ArticleAustralasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists2023
Could negative outcomes of psychotherapies be contributing to the lack of an overall population effect from the Australian Better Access initiative?
Article in Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Who uses Better Access treatment services? A re-analysis of data from the usual care arms of two randomised controlled trials.The Australian and New Zealand journal of psychiatry · 2026Article
- An equity indicator for assessing mental healthcare access: a national population case study.Epidemiology and psychiatric sciences · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe examine deterioration in psychotherapies, as reported in the recent evaluation of the Australian Medicare Better Access initiative.
conclusionA focus on patients who experience poor clinical outcomes helps programs minimise harm and improve quality of care. The Better Access evaluation found the mental health of 20-40% of patients deteriorated. This may partly explain why population distress and suicide rates were not reduced by the introduction of the Better Access initiative. Deterioration was more likely for milder conditions, and less likely for severe conditions, which also improved the most. Using severity as a criterion for priority setting and resource allocation may minimise patient risk and maximise benefits. Patients with severe conditions may require considerably more sessions than the current average for Better Access psychotherapies.
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Registered trials
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