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Mental-health Needs Continue

By Contributor March 29, 2023

By Negar Beheshti, MD

The emergency declaration of the COVID-19 pandemic may end on May 11, depending on the specific policies and guidelines of each country or region. However, the mental-health needs of individuals affected by the pandemic are likely to continue long after the official declaration ends.

The COVID-19 pandemic has caused significant stress and uncertainty for many people, including social isolation, financial difficulties, and concerns about health and safety. These stressors can take a toll on mental health, leading to symptoms of anxiety, depression, and other mental-health issues.

While the end of the pandemic may bring some relief, it is important to recognize that the mental-health impacts of the pandemic may be long-lasting. Therefore, it is essential to continue to prioritize mental healthcare and support, both for those who have been directly affected by the pandemic and for the general population.

This can include accessing mental-health services, practicing self-care strategies such as mindfulness and exercise, and seeking support from friends, family, or mental-health professionals as needed. By taking steps to address their mental health, individuals can promote their overall well-being and resilience in the face of ongoing challenges.

Mental Health America’s 2023 ranking of states in terms of higher access to mental healthcare shows Massachusetts continues in a top position. The Commonwealth, which has made access a priority through its recent creation of Community Behavioral Health Centers, ranks second, as it did in 2022, in terms of such markers as access to insurance, treatment, and quality and cost of insurance.

Lack of affordability and lack of access are consistently among the barriers cited in seeking mental healthcare, so it is good to see the state maintain its ranking on access in comparison to other states. Massachusetts, through its Roadmap for Behavioral Health Reform, is working to reduce these barriers, and we here at MiraVista are proud that our opening nearly two years ago in the middle of the pandemic created additional inpatient psychiatric beds in the state for both adults and youth, as well as expanded inpatient treatment for substance use.

Still, the need for increased mental-health services — and the funding to support them — to meet demand continues both in the state and nationally.

The pandemic brought attention to the existing gaps in mental-health services and has spurred efforts to address them. It is crucial to recognize that the need for mental-health support and resources continues to exist post-pandemic, and individuals should be encouraged to seek help and support whenever necessary.

Our experienced clinicians deliver patient-centered and evidence-based care, helping those with mental-health and substance-use conditions to find their road to recovery in order to live a fulfilling life.

Dr. Negar Beheshti is the chief medical officer for MiraVista Behavioral Health Center in Holyoke and its sister hospital, TaraVista Behavioral Health Center, in Devens. For more information on MiraVista’s psychiatric services, visit www.miravistabhc.care.

Wilbraham Addressing Needs of Local Seniors

By Contributor August 18, 2021

Community Spotlight

By Mark Morris

Bob Boilard says infrastructure improvements, including a broadband plan for the town, have moved forward during the pandemic.

Robert Boilard credits people in town working together as the reason Wilbraham has come through the pandemic so far with minimal impact on the community.

“We incorporated our protocols early and have been very fortunate that most people have remained safe from COVID,” said Boilard, who chairs the Wilbraham Board of Selectmen.

Officials from the Police and Fire departments, as well as the town’s public-health nurse, provide weekly updates to the selectmen of the number of positive cases, illnesses, and hospitalizations so they can continue to closely monitor the community’s health.

Boilard pointed to a new DPW garage and a storage facility for the Parks and Recreation department as two projects the town was able to complete during the pandemic. As a community that has received funds from the American Rescue Plan Act (ARPA), the board is hoping to use the money on water-infrastructure projects and expanding broadband internet.

“We have a master plan to install broadband throughout Wilbraham,” Boilard said. “This is a project that will be ongoing for the next few years.”

Another big project on the horizon involves a new senior center. On Oct. 18, Wilbraham will hold a special town meeting to discuss building the facility behind Town Hall. Paula Dubord, the town’s director of Elder Affairs, said she and others have led a 10-year effort for a senior center that can better accommodate the community’s growing senior population.

“Our current location is in a lovely building, but the space is only 3,840 square feet,” Dubord said. “With more than 4,000 seniors in town, it’s just too small.”

The drive for a new senior center began in 2012 with a study committee, which concluded the existing senior center did not meet the town’s needs, even at that time. Next, a feasibility committee was formed and brought in an architect to do a deep dive on what made sense for a new facility. After seven years and consideration of nearly 40 different sites in Wilbraham, the feasibility study recommended building a new structure on municipally owned land behind Town Hall. October’s town meeting will give residents a chance to vote on that recommendation.

“Our current location is in a lovely building, but the space is only 3,840 square feet. With more than 4,000 seniors in town, it’s just too small.”

There were some in town who pushed for locating the new senior center in an available former school. Dubord said the senior center has been located in old schools twice before, and it’s an approach that just doesn’t work.

“The experts who took part in the feasibility study told us a new building was a more practical way to meet the current and future needs for Wilbraham residents,” he said.

Booming Population

When the study committee began its work in 2012, members looked at the potential growth in the over-60 population in Wilbraham.

“We projected that, by 2025, nearly 40% of our town — with a population of nearly 15,000 — will be considered a senior,” Dubord said. “We are very close to that projection right now.”

As Wilbraham residents age, she added, many of them say they prefer to stay in their own home or move to one of the 55+ communities in town.

In its current location, more than 100 residents visit the senior center every day. Dubord emphasized that the real goal of the center is to keep people socially connected. Last March, when the pandemic forced the center to shut down, she and her staff quickly found new ways to stay connected with local seniors.

“We immediately started grocery shopping for people and picking up essential items like masks and toilet paper — both of which were hard to get in the beginning — as well as their prescription medicines,” she said.

The staff at the center put their full focus on meeting the needs of Wilbraham seniors, she added. “Because everyone was isolated, we did lots of phone check-ins with people to keep them engaged.”

In the spring, when vaccines first became available for people 65 and older, Dubord and her staff helped seniors sign up online to receive their shots when the state made them available at the nearby Eastfield Mall in Springfield.

“The registration process was not easy for seniors to complete, so we became like vaccination headquarters,” she said. “Because we had done a number of them, our staff was able to quickly get people registered for their shot.”

Dubord estimates they helped nearly 400 residents sign up for the initial vaccine offering. Later, the senior center hosted its own vaccine clinic run by staff from the Public Health and Fire departments.

Grace Barone says Wilbraham businesses are looking forward to getting back to some semblance of normalcy.

“Through all those efforts, we are confident that everyone who wanted to get a shot was able to get one,” she said.

Like many senior centers in the area, Wilbraham also offed a grab-and-go lunch program when it could not open the center for meals. “The real plus to the grab-and-go was it introduced us to people we’ve never seen before at the senior center,” Dubord said.

Happy to open the doors at the senior center almost three months ago, she said having someplace to go gives people a purpose and plays a key role in our health as we age.

“Many of our seniors live alone, so the center is important because it gives them access to vital community services and for the social connections they make,” she noted. Indeed, according to a Harvard Health study, the negative health risks of social isolation are comparable to smoking and obesity, increasing mortality risk by up to 30%.

Wilbraham at a glance

Year Incorporated: 1763
Population: 14,868
Area: 22.4 square miles
County: Hampden
Residential Tax Rate: $22.96
Commercial Tax Rate: $22.96
Median Household Income: $65,014
Median Family Income: $73,825
Type of government: Board of Selectmen, Open Town Meeting
Largest Employers: Baystate Wing Wilbraham Medical Center; Friendly Ice Cream Corp.; Big Y; Home Depot; Wilbraham & Monson Academy
*Latest information available

While a new senior center can address the needs of Wilbraham’s growing elder population, Dubord said the plan is for the new building to also house services for veterans in town.

“There are benefits for the new center beyond seniors,” she explained. “The larger space can be used by Boy and Girl Scouts, as well as women’s groups or other organizations in town.”

Moving Forward

Gradual easing of COVID-19 mandates is also good news for Wilbraham businesses. Grace Barone, executive director of East of the River Five Town Chamber of Commerce, noted that, like everyone else, Wilbraham businesses are looking forward to something resembling business as usual once again.

She pointed to a recent annual meeting of the chamber which more than 130 members attended in person while others joined remotely as an example of gradually getting back to attending events while still staying safe.

“The chamber’s golf tournament at the end of September is another way to get back to networking and taking advantage of the outdoors while we can,” she added.

New to her role at the chamber, Barone has been in the job since late June after working with the Keystone Commons retirement community in Ludlow for the last five years.

“I’m hoping to take what we’ve learned from the past 18 months to help our businesses succeed going forward,” she said. “It’s going to take some time, but we can get there together.”

Boilard shares Barone’s optimism about the future.

“It’s awesome to see how well everyone works together,” he said. “From boards to community groups, they are all focused on making Wilbraham a better place to live.”

New Inpatient Beds Will Meet a Long-time Regional Need

By Joseph Bednar April 14, 2021

Health Care

Mental Block

The health anxieties, economic stresses, substance abuse, and feelings of isolation exacerbated by COVID-19 aren’t exactly new, Dr. Barry Sarvet says. And they won’t fade when the pandemic does.

“Prior to the pandemic — and it’s easy to forget this now — we had an enormous amount of stress in our communities related to poverty, homelessness, economic struggles … people just facing an enormous amount of stress in their lives,” said the chair of Psychiatry at Baystate Health. “We had underemployment, unemployment, an opioid epidemic. It’s a very distressed community with a lot of long-term struggles, a lot of psychosocial stress. Every psychiatric disorder is influenced by environmental stresses, and those aren’t getting better. We need to pay more attention to them after the pandemic.”

Well before COVID-19, Sarvet noted, the region’s mental-health needs laid bare a shortage of inpatient beds for patients who need more help than outpatient visits can provide. It’s why Baystate announced a joint venture with Kindred Behavioral Health last summer to build and operate a $43 million behavioral-health hospital for the region, set to open in 2022. The hospital will be located on the former Holyoke Geriatric Authority site on Lower Westfield Road in Holyoke.

Dr. Barry Sarvet

“Every psychiatric disorder is influenced by environmental stresses, and those aren’t getting better.”

Holyoke Medical Center (HMC) had revealed a similar proposal in March 2020 to build a $40.6 million, 84-bed behavioral-health facility on its campus. But when Baystate’s plans came online, and the threatened closure of 74 inpatient beds at Providence Behavioral Health Hospital were saved by a change in ownership, HMC reverted to an earlier plan, to repurpose two of its existing units for behavioral health.

“We were concerned about providing a solution to get beds online as the state was developing guidelines for all hospitals to incentivize an increase in behavioral-health beds,” said Spiros Hatiras, president and CEO of HMC and Valley Health Systems.

The process of converting two units to behavioral health — an adult unit and one with a likely geriatric focus — began in October and will be finished by late April, and will add 34 new beds to the existing 20 at the hospital, more than doubling the total to 54. In doing so, it provides a more immediate solution to regional bed shortages, avoiding the need for a lengthy construction period (HMC’s new hospital was also expected to open in late 2022).

The internal repurposing of units had been conceived as a stopgap measure, but when Trinity Health announced the sale of Providence to Health Partners New England (HPNE), which committed to keeping inpatient beds open — and Baystate moved forward with its project — the stopgap made sense as a longer-term solution, although HMC could revisit a standalone behavioral-health hospital at some point in the future, Hatiras said.

Baystate’s project, meanwhile, will include 150 beds — 120 of them part of the original plan. The system has also contracted with the state Department of Mental Health to operate a 30-bed, long-term continuing-care unit for chronically mentally ill people who need a longer time in the hospital to stabilize before returning to the community, Sarvet explained.

This state-funded program, not accessible to regular referrals, was launched after the closures of Northampton State Hospital and other facilities like it. “Some patients need longer-term care, and this offers a length of stay to support people who don’t benefit from short-term hospitalization,” Sarvet said, adding that the DMH unit will be physically connected to the new hospital, but offer its own unique resources.

“New beds will be needed over the long term,” he said, speaking of the project as a whole. “We have had quite a shortage for many years, prior to the potential closure of Providence and prior to the pandemic. This substantial increase in needs is reflected in emergency-room visits from patients with a mental-health crisis. And we certainly see evidence that this isn’t a short-term blip, but part of a longer-term trend that predated the pandemic.”

Multiple Pivots

The prospect of any additional behavioral-health beds in the region is certainly a turnaround from a year ago, when Trinity Health announced it would close 74 inpatient beds at Providence Behavioral Health Hospital.

However, two months ago, the health system sold Providence to HPNE, which provided some management services at the facility from 2011 to 2014, and will operate the facility under the name MiraVista Behavioral Health. In doing so, it will resume operations of numerous outpatient programs, as well as including up to 84 inpatient psychiatric beds.

Spiros Hatiras

“We were concerned about providing a solution to get beds online as the state was developing guidelines for all hospitals to incentivize an increase in behavioral-health beds.”

“At the time we put forth the plan to build a new behavioral-health hospital, everyone else had pretty much abandoned any behavioral-health expansion,” Hatiras told BusinessWest. “People were shrinking programs; Providence was closing down their campus, and Baystate had put their plans on hold indefinitely. We decided we needed to do something to service the region. Since then, Baystate resurrected their plan to develop the old Geriatric Authority site.”

The recent moves come as no surprise at a time when state health officials have been incentivizing hospitals to open up behavioral-health beds in the wake of a sharp increase in cases due partly to the pandemic.

However, “we had a concern that what seemed like no beds could potentally become too many beds,” Hatiras explained. He disagrees with Marylou Sudders, secretary of Health and Human Services for the Commonwealth, who has said there can never be too many beds because the state has so many needs. Rather, he noted, “demand may be greater now than it will be a year from now as we move away from the pandemic spike; we might see demand go down.”

Two other factors, both geographic, also played into the decision to scale down HMC’s behavioral-health expansion. One is that HMC, Baystate, and Providence would have been providing around 225 beds within a three-mile radius of each other, and though the need for services is great statewide, there’s only so far patients and families will be willing or able to go to seek access to treatment — not to mention the difficulty of recruiting more physicians, nurses, and ancillary staff to such a concentrated area.

“We might find ourselves very quickly in a situation where we might not be able to staff those beds. Can we attract staff to this area? That’s always been difficult for Western Mass.,” Hatiras said, another reason why a smaller-scale project makes sense right now.

“I’m optimistic about the units we’re building coming online quickly and providing some relief,” he said. “It’s a good project, and we have a good track record in behavioral health. We know we can run it well, and the state has been very enthusiastic about it. I think we’re in really good shape.”

While the standalone hospital proposal is ‘parked’ for the moment, not abandoned completely, HMC has to be sure something of that scale would be both necessary and practical before moving forward, Hatiras added. “We’re a small community hospital. A project can’t be something that may or may not succeed financially; we can’t take a $45 million risk.”

Baystate currently has 69 behavioral-health beds at three of its affiliate locations: 27 at Baystate Wing Hospital, 22 at Baystate Franklin Medical Center, and 20 at Baystate Noble Hospital. When the new facility opens next fall, these three locations will close. A fourth location, the Adult Psychiatric Treatment Unit at Baystate Medical Center (BMC), which accommodates up to 28 medically complex behavioral-health patients, will remain open. Kindred Healthcare will manage the day-to-day operations of the behavioral hospital.

Sarvet firmly believes Baystate will able to fully staff the new venture.

“We do have a nursing shortage, so this will present a challenge, but I don’t think it’s insurmountable,” he told BusinessWest. “We’ll work very hard to include people from the region and hire locally, but we might need a wider net to bring people in. We are very confident we’ll be able to be successful.”

Not Waiting Around

In fact, all the local players in the inpatient realm of behavioral health need to be successful, Sarvet noted. For example, suicide rates are increasing, as are instances of anxiety and depression, including in young people (see story on page 4). Meanwhile, the workforce of psychotherapists and clinicians in outpatient settings haven’t been operating at full capacity — again, partly due to the pandemic and the shift to remote treatment settings.

Like HMC, Baystate isn’t waiting for a new building to expand certain aspects of behavioral care. It will open a 12-bed child unit at Baystate later this month, which will expand to a 24-bed unit in the new hospital next year, in response to a shortage of beds specifically for that population. “We see a large number of kids taken care of on medical floors, waiting for beds, up to several weeks,” Sarvet said.

All this movement is positive, Hatiras noted, though he does wish that leadership from HMC, Baystate, and Providence had engaged in deeper conversations about the region’s long-term behavioral-health needs and how to meet them before the recent rush of project launches and changes, bed closings, and ownership transitions.

“Let’s talk as a regional team and determine what makes sense for the region,” he said. “That still has purpose now. Let’s decide what makes sense in these areas before we build 250 beds and can’t staff them, or half of them sit empty.”

For his part, Sarvet agrees that the meeting the region’s inpatient behavioral-health needs is not a solo effort. “We don’t want to win the battle; we want all hospitals to be staffed. We’re in a friendly competition, and we want everyone to win.”

Joseph Bednar can be reached at [email protected]

New Psychiatric Approaches Promise to Better Meet Growing Needs

By Contributor November 10, 2020

Health Care

What’s Next in Behavioral Health

By Barry Sarvet, M.D.

As a science-fiction fan, I would love to be able to travel in time to see into the future of psychiatry. But, of course, the future isn’t really knowable and depends in large part on the choices we make. A more useful and realistic approach is for us to envision a possible future based on our awareness of the most urgent needs in the field, and to assume linear progress from the current state of our scientific knowledge and discovery.

Barry Sarvet

In my opinion, the two most compelling needs within the field of psychiatry are the need for more effective, safe, and reliable treatments for the subset of psychiatric patients who don’t respond optimally to current treatments, and the need to make psychiatric care more accessible and equitable for everyone who suffers from mental-health conditions.

Depression is one of the most common psychiatric illnesses, affecting 7.1% of all adults and 13.3% of adolescents in the U.S. Severe depression is a potentially deadly illness, and suicide is a leading cause of death in this country. Although we already have a host of effective treatments for depression, between 10% and 30% of patients do not respond favorably to treatment. However, ongoing advances in our understanding of the neurobiology of mental illnesses in recent years have led to a number of novel biological treatments for treatment-resistant depression and other psychiatric conditions.

One recently developed treatment that has shown great promise with treatment-resistant depression is repetitive transcranial magnetic stimulation (rTMS). Available at Baystate, rTMS is a non-invasive procedure in which focused pulses of electromagnetic energy are applied to specific regions of the brain resulting in increases in blood flow and metabolic activity. rTMS belongs to a branch of psychiatric treatment referred to as psychiatric neuromodulation. We expect to see further development of this branch in coming years, particularly because of the encouraging observations of clinical effectiveness and safety of this type of treatment for patients whose conditions have not responded to conventional medications.

Other biological psychiatry advancements on the horizon include the development of medications targeting receptors for neurotransmitter systems (such as glutamate and NMDA) which have recently been implicated in the pathophysiology of depression and other psychiatric illnesses. We are also seeing a renaissance of research activity studying the use of so-called psychedelic drugs in combination with talk therapy to induce states of consciousness in which patients may find it easier to change well-worn patterns of thinking associated with psychiatric illnesses such as PTSD, anxiety, and depression.

Lastly, on the biological front, advances in the understanding of genetic variability in metabolism and responsiveness of the nervous system to psychiatric medications promise to usher in an era of personalized medicine in psychiatry, allowing psychiatric clinicians to select effective and tolerable medication treatments for patients without having to go through a trial-and-error process.

Even more important than advances in biological psychiatry is the need for progress in making psychiatric treatment more accessible to everyone who needs it. Currently, a majority of patients with mental illness do not receive any treatment at all, and for many more, treatment is delayed. In fact, many patients with untreated mental illness, disproportionately persons of color, end up in the criminal-justice system because of a lack of access to care.

In recent years, we have seen steady reduction in stigma surrounding mental illness and increased acknowledgment of the importance of mental health across society. Baystate’s recently announced plan for the development of a new, state-of-the-art psychiatric hospital facility for our region reflects the growing recognition of the importance of improving access to behavioral healthcare.

This new facility is just one component of a comprehensive strategy which needs to be executed in partnership with the whole community to improve access to all levels of mental healthcare and address persistent racial and socioeconomic disparities in access to care. Some of the components of this strategy includes work we have been doing at Baystate to embed mental-health services into our primary-care services. In addition, our development of new training programs for psychiatrists and child and adolescent psychiatrists have established a pipeline for enhancing the psychiatric workforce in our region.

We also will see continued use and improvement in telehealth models of psychiatric practice, which, of course, have dramatically grown in response to the pandemic, and have proven to be an important tool in reducing geographic barriers to access to care.

Dr. Barry Sarvet chairs the Department of Psychiatry at Baystate Health.

Report Details Region’s Workforce Needs — and How to Meet Them

By Joseph Bednar January 7, 2020

Features

Training Ground

In all of the region’s key economic sectors, such as healthcare, education, and manufacturing, organizations say, almost with one voice, that the number-one barrier to growth is finding and keeping talented workers — a task made even more difficult at a time of historically low unemployment. BusinessWest sat down with one of the Pioneer Valley’s leading workforce-development voices to discuss an evolving, long-term blueprint to meet those needs — and grow the economy even further.

Healthcare. Education. Advanced manufacturing.

In any conversation about the economic character of the Pioneer Valley — both its rich past and promising future — those three sectors would be high on the list of key factors.

Indeed, a late-2018 report produced by the MassHire Hampden County Workforce Board and the MassHire Franklin Hampshire Workforce Board calls them ‘priority industries,’ meaning the most important to the region’s economic success, and they form the basis of a comprehensive ‘labor-market blueprint’ which aims to narrow workforce talent gaps and help companies — and the overall economy — grow.

A new report, issued just a few weeks ago, follows up on that blueprint, outlining the many ways employers, economic-development agencies, vocational and technical schools, area colleges, and other entities have partnered to do just that.

Needless to say, it’s a daunting challenge, said David Cruise, president and CEO of MassHire Hampden County.

“What we’re doing at the moment is actually going in and implementing the goals and strategies we laid out in the blueprint,” he explained. “One of the priority works we did was to identify, through looking at both supply and demand data, the three priority industries in Pioneer Valley region.”

Beyond healthcare, education, and manufacturing, however, the blueprint also identifies four other critical industries: business and finance; professional, scientific, and technical, including information technology (IT); food services and accommodation, which takes into account the impact of MGM Springfield; and sustainable food systems, a growing sector particularly in Franklin and Hampshire counties.

“We have been working pretty carefully within those seven industries, trying to collect data, trying to make certain the programs we run are consistent with that data,” Cruise said.

The priority industries have two things in common, he noted: long-term growth opportunities for individual companies and the sectors as a whole, and clear career pathways, where people cannot just land entry-level jobs, but steadily progress in their career from there.

“That’s why we’re spending a significant amount of time — and we’re very excited about the work we’re doing — with our regional education partners to make certain they’re developing programs and courses that align with those occupations, within those priority industries, that will allow someone to take courses and get into programs where there’s a pathway that will allow them to, yes, get a job, earn more money, and take care of their families, but also be able to see some pathway forward. That’s what we’re really focused on.”

It’s another way of looking at the value of retention, he added, which allows companies to avoid the time and cost of losing employees and training replacements, but also helps individuals gain career stability and establish deeper roots in the region.

“How do we put in place opportunities that will allow workers, both new and incumbent, to be able to move forward in these companies and in their occupation?” he asked. “That’s how you drive economic growth.”

Getting Resourceful

In the Pioneer Valley, Cruise noted, job growth isn’t generated by a few massive companies.

“We certainly have some publicly traded companies, some large companies, but the growth in the region is really being driven by small and medium-sized enterprises. And we want to support those companies because they don’t necessarily have all the resources they need. They struggle when they can’t retain folks; it becomes a tremendous cost factor for them, spending all that time recruiting and not being able to retain their recently hired folks. We have a significant commitment to try to work with those small to medium-sized companies throughout the Pioneer Valley.”

One way the MassHires do so is through partnerships with numerous vocational and technical high schools offering a wide variety of programs, most of them aligned with the priority initiatives outlined in the blueprint, he noted — not to mention the three community colleges in the Pioneer Valley.

The more recent report on blueprint progress examines programs at the voke-tech schools and community colleges — and Westfield State University — and how their programs connect with priority industries.

David Cruise says today’s successful small to medium-sized business understands the importance of community partners like colleges and economic-development entities.

“We did an analysis of the educational programs and pathways and courses that are really aligned with these occupations within these priority industries,” Cruise said. “We’re asking, ‘where are the gaps?’”

The blueprint creators took particular interest in specific ‘priority occupations’ currently in demand. In healthcare and social assistance, these include social- and human-service assistants; direct-care workers such as registered nurses, nursing and medical assistants, and personal-care aides; and clinical workers such as dental hygienists, pharmacy technicians, medical records and health IT; physician assistants; and physical and occupational therapists.

In education, priority occupations center on educators at all levels, including vocational-technical, STEM, and trades, as well as teachers’ assistants. In manufacturing, the key jobs include supervisors, production workers such as CNC operators and machinists, and inspectors, testers, and quality-control workers.

The report — which provides plenty of detailed evidence that training and degree programs are available in all these fields — will be updated every two years, with the hope that such programs will continue to expand and adapt to evolving workforce needs.

“We’re trying to fashion a regional workforce response as opposed to trying to fashion a workforce response in Hampden County or in Hampshire-Franklin. We want to look at a regional response,” Cruise said. “We think it makes more sense, and we have a better chance at mitigating the supply gap if we combat it that way.”

One important evolution concerns apprenticeships, he added. “We’ve been very aggressively involved in developing registered apprenticeships in healthcare and advanced manufacturing. We have about 74 apprentices involved in programming in the area right now, which is significant. A year and a half ago, we had 16. We’re being very careful about making certain the funding that we have and how we deploy the money is clearly aligned with where the employers are telling us the demand is.”

The two Pioneer Valley MassHires also connected with the MassHire Berkshire Workforce Board to produce yet another study, this one taking a five-year outlook on workforce needs in manufacturing — again, focusing in on key careers, including machinist, CNC operator, quality control, supervisor, and CNC programmer.

“We did an analysis of the educational programs and pathways and courses that are really aligned with these occupations within these priority industries. We’re asking, ‘where are the gaps?”

“We’re focusing our work — at least in this industry — around two things,” he explained. “One is trying to be certain the incumbent employees in our regional companies have the skills they need to be technologically relevant and be able to work in these spaces. But the ongoing concern is, where do we find entry-level CNC operators? In most of these companies, they’re resourceful enough and do enough internal training and continuous improvement where they can deal with some of these areas, like machinists and CNC programming. Where they really struggle is getting entry-level people, particularly operators, to come in.”

To address that need, MassHire is launching three training programs in February that should yield an additional 45 workers to join local companies.

“Even though we’re excited about it, that, in itself, is certainly not going to solve all the problems of supply and demand,” Cruise went on, noting, again, that manufacturing faces the same supply challenges as healthcare and education. “In all these industries, the demand is there. We’re trying to figure out ways we can increase the supply chain so we can minimize this supply gap in all three of these areas.”

Making Connections

One intriguing development involves making connections with comprehensive high schools in the region, Cruise told BusinessWest, recognizing that the state has been innovative in making career-development opportunities available to non-vocational high schools.

“We’re doing a lot of work with these school districts. They’ve made a decision that they want their students to have career-awareness and career-focus opportunities that will allow their students to look at different career pathways. Whether they’re going on to a two- or four-year college or directly to work, they want them to be more knowledgable about what those requirements are, what the pathways look like.”

To that end, the regional workforce boards have sent information to area superintendents about hiring needs and opportunities in the priority sectors and what students need to do to access them.

“In the next few weeks, we’ll send more information to the schools that will be very helpful to superintendents, counselors, and teachers, to help them provide guidance to their students — and also the parents — around career pathway opportunities. We’re really excited about that, and I’m convinced that, over time, students and parents will be making better career decisions.”

At the end of the day — any day — the main workforce challenge for businesses is simply finding the right talent and hanging onto it.

“The people who are able to work and want to work, in a lot of cases, have found employment, yet that supply gap is still there at our two career centers and the one in Greenfield as well,” Cruise said. “We continue to get customers coming in, but the customers that are approaching us need some additional supports and services before we feel they’re able to secure employment and particularly retain employment.”

Meanwhile, he noted, employers find they’re spending more resources than they’d like onboarding individuals they don’t retain over the long term.

“So we’re trying to find ways at our two one-stop centers to talk with our customers, look at the barriers that are the reasons they are not in the labor force, and try to use our community organizations and resources to do the best we can to mitigate some of those barriers.”

Sometimes it’s a simple lack of soft skills, or employability skills, that cause matches to fail — people not reporting to work, or people not having the ability to work in a team concept, he explained. “We can at least put the job seekers that approach us in a better position for companies to retain them. It’s hard work because many folks who are not in the labor market have more than one barrier that has to be mitigated, and that requires significant allocation of resources and time and staff to be able to do that. But we have to do that; that’s our job.”

Many employers say they can train for aptitude, but not attitude. “The employers we work with are saying to us, ‘send me someone who has the aptitude and willingness to learn, who’s going to be here every day, on time, and is going to be willing to accept the instruction we give them, be able to accept constructive criticism when it’s given,’” Cruise said. “Again, it’s something we’re pretty laser-focused on.”

MassHire is fortunate, he added, to work in a region full of companies, mostly small, that understand the value of partnerships and are willing invest time and resources in working with the workforce boards and colleges.

“The whole concept of going alone isn’t going to work anymore,” he said. “You have to figure out a way to be in some collaborative partnerships where you can leverage resources, look at your assets, identify your gaps, and put in place opportunities and programs that will respond to that. We do that well out here. I’m not suggesting it’s not done well in other places, but we think we have a little bit of a copyright on that.”

Joseph Bednar can be reached at [email protected]

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