The size of the US public health workforce has markedly declined in recent years, a trend exacerbated by economic instability and an aging demographic. There was a temporary surge in staffing through emergency hires during the COVID-19 pandemic, but the permanence of these positions remains uncertain. Concurrently, public health degree conferrals have sharply increased, creating…
The public health workforce is in a critical state, with the current supply being unsustainable at best and dire at worst. Based on data from 2017 and 2019, health departments needed to hire 80,000 full-time employees to provide basic public health foundational services even before the onset of COVID-19. The situation has likely worsened due…
COVID-19 placed unprecedented strain on the health workforce. Early in the pandemic, providers faced a novel, highly infectious pathogen, and while some areas experienced increased health care demands, others saw limits in nonessential services and decreased patient visits, leading to financial pressures and layoffs. This Health Affairs Scholar article explores the use of the publicly…
By employing evidence-based methods, harm reduction seeks to lessen the negative health and social consequences associated with substance use. As harm reduction services continue to expand without the need for professional certification, there remains considerable variation in how the workforce is perceived and trained in harm reduction principles and practices. This article explores the harm…
The onset of the COVID-19 pandemic worsened mental health conditions due to sudden social distancing restrictions, prolonged isolation, and increased disruptions in mental health and substance use treatment and support services. Peer support specialists play a crucial role in helping individuals with mental health and substance use challenges explore various pathways to recovery. These services…
Community health workers (CHWs) have critical importance in health departments as they often share the same cultural background (ethnicity and language), socioeconomic status, and life experiences as members of underserved communities. This shared culture increases the level of trust between the community and health department. However, as a professional group, CHWs face several challenges related…
The local, state, and Tribal government public health workforce is the backbone of the US public health infrastructure, providing services crucial to health, safety, and national biosecurity. To determine whether the workforce can provide needed services, we must understand how many individuals are in this workforce, what they do, how much they get paid, and…
Since 1883, the United States has had civil service laws in place to prevent cronyism and insulate public employees from political influence. Critics argue that such laws impose an undue burden on managers with regard to hiring and dismissing employees. Given that governmental public health agencies have experienced longstanding challenges in recruiting individuals at the…
Skilled nursing facilities (SNFs) have recently experienced 2 major disruptions impacting staffing: 1) the Medicare payment reform in October 2019, which significantly altered reimbursement incentives for post-acute stays, and 2) the subsequent COVID-19 pandemic. Extensive research has been conducted on how these events have affected nurse staffing in SNFs, including registered nurses (RNs), licensed practical…
