OPEN MINDS, The Behavioral Health & Social Service Industry Analyst From the Experts There are a number of factors at play in the field right now that are prompting behavioral health and social service organizations to re-energize their efforts around assessing and improving staff productivity. The market is changing in sweeping and significant ways, including: Declining reimbursements Increasing financial risk Rising costs and labor shortages Increased competition Increased accountability Declining Reimbursement