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Demand Management Strategies used by the Access to Allied Psychological Services (ATAPS) projects

Demand Management Strategies used by the Access to Allied Psychological Services (ATAPS) projects. General Practice Victoria Mental Health Network Meeting 26 June 2009 Jane Pirkis, Bridget Bassilios Justine Fletcher, Fay Kohn, Kylie King Centre for Health Policy, Programs and Economics

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Demand Management Strategies used by the Access to Allied Psychological Services (ATAPS) projects

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  1. Demand Management Strategies used by the Access to Allied Psychological Services (ATAPS) projects General Practice Victoria Mental Health Network Meeting 26 June 2009 Jane Pirkis, Bridget Bassilios Justine Fletcher, Fay Kohn, Kylie King Centre for Health Policy, Programs and Economics The University of Melbourne

  2. Presentation Outline • Summary of 9th Interim Evaluation Report: Demand Management Strategies • Models of service delivery / consumer outcomes

  3. Background • Despite – or perhaps because of – project success, Divisions have struggled to meet demand, due to capped budgets provided for ATAPS projects • GP referrals outstrip the capacity of projects to provide psychological services • Aligning demand for services with available resources is necessary to ensure that genuine needs are met and benefit is maximised

  4. Method • Early August 2006 – brief survey emailed to project officers of 108 ATAPS project • Responses returned by email or fax, with cut off of late August 2006 • Questions asked: • Are DMSs being used? • If so, which ones and how implemented? • Which DMS most useful? • What features of any DMSs worked well vs not so well? • Any additional comments re DMSs • Quant data analysed using SPSS • Qual data analysed manually and organised thematically

  5. Results • 81% surveys returned by ATAPS project officers (89 of 108), 76 (85%) of whom using at least one DMS • The majority of projects were using more than one strategy

  6. Summary of Findings • What demand management strategies are MOST COMMONLY being used within projects? • 82% - informing/training GPs • 76% - implementing systems / admin procedures • 61% - monitoring & limiting referrals • Which demand management strategies have been found to be MOST USEFUL? • monitoring / limiting referrals – 29% • admin procedures – 24% • What features of any demand management strategy have worked well and not worked well? • Different features of most useful DMSs work well for different projects

  7. Models of service delivery: 2005 and 2009

  8. Impact of different models of psychological service provision on consumer outcomes (2006) Projects do not differ markedly in terms of the consumer outcomes they are achieving, despite differences in models of service delivery • Exceptions: • Direct referral (better: significant) • Employment (better: non-significant trend) • Own rooms (worse: non-significant trend) (2009) Largest effect sizes observed for projects using: • Combination contract & direct employment (0.87) • Division rooms (0.97), other location (0.89) & GP rooms (0.88) • Brokerage system (0.71)

  9. Summary: Demand for ATAPS • Demand for ATAPS projects has not reduced - continues to rise steadily. • DMSs working well as long as underpinned by strong partnerships and solid infrastructure • Partially attributable to capped funding in face of consistent prevalence rates for depression and increasing anxiety rates over the past decade (NSMHWB, 2007). • One of the reasons for the ongoing high demand for services provided through ATAPS may be the evidence that they are achieving positive consumer outcomes.

  10. References & Evaluation Support Available at: http://boimhc.org/bin/view Naccarella L, Pirkis J, Kohn F, Morley B, Burgess P, Blashki G. (2007). Building evaluation capacity: Definitional and practical implications from an Australian case study. Evaluation and Program Planning, 30, 231-236. Evaluation support available at support@boimhc.org

  11. Outcome Measures Reminder

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