title: Better access to psychology services in primary mental health care: an evaluation.
abstract: BACKGROUND
  The Access to Allied Psychological Services program was introduced as part of the Better Outcomes in Mental Health Care initiative in 2001-2002. Divisions of General Practice are funded to establish programs that allow GPs to refer patients for psychological treatments. The University of New South Wales evaluated programs run by the Southern Highlands and Illawarra Divisions of General Practice. This paper presents the findings of these evaluations.
  
  
  METHODS
  Both evaluations analysed process and patient outcomes. This was obtained from a combination of program data and qualitative satisfaction data.
  
  
  RESULTS
  The two program models differed in the mechanism of retention of the psychologists and the method of referral of patients. Anxiety and depression were the main reasons for referral, and clinical data showed there was improvement in patient outcomes. Patients, GPs and psychologists expressed satisfaction with the programs.
  
  
  CONCLUSIONS
  The Access to Allied Psychological Services programs in both Divisions have proven popular. Flexibility in the program structure allows Divisions to develop a model which suits their local circumstances. There is support for ongoing Commonwealth funding and the challenge is to find the most effective and financially sustainable model of delivery for psychological services in primary care.
authors.affiliation: General Practice Unit, Sydney South West Area Health Service, Prairiewood, NSW. Sanjyot.Vagholkar@sswahs.nsw.gov.au
authors.forename: Sanjyot
authors.initials: S
authors.lastname: Vagholkar
authors.forename: Lesley
authors.initials: L
authors.lastname: Hare
authors.forename: Iqbal
authors.initials: I
authors.lastname: Hasan
authors.forename: Nicholas
authors.initials: N
authors.lastname: Zwar
authors.forename: David
authors.initials: D
authors.lastname: Perkins
mesh_terms: D000328:Adult; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D017146:Models, Organizational; D009517:New South Wales; D011320:Primary Health Care