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Australia's Better Access initiative: an evaluation.

Jane Pirkis¹, Maria Ftanou, Michelle Williamson

¹Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, The University of Melbourne, Melbourne, Victoria 3010, Australia. j.pirkis@unimelb.edu.au

The Australian and New Zealand Journal of Psychiatry

|September 6, 2011

Summary

Australia's Better Access initiative improved mental health care for over 880 patients with depression and anxiety. The study found significant reductions in psychological distress following treatment, indicating the program effectively meets community needs.

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Area of Science:

Mental Health Services Research
Health Economics
Clinical Psychology

Background:

Australia's Better Access initiative provides Medicare rebates for mental health services.
Debate exists regarding the effectiveness of Better Access due to limited evidence.
This study profiles Better Access patients and evaluates treatment outcomes.

Purpose of the Study:

To profile the clinical and treatment characteristics of patients accessing mental health care through Better Access.
To examine the outcomes of care for patients utilizing the Better Access initiative.
To contribute evidence to the ongoing debate on the appropriateness and effectiveness of Better Access.

Main Methods:

A stratified random sample of 883 patients was recruited through psychologists and General Practitioners (GPs).
Data collected included provider, patient, and session characteristics.
Pre- and post-treatment outcomes were measured using the Kessler-10 (K-10) and Depression Anxiety Stress Scales (DASS-21).

Main Results:

Over 90% of patients had depression and/or anxiety diagnoses, with 80% experiencing high psychological distress.
Approximately 50% of patients had no prior mental health care history.
Patients showed statistically significant improvements in K-10 and DASS-21 scores post-treatment.

Conclusions:

The Better Access initiative appears to be effectively addressing unmet mental health needs in the community.
The study provides evidence supporting the role of Better Access in improving patient psychological well-being.
Findings highlight the program's success in delivering accessible mental health care to a population with significant distress.