Persistent shortages of the behavioral health workforce have prompted interest in expanding roles for bachelor’s-level behavioral health support workers as a strategy for increasing care. However, the integration of this bachelor’s-level workforce and the roles these individuals fill in the behavioral health system vary widely across states, shaped by differences in regulatory authority, licensure/credentialing, and payment coverage.

This article explores the titles, roles, credentialing, and regulation of bachelor’s-level behavioral health support professionals across the US to identify and inventory ways states are increasing the size of the behavioral health workforce.