Evidence map›Paper›PMID 41777038›Full record

ArticleThe Australian and New Zealand journal of psychiatry2026

Who uses Better Access treatment services? A re-analysis of data from the usual care arms of two randomised controlled trials.

Meredith Harris, Caley Tapp, Long Khanh-Dao Le, Jan Faller, Bridget Bassilios, Philip Burgess, Mary Lou Chatterton, Patty Chondros, Katrina Scurrah, Matthew J Spittal and 3 more

Abstract read
In one paragraph

Article 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Observational
  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
  9. 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

13 authors.

Meredith HarrisSchool of Public Health, The University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0003-0096-729X
Caley TappSchool of Public Health, The University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0002-2731-7345
Long Khanh-Dao LeHealth Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-9442-6824
Jan FallerHealth Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0001-7645-2079
Bridget BassiliosCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0001-6255-017X
Philip BurgessSchool of Public Health, The University of Queensland, Brisbane, QLD, Australia.ORCID 0000-0001-7184-0363
Mary Lou ChattertonHealth Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0003-4902-9448
Patty ChondrosDepartment of General Practice, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0003-0393-8734
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
Cathrine MihalopoulosHealth Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID 0000-0002-7127-9462
Jane GunnDepartment of General Practice, University of Melbourne, Melbourne, VIC, Australia.ORCID 0000-0001-8836-7525
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 AgeingNational Health and Medical Research Council
6 · The paper itself

Abstract

objectiveTo describe characteristics, service use and clinical changes among people who received treatment through Australia's Better Access programme.

methodsWe re-analysed data from the usual care arms of two randomised controlled trials of tailored care approaches for depression and anxiety in primary care (Target-D, 2016-2019; Link-me, 2017-2019). Participants completed measures of depression and anxiety symptoms, quality of life and days out of role due to psychological distress over 12 months. They reported the use of mental health services from different providers/settings; from this, we classified a subset as likely Better Access treatment users.

resultsOf 394 Target-D and 547 Link-me participants, one-third were classified as having used Better Access treatment sessions over 12 months. They used five to seven Better Access sessions on average; half to two-thirds paid out-of-pocket costs (median $78-$89 per session). The number of Better Access sessions and other mental health services they used increased with severity of mental health problems. At baseline, Better Access treatment users reported more severe symptoms and more days out of role than those who used other or no mental health services, and poorer quality of life than those who used no services. Approximately half (43-55%) of Better Access treatment users showed improvements in mental health over 12 months. Among those with severe problems, improvements in depression and anxiety symptoms were associated with using 5+ Better Access sessions.

conclusionsBetter Access treatment is used by people with different levels of mental health need. Many experience improvements in their mental health and functioning.

Indexed as

AnxietyAnxiety DisordersDepressionDepressive DisorderHealth Services AccessibilityMental Health ServicesPatient Acceptance of Health CarePrimary Health CareAdultAustraliaFemaleHumansMaleMiddle AgedQuality of LifeRandomized Controlled Trials as Topicallied health professionalsanxietyBetter Accessdepressionmental health servicesprimary carepsychological therapy

Identifiers

PMID41777038
PMCPMC12960782

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.