Background: When the mental health systems of the UK and the USA are compared, one of the most striking differences is that social workers are the largest professional group in the USA and community nurses the largest in the UK.
Aim and Method: This paper examines the history of the development of both professional groups in both countries, and their education and training.
Results: Demand, supply and economic factors are important influences and reasons for these differences.
Conclusions: Both professions have critical future workforce roles, but further consideration needs to be given to the extent to which their skills and values overlap in order to inform future workforce planning, and to reduce the extent to which the workforce pattern in both countries risks being over-determined by supply issues.
Aviram, U. (2002) The changing role of the social worker in the mental health system. Social Work in Health Care, 35(1-2), 615-632.
2.
Beinecke, R.H. (2005) Comparing implementing the transformation to quality mental health systems in England and the US with recommendations for areas of international shared learning and collaboration. International Journal of Mental Health, 33(4), 35-63.
3.
Boardman, J. & Parsonage, M. (2005) Defining A Good Mental Health Service: A Discussion Paper. London: The Sainsbury Centre For Mental Health.
4.
Bodenheimer, T.S. & Grumbach, K. (2005) Understanding Health Policy: A Clinical Approach (4th edition). New York: McGraw Hill.
5.
Brooker, C. & White, E. (1997) The Fourth Quinquennial National Community Mental Health Nursing Census of England and Wales. University of Manchester, School of Nursing, Midwifery and Health Visiting; University of Keele.
6.
Brooker, C., White, E., Jeakock, J. et al. (1998) The north west and the rest of England: variation in community mental health nurse provision: final report. University of Manchester, School of Nursing, Midwifery and Health Visiting; University of Keele.
7.
Delaney, K.R., Chisholm, M., Clement, J. & Merwin, E.I. (1999) Trends in psychiatric mental health nursing education . Archives of Psychiatric Nursing, 13(2), 67-73.
8.
Department of Health (1998a) Modernising Mental Health Services: Safe, Sound and Supportive. London: Department of Health.
9.
Department of Health (1998b) Modernising Social Services: Promoting Independence, Improving Protection, Raising Standards. London: Department of Health.
10.
Department of Health (1999) National Service Framework for Mental Health Modern Standards and Service Models. London: Department of Health .
11.
Department of Health (2000) The NHS Plan. A Plan for Investment. A Plan for Reform. London: The Stationery Office.
12.
Department of Health (2001) Mental Health Policy Implementation Guide. London: Department of Health.
13.
Department of Health (2003a) Fast Forwarding Primary Care Mental Health, `Gateway' Workers: Guidance. London: Department of Health.
14.
Department of Health (2003b) Mental Health Policy Implementation Guide: Support, Time and Recovery (STR) Workers. London: Department of Health .
15.
Department of Health (2004) The National Service Framework for Mental Health - Five Years On. London: Department of Health.
16.
Department of Health (2005) New Ways of Working for Psychiatrists. Enhancing Effective Person Centred Services Through New Ways of Working in Multi-Disciplinary and Multi-Agency Contexts. Final Report July 2005. London: Department of Health.
17.
Duffy, F.F., West, J.C., Wilk, J. et al. (2004) Mental health practitioners and trainees . In Mental Health, United States, 2002 (ed. R.W. Manderscheid, M.J. Henderson ), pp. 327-368. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration .
18.
Durham Mapping Project (2006) Adult Mental Health Services Mapping Project. Durham: University of Durham. http://www.dur.ac.uk/service.mapping/amh (accessed 7 July 2006).
19.
Evans, S., Huxley, P., Gately, C., Webber, M., Mears, A., Pajak, S., Medina, J., Kendall, T. & Katona, C. (2006) Job satisfaction and burnout in mental health social workers: results from a UK national survey. British Journal of Psychiatry, 188(1), 75-80.
20.
Foley, D.J., Manderscheid, R.W., Atay, J.E., Maedke, J. et al. (2006) Highlights of organized mental health services in 2002 and major national and state trends. In Mental Health, United States, 2004 (eds. R.W. Manderscheid & J.T. Berry), pp. 200-237. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
21.
Geller, J.L. (2000) The last half-century of psychiatric services as reflected in psychiatric services. Psychiatric Services, 51, 41-67.
22.
General Social Care Council (2004) Press Release Gscc030.04 (17 November 2004): Record Numbers Enthusiastically Enter Social Work Training. London: GSCC.
23.
Gibelman, M. (2004) What Social Workers Do (2nd edition). Washington, DC: NASW Press.
24.
Hanrahan, N., Stuart, G.W., Brown, P., Johnson, M., Draucker, C. & Delaney, K. (2003) The psychiatric-mental health nursing workforce: large numbers, little data. Journal of the American Psychiatric Nurses Association, 9(4), 111-114.
25.
Hoge, M.A., Morris, J.A., Paris, M. Jr. et al. (2005) Workforce competencies in behavioural health: An overview. Administration and Policy in Mental Health, 32(5/6), 593-631.
26.
Huckshorn, K.A. (2005) Personal communication (7 December). Alexandria, VA: National Association of State Mental Health Program Directors.
27.
Huxley, P., Evans, S., Webber, M., & Gately, C. (2005) Staff shortages in the mental health workforce: the case of the dis-appearing approved social worker. Health and Social Care in the Community, 13(6), 504-513.
28.
Institute of Medicine, Committee on Crossing the Quality Chasm (2005) Adaptation to Mental Health and Addictive Disorders. Improving the Quality of Health Care for Mental and Substance Use Disorders. Washington, DC: National Academies Press.
29.
King's Fund (2001) General Election Briefing 12: Staffing in the NHS. London: Kings Fund, Cavendish Square.
30.
Manderscheid, R.W., Atay, J.E., Male, A. et al. (2004) Highlights of organized mental health services in 2000 and major national and state trends. In Mental Health, United States, 2002 (eds. R.W. Manderscheid & M.J. Henderson), pp. 243-279. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
31.
Mental Health Care Group Workforce Team (2004 ) National Mental Health Workforce Strategy August 2004. London: National Institute for Mental Health England Changing Workforce Programme/Trent Workforce Development Confederation.
32.
Moriarty, J. & Murray, J. (2004) Adequacy and Usefulness of Current Routinely Collected Data on Social Work Education. London: Social Care Workforce Research Unit.
33.
NASW Center for Workforce Studies (2006a) Assuring the Sufficiency of a Frontline Workforce: A National Study of Licensed Social Workers. Washington, DC: National Association of Social Workers.
34.
Nasw (2006b) Choices: Careers in Social Work. Washington, DC: National Association of Social Workers. www.naswdc.org/pubs/choices/default.asp (accessed 27 February 2006).
35.
New Freedom Commission on Mental Health (2003 ) Achieving the Promise: Transforming Mental Health Care in America Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: US Department of Health and Human Services.
36.
Pestka, E.L. (2003) Genetic core competencies: exploring the implications for psychiatric nursing. Journal of the American Psychiatric Nurses Association, 9(1), 1-6.
37.
Pestka, E.L. (2004) A psychiatric nursing conference to increase knowledge related to genomics. Journal of the American Psychiatric Nurses Association, 10(6), 290-295.
38.
Sainsbury Centre for Mental Health (1997) Pulling Together: The Future Roles and Training of Mental Health Staff . London: Sainsbury Centre for Mental Health.
39.
Skills for Care (2005) The State of the Social Care Workforce 2004: The Second Skills Research & Intelligence Annual Report. London: Skills for Care.
40.
Vaughan, B. (2001) Nursing care at the end of life. Perspectives in Psychiatric Care, 37(3), 77-78.
41.
Volland, P.J., Berkman, B., Phillips, M., Stein, G. (2003) Social work education for health care: addressing practice competencies. Journal of Social Work in Health Care , 37(4), 1-17.
42.
Weismiller, T.W., Whitaker, T. & Smith, M. (2005) Practice Research Network III Final Report January 2005. Washington, DC: National Association of Social Workers.
43.
White, E. & Brooker, C. (2001) The fourth quinquennial national community mental health nursing census of England and Wales. International Journal of Nursing Studies, 38(1), 61-70.
44.
Wilk, J., Duffy, F.F., West, J. et al. (2004) Perspectives on the future of the mental health discipline In Mental Health, United States, 2002 (eds. R.W. Manderscheid, M.J. Henderson), pp. 17-42. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
