Alice Gleghorn, director of the Department of Behavioral Wellness

Paul Wellman

Alice Gleghorn, director of the Department of Behavioral Wellness

Temporary Psychiatrists Fill Mental Health Void

County Responds to Nationwide Shortage

In response to the worldwide and nationwide shortage of psychiatrists, Santa Barbara County’s Department of Behavioral Wellness is increasingly relying on temporary psychiatrists. Currently, 4.5 of the county’s psychiatrists are full-time civil service employees and 13 are temporary employees. Three years ago, Behavioral Wellness had 7.5 permanent psychiatrists on its payroll. The temp workers sign up for a minimum of three-month shifts. Six-month stints are preferable, said Ole Behrendsten, head of Outpatient Services for Behavioral Wellness, and a year is ideal.

The county pays up to $240 an hour for temporary psychiatric services; that works out to slightly more than the $400,000 a year full-time shrinks are paid (with wages, benefits, and insurance ​— ​none of which are available to temp psychiatrists). Three years ago, the county spent $2.7 million for temporary psychiatrists; the year after that, $4.3 million; and this year, the number is closer to $5 million. Patient advocates have expressed concern that discontinuity of treatment caused problems for Behavioral Wellness clients. Behrendsten acknowledged discontinuity issues were “a real concern,” adding, “Patients don’t want to have to tell their stories over again.” He said the problem was less an issue now than it was two years ago because some temporary psychiatrists have been working for the county two to three years. Patient advocates objected that multiple psychiatrists sometimes lead to multiple diagnoses and abrupt changes in psychotropic drugs prescribed. Behrendsten said the shortage of psychiatrists is a worldwide phenomenon reflecting the relatively low pay psychiatrists receive compared to other medical professionals.

To submit a comment on this article, email or visit our Facebook page. To submit information to a reporter, email

event calendar sponsored by:

You Solve It,’ City Tells County on Library Money Shortage

To avoid financial shortfall, city sends ball back to county's court.

Vigil for Victims in Palestine Held at Courthouse

Community gathers to protest injustice.

Stoker to Be Sworn into EPA Job

Former Santa Barbara County supervisor confirms his appointment as regional head of Environmental Protection Agency.

Live Stream of Channel Island Falcons Makes History

Webcam follows wild peregrine falcon family on the Channel Islands.

Sonos Informs Employees of Potential Layoffs

'Restructuring' could affect 96; how many in Santa Barbara unknown.