Better Access Program

Table 11: MBS Better Access Program services, 2009-10DOH

 

MC

IR

OR

R

VR

 

Age standardised rate per 100,000 population

Preparation of Mental Health Care Plan by GPs

8,280

8,645

6,223

3,367

1,466

Psychiatrists

573

411

246

82

32

Psychologists

14,908

12,635

6,987

2,391

1,418

General Psychologists

9,135

8,757

5,185

1,549

974

Clinical Psychologists

5,773

3,874

1,798

829

464

Social Workers

745

861

576

224

48

Occupational Therapists

180

88

117

9

3

Source: PHIDU http://www.phidu.torrens.edu.au/social-health-atlases/data

 

Figure 3: MBS Better Access Program, 2009-10

Figure 3: MBS Better Access Program, 2009-10

Source: http://www.phidu.torrens.edu.au/social-health-atlases/data

“The purpose of the Better Access initiative is to improve treatment and management of mental illness within the community. The Better Access initiative is increasing community access to mental health professionals and team-based mental health care, with general practitioners encouraged to work more closely and collaboratively with psychiatrists, clinical psychologists, registered psychologists and appropriately trained social workers and occupational therapists.1

The rate at which services were used in 2009-10, decreased sharply across remoteness categories.

Figure 3 above illustrates the relative roles of various health professions in provision of services under “Better Access” and the declining rate at which services were provided as remoteness increased.

1 http://www.health.gov.au/mentalhealth-betteraccess

 

Figure 4: Age standardised overnight mental health hospitalisation rates, by remoteness, 2013-14

Figure 4: Age standardised overnight mental health hospitalisation rates, by remoteness, 2013-14

Source : http://www.myhealthycommunities.gov.au/Content/publications/downloads/AIHW_HC_Report_Mental_Health_September_2016.pdf?t=1475726914654

Mental health hospitalisation rates increase with Remoteness.

Figures 4, 5 and 6 are valuable because they remind us that there is substantial variation within remoteness areas, which are often hidden by the averages. So while the average rate of mental health related hospitalisation increased from 856, 873 and 874 in high,  medium and low SES parts of Major cities, to 946 in Inner regional areas, to 991 in Outer regional areas, to 1096 in remote Australia  –there were only 650 mental health hospitalisations per 100,000 population in Remote area Katherine, but over 1,800 mental health hospitalisations per 100,000 population in Outback N and E South Australia, and almost 2,200 per 100,000 population in Adelaide city.

 

Figure 5: Age standardised overnight drug and alcohol related hospitalisation rates, by remoteness, 2013-14

Figure 5: Age standardised overnight drug and alcohol related hospitalisation rates, by remoteness, 2013-14

Source : http://www.myhealthycommunities.gov.au/Content/publications/downloads/AIHW_HC_Report_Mental_Health_September_2016.pdf?t=1475726914654

Hospitalisation for drug and alcohol issues is substantially higher in remote areas (294/100,000) than in Major cities (149-168/100,000) and regional/rural areas (162 & 176/100,000).

 

Figure 6: Age standardised same day and overnight hospitalisation rates related to intentional self-harm, by remoteness, 2013-14

Figure 6: Age standardised same day and overnight hospitalisation rates related to intentional self-harm, by remoteness, 2013-14