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conferenceseries
.com
Volume 7, Issue 5 (Suppl)
Epidemiology (Sunnyvale), an open access journal
ISSN: 2161-1165
Epidemiology 2017
October 23-25, 2017
EPIDEMIOLOGY & PUBLIC HEALTH
October 23-25, 2017 | Paris, France
6
th
International Conference on
Epidemiology (Sunnyvale) 2017, 7:5(Suppl)
DOI: 10.4172/2161-1165-C1-018
DOES CO-PAYMENT BY CONSUMERS AFFECT ADHERENCE TO, AND OUTCOMES OF,
PSYCHOLOGICALTREATMENT?
Bridget Bassilios
a
, Jane Pirkis
a
, Meredith Harris
b
and
Harvey Whiteford
b
a
University of Melbourne, Australia
b
University of Queensland, Australia
Statement of the Problem
: It is well known that many people who have mental health care needs do not receive mental
health services. There is evidence to suggest that multiple socio-demographic (e.g., age, sex, socio-economic disparity) and
clinical characteristics (e.g., type, severity and comorbidity of mental disorder) are associated with mental health service use.
Partial and full fee-for-service by consumers is among the socio-economic disparity factors that may influence utilisation of
mental health services but has not been widely studied, with existing research producing inconsistent findings. This study
aims to determine whether partial fee-for-service (‘co-payment’) by consumers affects their adherence to, and outcomes
of, psychological treatment delivered via a major Australian primary mental healthcare initiative – the Access to Allied
Psychological (ATAPS) Services program.
Methodology
: We will use routinely-collected data from 1 July 2014 to 30 June 2016 (representing approximately 700,000
scheduled sessions and 140,000 episodes of care) sourced from the ATAPS minimum dataset to determine whether co-payment
and other socio-demographic and clinical characteristics predict these outcomes.
Significance
: Improving our understanding of factors that may improve access to, and outcomes from, psychological treatment
is policy-relevant and has direct implications on primary mental health service delivery.