Increased access to evidence-based primary mental health care: will the implementation match the rhetoric?
Ian B Hickie, Patrick D McGorry
MEDICAL JOURNAL OF AUSTRALIA | WILEY | Published : 2007
There is clear evidence that coordinated systems of medical and psychological care ("collaborative care") are superior to single-provider-based treatment regimens. Although other general practice-based mental health schemes promoted collaborative care, the new Medicare Benefits Schedule payments revert largely to individual-provider service systems and fee-for-service rebates. Such systems have previously resulted in high out-of-pocket expenses, poor geographical and socioeconomic distribution of specialist services, and proliferation of individual-provider-based treatments rather than collaborative care. The new arrangements for broad access to psychological therapies should provide the fin..View full abstract