A virtual consultative forum on future reforms to Better Access

Better Access is a major Australian Government mental health initiative that provides rebates to people experiencing mental health problems so they can access psychological services at reduced or no cost. Currently, GPs, psychiatrists, clinical psychologists, psychologists, social workers, and occupational therapists provide referrals and/or treatment services under Better Access. This study sought to consult a broad range of stakeholders and identify their collective view on future reform priorities for Better Access.

Consultations followed a three-phase process. In Phase 1, participants completed a brief online survey to identify priority topics. In Phase 2, participants took part in an online forum where they discussed and refined topic summary statements. In Phase 3, participants rated agreement with a revised set of statements and ranked topics in a second online survey.

Ninety stakeholders participated. Collective views emphasised the need to enhance access through improving affordability for consumers and increasing workforce capacity, particularly in rural/remote areas. Participants also identified a need to review the scope and rules of the programme to better accommodate the increasing use of Better Access by people with more complex mental health needs. Views varied on the best mechanisms to address these issues.

Collective views emerged on key areas for reform for Better Access. While there were varying views on the best way to address these priority areas, stakeholders concurred that the programme's capacity needed to be expanded to meet the increasing levels of community demand for mental health care.