Mental Health Social Work: Career Overview and Top Challenges (2024)

As the demand for mental health care increases nationwide, social workers play an increasingly significant role in improving mental health services for communities nationwide. According to USAFacts, more than 6,300 mental health providers are currently needed to provide treatment and counseling.

The gap between access and need is widening—never has there been a better time to pursue a career in mental health social work.

What Is Mental Health Social Work?

A clinical social worker focuses on the mental health of their clients and its impact on their daily lives. They work with individuals, families, and entire communities with the goal of optimizing mental health and well-being. A hospital, clinic, or nonprofit organization may employ a clinical social worker. Some work with government agencies to help improve the overall delivery of services.

While all social workers can play a role in addressing mental health, LCSWs are certified to offer targeted mental health services in professional clinical settings. Their additional education and training allow them to diagnose and treat mental health conditions

To become a licensed social worker specializing in mental health, (MSW) degree, complete the associated clinical training, and pass state licensure exams. Many states have unique licensure requirements, which may include completing a certain number of hours of training and taking specific courses. After obtaining licensure, LCSWs can work with government agencies, join other practices, or open independent practices.

What Does a Clinical Social Worker Do to Support Mental Health?

These individuals work directly with clients or patients to assess and improve their overall mental health. Their qualifications and scopes of practice may differ by state, but LCSWs are credentialed to diagnose and treat mental health conditions. A mental health social worker often provides various forms of counseling services.

Typical Clinical Social Worker Salary and Career Outlook

The median annual salary for social workers was $55,350 in May 2022, according to the U.S. Bureau of Labor Statistics (BLS). Specific mental health social worker salaries may be higher depending on experience, geographic location and employment type.

The job outlook for social workers is strong, with the BLS predicting 9% growth between 2021 and 2031. The increasing demand for mental health care services will drive the employment of clinical social workers. Some MSW graduates eventually go on to supervisory and managerial roles, which often come with higher salaries and more responsibilities.

Five Potential Challenges Clinical Social Workers May Face

A mental health social worker career can be extremely rewarding, but not without its challenges. Social workers play a vital role in destigmatizing seeking mental health treatment and accessibility to services. They also face the challenge of addressing co-occurring issues with client mental health, including substance use and other impacts.

1. Community Social Stigmas

The social stigma surrounding mental health services still exists despite in-depth efforts to reduce it. Many clinical social workers find that their clients cope with embarrassment and shame; some even believe that they may lose their jobs or that their families will look down on them for accessing mental health services.

In 2021, a study published in the Journal of the American Medical Association looked at trends in public stigma of mental illness between 1996 and 2018. It found that while the stigma is decreasing regarding depression and substance misuse, it’s still quite high for other mental conditions. Clinical social workers serve on the front line in the fight against this stigma and the resulting discrimination.

2. Lack of Access and Affordability of Services

Mental health services are notoriously expensive in the United States, and while efforts have been made to improve accessibility, much work remains to be done. Health insurance providers—including state Medicaid and Medicare programs—now make mental health care an important part of their coverage. Regardless, many Americans lack adequate coverage, and in an inflated economy, finding the extra money to cover mental health expenses can be tough.

Other factors that may impact accessibility include a lack of transportation, language barriers, and work and family obligations. Social workers can provide complete lists of community resources, counseling, and assistance in gathering the required documentation to qualify for state programs.

3. Drug and Alcohol Misuse or Addiction

Addiction continues to be a significant issue in the United States. The National Center for Drug Abuse Statistics (NCDAS) reports that half of all people ages 12 and older have used an illicit drug at least once, and the United States has had 700,000 overdose deaths since 2000. More than 37 million Americans currently use illicit drugs, representing about 10% of the population.

Despite medications, counseling, in-patient recovery centers, and volumes of research spanning decades, treating addiction effectively continues to be a challenge. Addiction is a multipronged problem that stems from a broad range of physical, mental, social, and emotional issues, meaning that there’s no one-size-fits-all approach to treatment.

Clinical social workers tend to work primarily with individuals and families in low-income communities, which may be at a higher risk of substance misuse issues. Similarly, clinically proven links exist between mental health and substance misuse. Clinical social workers who understand these links and help their clients address emotional and socioeconomic barriers are vital to the fight against addiction.

4. Impact of Social Media

Social media can have a massive influence on the mental health of individuals, families, and communities. For most Americans, social media is part of their daily routines. Though it can provide access to support groups and a sense of belonging, social media can also make people feel more isolated and less happy, even if they don’t consciously draw the connection between the platform and their mental health. For some, these platforms are a source of cyberbullying.

Clinical social workers who are informed about the links between social media and mental health can help their clients by promoting mindful use of platforms such as Instagram, X/Twitter, and Facebook.

5. Racial Discrimination

Racial discrimination is a significant issue in the United States and other parts of the world, and the consequences are far-reaching. A 2023 report published by KFF (formerly known as the Kaiser Family Foundation) noted that 52% of white adults with any kind of mental illness received mental health services in 2021 compared with only 39% of Black adults.

Though prohibitive costs and social stigma affect individuals regardless of race, a lack of empathy and understanding among white mental health clinicians is one of the biggest barriers to care for people of color. Diversity among clinical social workers and a genuine curiosity about how racial and cultural discrimination influence mental health are desperately needed to ensure equity in care.

Change Lives with a Career in Mental Health Social Work

The need for clinical social workers and LCSWs has never been greater. Though individuals in these roles face many challenges in aiding their clients, working to overcome them is both rewarding and fulfilling. Millions of Americans need affordable and accessible services, including trauma-informed care, substance misuse and addiction treatment, and tools for overcoming anxiety and depression.

The online MSW degree program at Florida State University offers the education and experience you’ll need to help resolve the mental health professional shortage and provide the necessary care to people in need. Find out how you can change lives.

Download My MSW Online Program Guide

Recommended Readings

  • Social Work Self-Care: Why It Matters and How to Get Started
  • How to Write a Great Social Work Resume
  • Why Should I Consider a Clinically-Focused Social Work Master’s Program?
Mental Health Social Work: Career Overview and Top Challenges (2024)

FAQs

What challenges do mental health social workers face? ›

Social workers play a vital role in destigmatizing seeking mental health treatment and accessibility to services. They also face the challenge of addressing co-occurring issues with client mental health, including substance use and other impacts.

What are the challenges faced by social workers in social work practice? ›

The evolving landscape of social work presents numerous challenges that social workers need to navigate:
  • Increased Demand for Services: ...
  • Funding Constraints: ...
  • Ethical Dilemmas: ...
  • Burnout and Stress: ...
  • Lack of Recognition and Professional Development:
Jun 6, 2024

What are the problems faced by mental health workers? ›

6 Mental Health Challenges Faced by Mental Health Workers
  • High-Stress Environment. Working in healthcare regularly puts people in a high-stress environment. ...
  • Emotional Exhaustion. Mental health workers are overloaded with work. ...
  • Job-Related Burnout. ...
  • Compassion Fatigue. ...
  • Poor Work-Life Balance. ...
  • Inadequate Self-Care and Support.
Jul 15, 2023

What are three key issues facing people with mental health issues? ›

What's the biggest challenge people with mental illness face?
  • Social interaction.
  • Making yourself a priority.
  • Reaching out.
  • Identifying moods and feelings.
  • Maintaining good routines.
  • Living up to expectations.
  • The unknown hurdles symptoms bring.
  • Planning and navigating the world.
Jul 6, 2018

What is the most difficult part of being a social worker? ›

Social workers often care deeply about their clients and may become frustrated if there are limited resources available to help them. These professionals may work with clients who feel angry or upset about their situations.

What are the biggest issues in social work right now? ›

Grand Challenges for Social Work
  • Ensuring that children have the resources to prevent and receive treatment for behavioral, emotional, and mental health issues.
  • Closing the healthcare gap so that underserved and impoverished communities have access to basic healthcare resources.
Jan 23, 2024

What is a challenging situation in social work? ›

Challenges Social Workers Face. Addressing addiction. Placing the homeless in housing. Tackling discrimination. Helping the incarcerated transition.

How to overcome challenges in social work? ›

The first step to overcoming barriers is to identify and assess them. Social workers need to use their assessment skills to gather relevant information about the client's situation, needs, goals, strengths, and challenges.

What is the biggest challenge facing mental health professionals today? ›

Consider the following five challenges that mental health counselors face today.
  1. A Lack of Support. ...
  2. President Barack Obama's Health Care Law. ...
  3. A Lack of Funding. ...
  4. No Minimum Standards. ...
  5. Other Challenges.

What are the top 3 mental health challenges? ›

According to the Centers for Disease Control and Prevention (CDC), roughly 1 in every 5 Americans is currently living with a mental illness. Of those, the three most common diagnoses are anxiety disorders, depression and post-traumatic stress disorder (PTSD).

What is the overview of mental health? ›

Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood.

How many social workers struggle with mental health? ›

The social workers in the study worked in all areas of the profession including child welfare, gerontology, and mental health. In most of the social workers who responded, the study found 73% of the respondents had elevated levels of emotional exhaustion. One and four (26%) reported high-level of depersonalization.

What challenges do you think you might face when working in the mental health field? ›

11 Common Challenges That Counselors & Therapists Face
  • Finding work-life balance.
  • Client resistance and lack of engagement.
  • Multicultural competence.
  • Vicarious trauma and secondary traumatic stress.
  • Professional development.
  • Burnout.
  • Confidentiality and ethical dilemmas.
  • Crisis intervention.
Jul 26, 2023

What can be some difficulties working with clients with mental health issues? ›

Depending on their particular condition, they may be unwilling to accept responsibility, unable to remember agreements, untrustworthy, difficult to understand, inconsistent with discipline, poor at keeping appointments, and unpredictable emotionally (Schlosberg & Kagan, 1977).

What are some difficulties working with clients with mental health issues? ›

Depending on their particular condition, they may be unwilling to accept responsibility, unable to remember agreements, untrustworthy, difficult to understand, inconsistent with discipline, poor at keeping appointments, and unpredictable emotionally (Schlosberg & Kagan, 1977).

What is a social worker's role in mental health? ›

Mental Health Social Worker Job Description

Establishing rapport and building relationships with clients. Assessing clients' mental health needs. Researching mental health resources for clients, such as substance abuse rehabilitation programs and suicide prevention resources.

Is mental health social work stressful? ›

Like healthcare workers, social workers are susceptible to burnout. Due to services in stressful and complex situations, social workers are more at-risk for chronic stress resulting in burnout.

Do social workers have a higher risk of behavioral health issues? ›

More often than not, they are also social workers. With social workers leading the way for mental health care, it's sometimes easy to assume they are immune to mental health challenges. However, social work comes with its own set of unique mental health stressors.

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