Perspectives on Better Access: In-depth interviews with users and non-users of the initiative

Abstract

Objective: The Better Access initiative enables clinical psychologists, psychologists, social workers and occupational therapists to offer sessions of psychological treatment to people with common mental disorders. Better Access services are listed on the Medicare Benefits Schedule which means that consumers only pay a percentage of the cost. This study sought the views of users and non-users of Better Access about the programme’s accessibility, appropriateness and outcomes. Methods: We conducted semi-structured interviews with participants recruited via two national lived experience networks: Beyond Blue’s BlueVoices and Lived Experience Australia. Results: We interviewed 23 people who had used Better Access in 2021 and 14 who had not. Participants suggested that, in general, Better Access operates smoothly, allows people to access high-quality care, and yields positive outcomes (e.g. improved functioning, reduced symptoms). However, they indicated that although Better Access makes care more affordable, out-of-pocket costs can still be prohibitive. They also queried whether the number of sessions available through the programme is sufficient. Conclusion: Better Access has many strengths, but it meets the needs of some better than others. Future reforms to Better Access should address accessibility and affordability.