What AI can—and can't—fix in behavioral health's labor crisis

Fast Company

23-06-2025

America's behavioral health workforce is in crisis. Burnout is accelerating, waitlists are expanding, and clinicians are transitioning away from the field at alarming rates—not because their passion has diminished, but because the administrative burden has become overwhelming. These departures represent one of the most significant labor challenges in our industry with its impact felt across communities nationwide.
Every week, I talk to leaders running certified behavioral health agencies across the country, and their message is consistent: Leaders aren't seeking technological disruption. They're desperate for breathing room to retain staff, serve more clients, and maintain compliance without drowning in documentation—a fundamental workforce sustainability issue.
When artificial intelligence enters the conversation, many approach it with justified skepticism. This caution stems from two critical concerns: First, behavioral health has endured its share of overhyped technology that promised transformation but delivered frustration; second, and equally important, is the critical issue of regulatory compliance, privacy, and data security in this intensely regulated field.
Documentation: The critical foundation for reimbursement and compliance
In behavioral health, documentation forms the foundation for intake, clinical interactions, reimbursement, compliance, and broader care accountability. Providers rightfully question whether AI-generated notes (where technology assists in creating clinical documentation) will withstand audits or satisfy complex regulatory requirements. AI technology not only facilitates the creation of clinically relevant documentation but also enhances oversight capabilities and ensures full auditability of all generated content.
The daily reality for most providers involves hours of note-taking, repetitive scheduling, and navigating documentation systems never designed for behavioral health's unique compliance demands. We call this 'administrative burden,' but the term fails to capture the resulting exhaustion that drives talented clinicians from the field.
According to a recent study by Google Cloud and The Harris Poll, U.S. clinicians spend nearly 28 hours weekly on administrative tasks—over half of their work week, with 82% reporting burnout. In behavioral health's already resource-constrained environment, this burden often becomes the breaking point for dedicated professionals, contributing to a sector-wide labor shortage.
Find solutions in thoughtful AI implementation
With clinicians overwhelmed with documentation that causes burnout, behavioral health professionals need solutions that work for them. This is where carefully designed AI tools show great promise. Early AI implementations focused on documentation and administrative workflows are demonstrating measurable benefits when developed with clinician input and compliance requirements at the forefront.
Organizations deploying these tools thoughtfully see tangible impact: In our current deployments, clinicians are reporting up to 80% reduction in clinical note-taking time as technology listens and drafts notes in the background. Smart assistants help staff locate resources without interrupting care. Intake workflows become more efficient, shortening the gap between a client's first call and first session. These tools don't put an end to compliance complexity—they help manage it while creating space for providers to be present.
Care gets better when clinicians are supported
I remember hearing directly from a patient that during his initial session, his provider never once made eye contact with him. Instead, they were focused on their computer, furiously typing notes and immersed in updating his electronic health record (EHR).
Fortunately, that's where we repeatedly see that AI can improve care delivery. By removing needless administrative work, behavioral health clinicians have more time to form connections and spend more time with their clients, achieving better outcomes. According to our customers, 50% say they feel more connected to their clients without increasing hours and 60% say they feel more connected to their patients now that they're not documenting during sessions. I also hear from clinicians that they see greater consistency in their care plans with fewer missed handoffs.
These aren't merely efficiency gains, but restoration of human capacity essential for building trust, ensuring continuity, and addressing complex behavioral health needs—all critical factors in workforce retention.
AI won't fix everything
To be clear, AI isn't a silver bullet. It won't resolve funding challenges, address workforce shortages, rebuild trust between providers and policymakers, or guarantee that alternative payment models work effectively for behavioral health.
What it can do is create breathing room and greater capacity by providing clinicians with the margin needed to practice what they are trained for. In a field where every additional hour with a client, every prevented resignation, and every accelerated intake process can transform a life, that support matters profoundly.
3 critical elements for success
For AI to deliver on its promise in behavioral health, it's important to focus on three critical elements: clinical expertise driving development, seamless integration into existing workflows, and evaluation against regulatory standards.
The most effective AI tools are designed with clinicians informing their development, refined with their feedback, and tested against compliance standards and regulations during audits.
Behavioral health needs meaningful innovation—tools that honor the work, alleviate friction, and strengthen the relationship between clinician and client. This will help preserve our essential mental health workforce to our social infrastructure