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The journal of behavioral health services & research
Mar 03, 2025;

Identifying Educational Pathways to Graduate-Level Behavioral Health Professions: A Latent Class Analysis.

Todd M Jensen, Lisa de Saxe Zerden, Brianna M Lombardi
Author Information
  1. Todd M Jensen: School of Education, University of North Carolina at Chapel Hill, 100 E. Cameron Ave, Chapel Hill, NC, 27599, USA. jensen@unc.edu. ORCID
  2. Lisa de Saxe Zerden: School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. ORCID
  3. Brianna M Lombardi: School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. ORCID
PMID: 40032756 DOI: 10.1007/s11414-025-09937-3

Abstract

To address the behavioral health workforce crisis occurring in the United States, supporting students' interest in the behavioral health professions is urgent. Ongoing exploration of possible educational pathways into the behavioral health workforce is warranted, which can highlight opportunities to expand the number of adequately trained, culturally and linguistically representative, behavioral health providers. The purposes of the current study are to identify distinct educational pathways into graduate-level behavioral health professions and assess the extent to which varying pathways are associated with individual sociodemographic and employment characteristics. Leveraging an analytic sample of 1858 individuals from the 2021 National Survey of College Graduates (representative of a subpopulation of 847,095 individuals) who possessed a graduate degree and indicated being employed full time in a principal job related to behavioral health, latent class analysis is employed to identify distinct patterns with respect to the attainment of an associate degree, undergraduate field of study, and graduate field of study. Results favor a four-class solution featuring the following four general patterns: social work, psychology foundation and non-social work graduate degree, non-social work foundation and social work graduate degree, and non-psychology foundation and non-social work graduate degree. The educational pathways possess notable similarities in terms of gender identity, average salary, and job satisfaction; but also demonstrate important differences that could shape efforts to develop new programs and extend investments to support behavioral health workforce professional trajectories, with particular emphasis placed on financial support for educational pathways that efficiently increase the diversity of the graduate-level behavioral health workforce.

Keywords

Behavioral health Behavioral health workforce Educational pathways Latent class analysis

References

  1. A Minimum Data Set for the Behavioral Health Workforce. Ann Arbor, MI: University of Michigan Behavioral Health Workforce Research Center. Available at https://www.healthworkforceta.org/wp-content/uploads/2023/07/BHWRC_Minimum-Data-Set-for-Behavioral-Health-Workforce.pdf , 2016. Accessed 12 October, 2024.
  2. Results from the 2022 National Survey on Drug Use and Health: A Companion Infographic. Rockville, MD: Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality. Available at https://www.samhsa.gov/data/sites/default/files/reports/rpt42730/2022-nsduh-infographic-report.pdf , 2023. Accessed 18 October, 2024.
  3. Alegr��a M, Alvarez K, Ishikawa RZ, et al. Removing obstacles to eliminating racial and ethnic disparities in behavioral health care. Health Affairs. 2017;35(6):991���999. Available at https://doi.org/10.1377/hlthaff.2016.0029 . Accessed 18 October, 2024.
  4. Brawner BM. Diversifying the nation���s behavioral health workforce: SAMHSA Minority Fellowship Program at ANA celebrates 45 years. American Nurse Today. 2019;14(5):30���31. Available at https://go.gale.com/ps/i.do?p=HRCA&sw=w&issn=19305583&v=2.1&it=r&id=GALE%7CA592663673&sid=googleScholar&linkaccess=fulltext . Accessed 12 October, 2024.
  5. Hill LD, Avenevoli S, Gordon JA. The role of the National Institute of Mental Health in promoting diversity in the psychiatric research workforce. Psychiatric Clinics of North America. 2022;45(2):303���312. Available at https://doi.org/10.1016/j.psc.2022.03.001 . Accessed 18 October, 2024.
  6. Saha S, Shipman S (Eds.). The Rationale for Diversity in the Health Professions: A Review of the Evidence. Rockville, MD: U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, 2006. Available at https://www.semanticscholar.org/paper/The-Rationale-for-Diversity-in-the-Health-%3A-A-of-Saha-Shipman/6df3f71b73df07800b82250c2bf87ce594bbf667 . Accessed 18 October, 2024.
  7. Sanchez K, Ybarra R, Chapa T, et al. Eliminating behavioral health disparities and improving outcomes for racial and ethnic minority populations. Psychiatric Services. 2015;67(1):13���15. Available at 101176/appi.ps201400581. Accessed 18 October, 2024.
  8. Behavioral health: Available workforce information and federal actions to help recruit and retain providers. Washington, DC: United States Government Accountability Office. Available at https://www.gao.gov/assets/gao-23-105250.pdf , 2022. Accessed 18 October, 2024.
  9. Covino NA. Developing the behavioral health workforce: Lessons from the states. Administration and Policy in Mental Health and Mental Health Services Research. 2019;46(6):689���695. Available at https://doi.org/10.1007/s10488-019-00963-w . Accessed 18 October, 2024.
  10. Health Workforce Diversity Tracker. Washington, DC: Fitzhugh Mullan Institute for Health Workforce Equity, 2023. Available at https://www.gwhwi.org/diversitytracker.html . Accessed 18 October, 2024.
  11. Pittman P, Chen C, Erikson C, et al. Health workforce for health equity. Medical Care. 2021;59:S405-S408. Available at https://doi.org/10.1097/MLR.0000000000001609 . Accessed 18 October, 2024.
  12. Factors Impacting the Development of a Diverse Behavioral Health Workforce. Ann Arbor, MI: University of Michigan Behavioral Health Workforce Research Center. Available at https://www.healthworkforceta.org/wp-content/uploads/2023/08/BHWRC_Factors-Impacting-the-Development-of-a-Diverse.pdf , 2017. Accessed 12 October, 2024.
  13. Understanding the Diversity of Students and Faculty in Health Service Psychology Doctoral Programs. Ann Arbor, MI: University of Michigan Behavioral Health Workforce Research Center. Accessed 18 October, 2024.
  14. Ledford CJW, Guard EL, Phillips JP, et al. How medical education pathways influence primary care specialty choice. Family Medicine. 2022;54(7):512���521. Available at https://doi.org/10.22454/FamMed.2022.668498 . Accessed 18 October, 2024.
  15. White WB, Srinivasan A, Nelson C, et al. Capacity-building for career paths in public health and biomedical research for undergraduate minority students: A jackson heart study success model. Ethnicity and Disease. 2016;26(3):399. Available at https://pmc.ncbi.nlm.nih.gov/articles/PMC4948808/ . Accessed 18 October, 2024.
  16. Collins L, Lanza S (Eds.). Latent Class and Latent Transition Analysis with Applications in the Social, Behavioral, and Health Sciences. Hoboken, NJ: Wiley, 2010. Available at https://doi.org/10.1002/9780470567333 . Accessed 18 October, 2024.
  17. Kainz K, Jensen T, Zimmerman S. Cultivating a research tool kit for social work doctoral education. Journal of Social Work Education. 2018 Oct;54(4):792���807. Available at https://doi.org/10.1080/10437797.2018.1434446 . Accessed 18 October, 2024.
  18. Nylund-Gibson K, Masyn KE. Covariates and mixture modeling: results of a simulation study exploring the impact of misspecified effects on class enumeration. Structural Equation Modeling. 2016 Nov;23(6):782���797. Available at https://doi.org/10.1080/10705511.2016.1221313 . Accessed 18 October, 2024.
  19. Muth��n L, Muth��n B (Eds.). Mplus: Statistical Analysis with Latent Variables: User���s Guide. Los Angeles, CA: Muth��n & Muth��n, 2017. Available at https://www.statmodel.com/download/usersguide/MplusUserGuideVer_8.pdf . Accessed 18 October, 2024.
  20. StataCorp. Stata statistical software: Release 17. 2021. College Station, TX: StataCorp LLC. Available at https://www.stata.com/stata-news/news36-2/ . Accessed 18 October, 2024.
  21. Peek ME, Kim KE, Johnson JK, et al. URM candidates are encouraged to apply: A national study to identify effective strategies to enhance racial and ethnic faculty diversity in academic departments of medicine. Academic Medicine. 2013;88(3):405���412. Available at https://doi.org/10.1097/ACM.0b013e318280d9f9 . Accessed 18 October, 2024.
  22. Anderson MM, Garman AN, Johnson TJ, et al. Understanding student preferences in the selection of a graduate allied health program: A conjoint analysis study. Journal of Allied Health. 2023 Sep;49(3):208���217. Available at https://www.jstor.org/stable/48723056 . Accessed 18 October, 2024.
  23. Burton GS, da Gra��a H. Vicente M. An examination of factors deterring the pursuit of advanced degrees among alumni of a minority research and training program. Ethnicity and Disease. 2020;30(2):313���320. Available at https://www.jstor.org/stable/48668014 . Accessed 18 October, 2024.
  24. Spellman K, Dillenbeck J, Edwards NN, et al. Supporting marginalized students in counselor education and supervision programs. Journal of Counselor Leadership and Advocacy. 2022;9(1):32���44. Available at https://doi.org/10.1080/2326716X.2021.2007429 . Accessed 18 October, 2024.
  25. Vasquez MJT, Jones JM. Increasing the number of psychologists of color: Public policy issues for affirmative diversity. American Psychologist. 2006;61(2):132���142. Available at https://psycnet.apa.org/doi/ https://doi.org/10.1037/0003-066X.61.2.132 . Accessed 18 October, 2024.
  26. Mills-Wisneski S. Minority students��� perceptions concerning the presence of minority faculty: Inquiry and discussion. Journal of Multicultural Nursing & Health. 2005 Jul;11(2):49���55. Available at https://www.proquest.com/scholarly-journals/minority-students-perceptions-concerning-presence/docview/220298003/se-2 . Accessed 18 October, 2024.
  27. Wingard DL, Reznik VM, Daley SP. Career experiences and perceptions of underrepresented minority medical school faculty. Journal of the National Medical Association. 2008;100(9):1084���1088. Available at https://doi.org/10.1016/S0027-9684(15)31449-8 . Accessed 18 October, 2024.
  28. Huerta AH, Rios-Aguilar C, Ramirez D. ���I had to figure it out���: A case study of how community college student parents of color navigate college and careers. Community College Review. 2022 Apr;50(2):193���218. Available at https://doi.org/10.1177/00915521211061425 . Accessed 18 October, 2024.
  29. Sallee MW, Cox RD. Thinking beyond childcare: Supporting community college student-parents. American Journal of Education. 2019 Aug;125(4):621���645. Available at https://doi.org/10.1086/704094 . Accessed 18 October, 2024.
  30. Prepping Colleges for Parents: Strategies for Supporting Student Parent Success in Postsecondary Education. Washington, DC: Institute for Women���s Policy Research. Available at https://files.eric.ed.gov/fulltext/ED556710.pdf , 2013. Accessed 18 October, 2024.
  31. Addo FR, Houle JN, Simon D. Young, black, and (still) in the red: Parental wealth, race, and student loan debt. Race and Social Problems. 2016;8(1):64���76. Available at https://doi.org/10.1007/s12552-016-9162-0 . Accessed 18 October, 2024.
  32. Jensen TM, Lombardi BM, Lombardi BN, et al. Understanding the pathway from undergraduate to graduate degrees in social work to diversify the behavioral health workforce. Journal of the Society for Social Work and Research. 2023. Available at https://www.journals.uchicago.edu/doi/abs/ https://doi.org/10.1086/727529?journalCode=jsswr . Accessed 18 October, 2024.
  33. Honderich EM, Lloyd-Hazlett J. Factors influencing counseling students��� enrollment decisions: A focus on CACREP. Professional Counselor. 2015;5(1):124���136. Available at https://doi.org/10.15241/emh.5.1.124 . Accessed 18 October, 2024.
  34. Branco SF, Davis M. The minority fellowship program: promoting representation within counselor education and supervision. Professional Counselor. 2020;10(4):603���614. Available at https://doi.org/10.15241/sfb.10.4.603 . Accessed 18 October, 2024.
  35. Diaz-Elsayed N, Acuna JA, Henderson M, et al. Building inclusive excellence in STEM: A 15-year analysis and lessons learned of the Alfred P. Sloan Foundation Minority Ph.D. program at the University of South Florida. Frontiers in Education. 2023 Oct;8:1���16. Available at https://doi.org/10.3389/feduc.2023.1192853 . Accessed 18 October, 2024.

Grants

  1. U81HP46529-01-01/U.S. Department of Health and Human Services
Journal Article

Word Cloud

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