Evidence map›Paper›PMID 41579150›Full record

Observational studyThe Australian and New Zealand journal of psychiatry2026

Examining Better Access use by Australian adults using data from two longitudinal studies (Ten to Men and the Australian Longitudinal Study on Women's Health).

Vikas Arya, Caley Tapp, Dianne Currier, Philip Burgess, Julie Byles, Xenia Dolja-Gore, Meredith Harris, Long Khanh-Dao Le, Cathrine Mihalopoulos, Katrina Scurrah and 2 more

Abstract readObservational Study
In one paragraph

Observational study in The Australian and New Zealand journal of psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Evaluation of Australia's Better Access initiative: An overview.The Australian and New Zealand journal of psychiatry · 2026
    Review
  6. Australia's Better Access initiative: A survey of provider and referrer views.The Australian and New Zealand journal of psychiatry · 2026
    Article
  7. A virtual consultative forum on future reforms to Better Access.The Australian and New Zealand journal of psychiatry · 2026
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Vikas AryaCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-0594-1526
Caley TappSchool of Public Health, University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0002-2731-7345
Dianne CurrierCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-6614-271X
Philip BurgessSchool of Public Health, University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0001-7184-0363
Julie BylesSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-3984-6877
Xenia Dolja-GoreSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-7085-8024
Meredith HarrisSchool of Public Health, University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0003-0096-729X
Long Khanh-Dao LeMonash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-9442-6824
Cathrine MihalopoulosMonash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-7127-9462
Katrina ScurrahCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0001-5226-7370
Matthew J SpittalCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-2841-1536
Jane PirkisCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0002-2538-4472

Funding

Australian Government Department of Health, Disability and Ageing
6 · The paper itself

Abstract

objectiveThis study aimed to provide a picture of who uses Better Access treatment services, how they do so and what the benefits are.

methodsWe conducted an observational prospective study involving independent cohorts from the Australian Longitudinal Study on Male Health (Ten to Men [TTM]) and the Australian Longitudinal Study of Women's Health (ALSWH). We used data from two pairs of baseline (T0) and follow-up (T1) waves for those aged ⩾ 18 in TTM and those in the 1989-1995, 1973-1978 and 1946-1951 cohorts in ALSWH. Using survey data and linked Medicare Benefits Schedule (MBS) claims data, we identified participants with 'mental health need' at T0 who had and had not used Better Access treatment services between T0 and T1.

resultsProportions of Better Access users varied across study cohorts and analyses, with 45% being the highest. Those who used Better Access treatment services typically accessed 5-6 sessions, usually from clinical psychologists and/or psychologists. Between half and three-quarters paid out-of-pocket costs (usually $80-$100/session). Typically, around half of those who used Better Access had better mental health at T1 than T0. Severity of mental health problems at baseline was strongly predictive of both Better Access use and improvements in mental health.

conclusionAustralian adults with mental health need make varying use of Better Access treatment services, but the programme appears to serve those with high levels of need relatively well.

Indexed as

Health Services AccessibilityMental DisordersMental Health ServicesAdolescentAdultAgedAustraliaFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesWomen's HealthYoung Adultallied health professionalsanxietyBetter Accessdepressionmental health servicesprimary carepsychological therapy

Identifiers

PMID41579150
PMCPMC12932693

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.