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Chairman Frankel, Chairwomen Rapp, Chairman Burns, Chairman Metzger and Members of the House Health Committee and House Professional Licensure Committee: On behalf of the Pennsylvania Psychological Association, I would like to thank you for the opportunity to speak to you about the access issues to mental healthcare in the Commonwealth.我是宾夕法尼亚州有执照的心理学家Dan Warner博士。I hold a Master of Science in Clinical Psychopharmacology (MSCP), which puts me on the path to addressing the state's critical shortage of mental health professionals qualified to prescribe psychotropic medications.I completed the first of several steps to become a prescribing psychologist, namely: a doctoral degree in psychology, my license as a psychologist, and completing the aforementioned post-doctoral masters degree.应该通过HB 1000通过，在申请我的处方证书之前，我需要有监督的经验。Although I am not currently licensed to prescribe medication, I leverage my extensive training and expertise in psychopharmacology to collaborate with prescribing clinicians and provide consultation to individuals having trouble accessing high-quality mental health care.Recognizing this need, non-psychiatric physicians and other primary care providers frequently refer complex behavioral health cases to me for consultation regarding psychotropic medication options.这种日益增长的需求突显了及时获得精神病护理的显着差距，等待时间通常超过六个月。这种短缺会影响所有社区，无论城市，郊区或农村环境如何。宾夕法尼亚州举例说明了这一国家趋势。国家面临日益严重的心理健康危机，精神病专家的大幅短缺无法解决日益增长的需求（Merritt Hawkins报告，2018年）。虽然费城和波特县等农村地区等城市地区的健康短缺地区（HPSA）得分最高，甚至是郊区县，例如威斯特摩兰和切斯特等郊区，表明无法获得精神病学的机会。宾夕法尼亚州心理学会（PPA）最近进行的一项调查发现，超过41％的寻求精神病护理的客户等待了四个或更长时间的任命，这强调了对额外资源的迫切需求（Malowney等，2015； Warner，20222）。这些发现以及宾夕法尼亚州精神病学短缺地图（地图1）清楚地表明，该州目前的精神病能力尚未满足人口的需求。有充分记录的扩大心理健康访问的关键需求。2020年宾夕法尼亚州联合政府委员会报告强调了现有的处方者短缺，预计到2030年（2020年6月）将翻了一番。COVID-19大流行进一步紧张了系统，
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