Reifels Lennart, Bassilios Bridget, Nicholas Angela, Fletcher Justine, King Kylie, Ewen Shaun, Pirkis Jane
Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia
Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Aust N Z J Psychiatry. 2015 Feb;49(2):118-28. doi: 10.1177/0004867414562046. Epub 2014 Dec 9.
To examine the uptake, population reach and outcomes of primary mental healthcare services provided to Indigenous Australians via the Access to Allied Psychological Services (ATAPS) program between 2003 and 2013, with particular reference to enhanced Indigenous ATAPS services introduced from 2010.
Utilising ATAPS program data from a national minimum data set and comparative population data, we conducted descriptive analyses, regression analyses and t-tests to examine the uptake of ATAPS services, provider agency level predictors of service reach, and preliminary outcome data on consumer level outcomes.
Between 2003 and 2013, 15,450 Indigenous client referrals were made that resulted in 55,134 ATAPS sessions. National Indigenous service volume more than doubled between 2010 and 2012, following the introduction of enhanced Indigenous ATAPS services. Non-Indigenous ATAPS service volume of primary care agencies was uniquely predictive of Indigenous service reach. Preliminary analysis of limited consumer outcome data indicated positive treatment gains and the need to enhance future outcome data collection.
Concerted national efforts to enhance mainstream primary mental healthcare programs can result in significant gains in access to mental healthcare for Indigenous populations.
研究2003年至2013年期间通过“获得联合心理服务”（ATAPS）项目向澳大利亚原住民提供的初级心理保健服务的使用情况、覆盖人群及效果，特别提及2010年推出的强化原住民ATAPS服务。
利用来自国家最低数据集的ATAPS项目数据和比较人口数据，我们进行了描述性分析、回归分析和t检验，以研究ATAPS服务的使用情况、服务覆盖的提供者机构层面预测因素以及消费者层面结果的初步结果数据。
2003年至2013年期间，共收到15450例原住民客户转诊，产生了55134次ATAPS服务疗程。在强化原住民ATAPS服务推出后，2010年至2012年期间全国原住民服务量增加了一倍多。初级保健机构的非原住民ATAPS服务量是原住民服务覆盖范围的独特预测因素。对有限的消费者结果数据的初步分析表明治疗取得了积极效果，且有必要加强未来结果数据的收集。
国家为加强主流初级心理保健项目所做的协同努力可使原住民获得心理保健服务的机会大幅增加。
