Hospital CEOs List Behavioral Health Among Top Concerns

Behavioral health and addiction issues were among hospital CEOs’ top concerns in 2019, according to a new survey. 

The American College of Healthcare Executives (ACHE) asked 1,481 community hospital CEOs from across the country to rank 11 issues based on how much they were impacting the CEOs’ organizations.

Nearly 400 CEOs responded to the survey, listing behavioral health and addiction issues as the third biggest concern overall of the 11.


Financial challenges and personnel shortages — the latter of which is a particular concern for the country’s behavioral health care providers — were ranked first and second, respectively.

In all, 395 respondents participated in the survey.

In addition to being asked to rank their top concerns, they were also asked about pain points they had regarding behavioral health and addiction services specifically. The biggest behavioral concern respondents cited was the lack of appropriate facilities and programs in communities, which 81% of CEOs identified as a concern.


Other behavioral concerns included:

  • Lack of funding for addressing behavioral health/addiction issues (73%)
  • Insufficient reimbursement specifically for behavioral health/addiction services (67%)
  • High volume of opioid addiction and related conditions (56%)
  • Legal/regulatory framework limiting treatment options (35%)

Behavioral health and addiction services concerns were added to the the annual survey for the first time in 2018.

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