It’s nice that the Federal Government has given a gong to Pat McGorry, but our country’s commitment to psychiatric treatment remains at the level of mere lip service. I read with interest a recent newspaper article reporting on the Federal Government’s scheme for giving subsidies to private psychologists. This program began in 2006, in response to widespread evidence of a ‘crisis’ in mental health. Psychiatric problems constituted a vast percentage of overall health burden in Australia, yet were systematically under-funded (in proportional terms). The then-Howard Government arranged for psychologists operating in private practice to be subject to Medicare rebates for the first time. The aim here was to allow the private system to pick up the slack for an over-burdened public system. These are the results:
MEDICARE spending on psychological therapy will blow out to $1.5 billion by 2011, twice its budget allocation, according to a new analysis.
Despite the huge investment – three times the original five-year estimates when the scheme began in 2006 – the Federal Government has not released any evidence that the consultations are improving mental health…
Long consultations with psychologists grew fastest – by 32 per cent. But they were used disproportionately by city dwellers, with country people only about 60 per cent as likely to attend them.
The analysis also shows patients are being hit by out-of-pocket expenses likely to be prohibitive for those on lower incomes – an average $35 for 50 minutes with a psychologist.
This result is not surprising, and I’d like to touch on two related points to elucidate the origins of this costly failure:

team@groupthink.com.au

