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Medicare Item 319 after 10 years: a range of concerns

Gil Anaf1, Paul Jewell

  • 1Chair Adelaide Institute for Psychoanalysis, President National Association of Practising Psychiatrists, Adelaide, SA, Australia.

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
|September 11, 2007
PubMed
Abstract

Insights

Restrictions on long-term psychotherapy under the Commonwealth Medicare Benefits Scheme (CMBS) negatively impact patient access, self-esteem, and privacy. The risks of CMBS Item 319 outweigh its unproven communal benefits.

Area of Science:

  • Health policy analysis
  • Psychotherapy research
  • Medical economics

Background:

  • The Commonwealth Medicare Benefits Scheme (CMBS) introduced restrictions on long-term intensive psychotherapy and psychoanalytic treatment.
  • These restrictions were intended to yield communal benefits, but their impact on patient welfare requires re-examination.

Purpose of the Study:

  • To conduct a risk-benefit analysis of CMBS restrictions on psychotherapy.
  • To evaluate the impact of these restrictions on patient access, self-esteem, and privacy.

Main Methods:

  • Risk-benefit analysis of CMBS policies.
  • Examination of the Global Assessment of Functioning Scale and CMBS Item 319.

Main Results:

  • CMBS restrictions pose risks to patient access, self-esteem, and privacy.
  • The application of the Global Assessment of Functioning Scale and CMBS Item 319 carries significant risks.

Conclusions:

  • The risks associated with CMBS Item 319 are not justified by demonstrable communal benefits.
  • Current CMBS policies may inadvertently harm patients by limiting access to essential long-term psychotherapeutic treatments.

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