Australia's Better Access initiative: Still awaiting serious evaluation?

Australian and New Zealand Journal of Psychiatry

Volumn 45, Issue 10, 2011, Pages 814-823

  Hickie, Ian B ^a,b   Rosenberg, Sebastian ^b,c   Davenport, Tracey A ^b,c  

^a UNIVERSITY OF SYDNEY   (Australia)

^b Mind Research Institute   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

BUDGET; COGNITIVE THERAPY; COST EFFECTIVENESS ANALYSIS; GENERAL PRACTITIONER; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HUMAN; MEDICAL PRACTICE; MENTAL HEALTH CARE; MENTAL HEALTH SERVICE; REVIEW; SOCIAL STATUS;

AUSTRALIA; HEALTH SERVICES ACCESSIBILITY; HUMANS; MENTAL HEALTH SERVICES; NATIONAL HEALTH PROGRAMS; PROGRAM EVALUATION;

EID: 80053961572     PISSN: 00048674     EISSN: 14401614     Source Type: Journal    
DOI: 10.3109/00048674.2011.610744     Document Type: Review

References (53)

1. Rosenberg S, Hickie I. How to tackle a giant: creating a genuine evaluation of the Better Access program. Australas Psychiatry 2010; 18:496-502.
2. Pirkis J, Ftanou M, Williamson M et al . An evaluation of Australia ' s Better Access initiative. Aust N Z J Psychiatry 2011; 45:726-739.
3. Hickie IB, Groom GL, McGorry PD, Davenport TA, Luscombe GM. Australian mental health reform: time for real outcomes. Med J Aust 2005; 182:401-406. (Pubitemid 40561696)
4. Hickie IB. National health reform: it ' s time for a decision. M ed J Aust 2009; 191:382-383.
5. Rosenberg S, Hickie IB, Mendoza J. National mental health reform: less talk, more action. Med J Aust 2009; 190:193-195.
6. Hickie IB, Davenport TA, Hadzi-Pavlovic D et al . Development of a simple screening tool for common mental disorders in general practice. Med J Aust 2001; 175:S10-S17. (Pubitemid 32700544)
7. Hickie IB, Davenport TA, Scott EM, Hadzi-Pavlovic D, Naismith SL, Koschera A. Unmet need for recognition of common mental disorders in Australian general practice. Med J Aust 2001; 175: S18-S24. (Pubitemid 32700545)
8. Hickie IB, Davenport TA, Naismith SL, Scott EM, Hadzi-Pavlovic D, Koschera A. Treatment of common mental disorders in Australian general practice. Med J Aust 2001; 175:S25-S30. (Pubitemid 32700546)
9. Mant A, Rendle VA, Hall WD et al . Making new choices about antidepressants in Australia: the long view 1975 - 2002. Med J Aust 2004; 181:S21-S24. (Pubitemid 39341672)
10. Hickie I, Groom G. Surveying perceptions of the progress of national mental health reform. Australas Psychiatry 2004; 12: 123-125. (Pubitemid 39069667)
11. Hickie IB. ' Not in your lifetime, Ian! ' M ed J Aust 2009; 191: 638-642.
12. Mental Health and Special Programs Branch, Commonwealth Department of Health and Ageing. National Mental Health Report 2002: Seventh Report. Changes in Australia ' s mental health services under the fi rst two years of the Second National Mental Health Plan 1998 - 2000. Canberra: Commonwealth of Australia, 2002.[Cited 15 July 2011] Available from URL: . au/internet/main/publishing.nsf/ content/mental-pubs-n-report02
13. Hickie IB, Pirkis JE, Blashki GA, Groom GL, Davenport TA. General practitioners ' response to depression and anxiety in the Australian community: a preliminary analysis. Med J Aust 2004; 181:S15-S20. (Pubitemid 39341671)
14. Better Outcomes in Mental Health Care . Australian Government: Department of Health and Ageing. [Cited 15 July 2011] Available from URL: Content/mental-boimhc
15. Institute of Medicine of the National Academies. Improving the quality of health care for mental and substance-use conditions: Quality Chasm series . Washington, DC: National Academies Press, 2006.
16. Howard JW. Better Mental Health Services for Australia, Media Release, 5 April 2006 . [Cited 15 July 2011] Available from URL:
17. MHCA. N ot for service: experiences of injustice and despair in mental health care in Australia . Canberra: Mental Health Council of Australia, 2005. [Cited 15 July 2011] Available from URL: index.html
18. Crosbie D, Rosenberg S. M ental health and the new Medicareservices: an analysis of the fi rst six months . Canberra: Mental Health Council of Australia, 2007. [Cited 15 July 2011] Available from URL: COAG%20MBS%201st%20Report.pdf
19. Crosbie D, Rosenberg S. M ental health and the new Medicare services: second report . Canberra: Mental Health Council of Australia, 2008. [Cited 15 July 2011] Available from URL: http:// www.mhca.org.au/documents/publications/ COAG%20MBS%20 2nd%20Report%20Sept%202008.pdf
20. Pirkis J, Harris M, Hall W, Ftanou M. E valuation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefi ts Schedule Initiative: summative evaluation - fi nal report . Melbourne: University of Melbourne, 2011. [Cited 15 July 2011] Available from URL: . health.gov.au/internet/main/publishing.nsf/content/mental-ba-eval
21. Australian Bureau of Statistics (ABS). N ational Survey of Mental Health and Wellbeing: summary of results, 2007 - Data cubes. Canberra: ABS, 2007. [Cited 15 July 2011] Available from URL: 007?OpenDocument
22. MBS online: Medicare Benefi ts Schedule . Australian Government: Department of Health and Ageing. [Cited 15 July 2011] Available from URL:
23. Medicare Australia. S tatistics - item reports . Australian Government: Medicare Australia. [Cited 15 July 2011] Available from URL:
24. Roxon N, Macklin J, Butler M. N ational mental health reform - ministerial statement . Canberra: CanPrint Communications, 2011. [Cited 15 July 2011] Available from URL:
25. Rosenberg S, Hickie IB. Were the budgetary reforms to the Better Access to Mental Health Care initiative appropriate? - No. Med J Aust 2011; 194:595.
26. Christensen H, Hickie IB. E-mental health: a new era in delivery of mental health services. Med J Aust 2010a; 192:S2-S3.
27. Christensen H, Hickie IB. Using e-health applications to deliver new mental health services. Med J Aust 2010b; 192:S53-S56.
28. Jorm AF. Australia ' s Better Access initiative: do the evaluation data support the critics? Aust N Z J Psychiatry 2011; 45:700-704.
29. Allen NB, Jackson HJ. What kind of evidence do we need for evidence-based mental health policy? The case of the Better Access initiative. Aust N Z J Psychiatry 2011; 45:696-699.
30. Australian Government. Budget 2011 - 12 . [Cited 15 July 2011] Available from URL:
31. Whiteford A, Doessel DP, Sheridan JS. Uptake of Medicare Benefi ts Schedule items by psychologists and other mental health practitioners. Clinical Psychologist 2008; 12:50-56.
32. Bassilios B, Pirkis JE, Fletcher JR et al . The complementarity of two Australian primary mental health care initiatives. Aust N Z J Psychiatry 2010; 44:997-1004.
33. Australian Government Department of Health and Ageing. M ental Health Service in Rural and Remote Areas program evaluation (version 1.3). Final evaluation report, 2011. [Cited 15 July 2011] Available from URL: publishing.nsf/Content/9958DC4DF5382204CA2577B5007B7767/File/ MHSRRA%20Final%20Evaluation%20Report%20 190111.pdf
34. Mental Health and Chronic Disease Section, Medical Benefi ts Division. Post-implementation review of the Better Access to Psychiatrists, Psychologists and General Practitioners through the MBS Initiative: MBS items . Canberra: Australian Government Department of Health and Ageing, 2009.
35. Australian Bureau of Statistics (ABS). N ational Survey of Mental Health and Wellbeing: summary of results, 2007 . Canberra: ABS, 2007. [Cited 15 July 2011] Available from URL: . gov.au/AUSSTATS/abs@nsf/DetailsPage/4326.02007? OpenDocu ment
36. Burgess PM, Pirkis JE, Slade TN, Johnston AK, Meadows GN, Gunn JM. Service use for mental health problems: fi ndings from the 2007 National Surve of Mental Health and Wellbeing. Aust N Z J Psychiatry 2009; 43:615-623.
37. Britt H, Miller G, Charles J et al . General Practice Activity in Australia 2008 - 2009 (General Practice Series No. 25, Cat. No. GEP 25). Sydney: University of Sydney and the Australian Institute of Health and Welfare, 2010.
38. Christensen H, Griffi ths KM, Korten A. Web-based cognitive behavior therapy: analysis of site usage and changes in depression and anxiety scores. J Med Internet Res 2002; 4:e3.
39. Andrews G, Davis M, Titov N. Effectiveness randomized controlled trial of face to face versus Internet cognitive behaviour therapy for social phobia. Aust N Z J Psychiatry 2011; 45:337-340.
40. Mackey C, Capitanio L, Erikson J et al . Treatment outcome benchmarking data for private practice settings. 33rd National Conference of the Australian Association of Cognitive and Behavioural Therapy, Melbourne, 2010.
41. Mackey C, Capitanio L, Erikson J., et al. Treatment outcome benchmarking data for private practice settings. 11th International Mental Health Conference of the Australia and New Zealand Mental Health Association, Surfers Paradise, 2010.
42. Harris MG, Burgess PM, Pirkis JE, Slade TN, Whiteford HA. Policy initiative to improve access to psychological services for people with affective and anxiety disorders: population-level analysis. Br J Psychiatry 2011; 198:99-108.
43. Page AN, Swannell S, Martin G, Hollingworth S, Hickie IB, Hall WD. Sociodemographic correlates of antidepressant utilization in Australia. Med J Aust 2009; 190:479-483.
44. Scott E, Naismith S, Whitwell B, Hamilton B, Chudleigh C, Hickie I. Delivering youth-specifi c mental health services: the advantages of a collaborative, multi-disciplinary system. Australas Psychiatry 2009; 17:189-194.
45. Scott EM, Hermens DF, Glozier N, Naismith SL, Gaustella AJ, Hickie IB. Targeted primary care-based mental health services engage young Australians in treatment. Med J Aust 2011 (in press).
46. Griffi ths KM, Farrer L, Christensen H. The effi cacy of Internet interventions for depression and anxiety disorders: a review of randomised controlled trials. Med J Aust 2010; 192:S4-S11.
47. Burns JM, Davenport TA, Durkin LA, Luscombe GM, Hickie IB. The Internet as a setting for mental health service utilisation by young people. Med J Aust 2010; 192:S22-S26.
48. Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS ONE 2010; 5:e13196.
49. Mihalopoulos C, Kiropoulos L, Shih ST-F, Gunn J, Blashki G, Meadows G. Exploratory economic analyses of two primary care mental health projects: implications for sustainability. Med J Aust 2005; 183:S73-S76. (Pubitemid 41723318)
50. Warmerdam L, Smit F, van Straten A, Riper H, Cuijpers P. Cost-utility and cost-effectiveness of Internet-based treatment for adults with depressive symptoms: randomized trial. J Med Internet Res 2010; 12:e53.
51. Spek V. Cost-effectiveness of Internet-based versus group treatment in subthreshold depression: secondary analysis of a pragmatic randomised trial. First International E-Mental Health Summit, Amsterdam, the Netherlands, 2009.
52. Hickie IB, Davenport TA, Luscombe GM, Moore M, Griffi ths KM, Christensen H. Practitioner-supported delivery of Internetbased cognitive behaviour therapy: evaluation of the feasibility of conducting a cluster randomised trial. Med J Aust 2010; 192: S31-S35.
53. Burgess PM, Pirkis JE, Slade TN, Johnston AK, Meadows GN, Gunn JM. Service use for mental health problems: fi ndings from the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2009; 43:615-623.