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Behavioral Health Crisis Workforce Shortages are Nearly Universal Across U.S. States

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Based on NRI's 2022 survey of State Mental Health Agencies (SMHAs), this report documents the depth of workforce shortages spanning the full behavioral health crisis continuum — from 988 call centers to mobile response teams and residential stabilization programs. Mobile crisis teams are the hardest-hit component, with 36 states reporting gaps, followed closely by crisis stabilization centers (35 states).

89%

of state mental health agencies report shortages in at least one crisis component

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Social workers are the most-reported shortage position across all four crisis components

52%

of agencies have a specialized peer crisis training program in place

Beyond raw numbers, the report maps which job roles are most affected in each setting and spotlights how select states — including Arizona, Illinois, Washington, and others — are expanding peer specialist training to help bridge the gap.