful situations, and the need for constant vigilance.As the county has expanded its crisis response services to provide 24/7 coverage, the strain on existing staff has increased, leading to burnout and attrition. Furthermore, the rise of telework opportunities in other sectors has created additional competition for mental health professionals, with some staff leaving crisis work for positions that offer greater versatility and work-life balance.
In 2021, Los Angeles County had fewer than 30 field teams, and their operations were limited to standard business hours. Today, the county boasts 72 teams, providing round-the-clock coverage seven days a week. this expansion represents a notable investment in mental health crisis response, but it also underscores the need for a robust workforce to sustain these services.
According to county authorities, response times have improved dramatically, decreasing by 70% from six hours to approximately two hours on average. This improvement is attributed to several factors, including the expansion of financial incentive programs to include psychiatric technicians and strategic partnerships with colleges and universities to recruit qualified candidates. These efforts mirror successful initiatives in states like Massachusetts, which have implemented similar strategies to address workforce shortages in the mental health sector.
![Graph of LA County Mental Health Crisis Response Times](https://scpr.brightspotcdn.com/dims4/default/c91f600/2147483647/strip/true/crop/955x401+0+0/resize/1584x666!/format/webp/quality/90/?url=http%3A%2F%2Fscpr-brightspot.s3.us-west-2.amazonaws.com%2F8c%2F38%2F1fe5fe6d43108ad991025691f320%2Fmh-crisis-response-times.jpg)
Despite these improvements, county officials acknowledge that current response times are still too long.
The Department of Mental Health has allocated additional positions to its network of crisis teams, but filling these vacancies remains a significant challenge. Currently, the county has 40 vacant field team positions, highlighting the urgent need for effective recruitment and retention strategies.
The supervisors attribute these hiring difficulties, in part, to a highly competitive mental health market.
The demand for mental health professionals is high across the country, and los Angeles County must compete with other employers to attract and retain top talent. Moreover,the county faces the challenge of expiring one-time funding that was previously used for signing bonuses and shift differentials,potentially undermining its ability to offer competitive compensation packages.
Supervisor hahn noted that the county has more than doubled the number of crisis teams, from 30 in 2021 to over 70 today. As a result, response times have decreased from an average of six hours in 2023 to two hours in July 2024. This progress demonstrates the effectiveness of the county
Frequently Asked Questions (FAQ)
- What is a mental health crisis? [[1]]
- A mental health crisis is a situation where a person’s behavior puts them at risk of hurting themselves or others and/or prevents them from being able to care for themselves [[1]]. It’s a situation where someone is unable to function in their daily life [[1]].
- What is Los angeles County doing to improve mental health crisis response times?
- Los Angeles County is implementing strategies focused on recruitment and retention of qualified mental health professionals, including financial incentives like signing bonuses, retention bonuses, and loan forgiveness programs.
- How many mental health crisis teams does Los Angeles County have?
- Los Angeles County currently has more then 70 mental health crisis teams.
- What is the current average response time for mental health crisis teams in Los Angeles County?
- The current average response time is two hours.
- What is the goal for mental health crisis response times in Los Angeles County?
- The ultimate goal is to reduce response times to an average of 30 minutes.
- Why is it challenging to hire and retain mental health professionals for crisis teams?
- The demanding nature of the work,long hours,stressful situations,competition from telework opportunities,and expiring funding for incentives contribute to hiring and retention challenges.
- How have mental health crisis response times improved in Los Angeles County?
- Response times have decreased by 70% from six hours in 2023 to approximately two hours in july 2024.
- What kind of incentives are being considered to recruit and retain mental health professionals?
- Signing bonuses, retention bonuses, and the reinstatement of loan forgiveness programs for psychiatrists are all under consideration.
- How many vacant field team positions are there in Los Angeles County?
- Currently, there are 40 vacant field team positions.