{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T09:24:42Z","timestamp":1765790682475,"version":"3.48.0"},"reference-count":15,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":4515,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,6,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>We review the evidence on innovations in Tier 2 of the Access to Allied Psychological Services (ATAPS) program, which is designed to facilitate the provision of primary mental healthcare to hard-to-reach and at-risk population groups (including women with perinatal depression, people at risk of self-harm or suicide, people experiencing or at risk of homelessness, people affected by the 2009 Victorian bushfires, people in remote locations, Aboriginal and Torres Strait Islanders and children with mental disorders) and the trialling of new modalities of service delivery (e.g. telephone-based or web-based CBT). The primary focus is on the uptake, outcomes and issues associated with the provision of ATAPS Tier 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Drawing on data from an ongoing national ATAPS evaluation, including a national minimum dataset, key informant interviews and surveys, the impact of ATAPS innovations is analysed and illustrated through program examples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>ATAPS Tier 2 facilitates access to, uptake of and positive clinical outcomes from primary mental healthcare for population groups with particular needs, although it requires periods of time to implement locally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>Relatively simple innovations in mental health program design can have important practical ramifications for service provision, extending program reach and improving mental health outcomes for target populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What is known about the topic?<\/jats:title>\n                    <jats:p>It is recognised that innovative approaches are required to tailor mental health programs for hard-to-reach and at-risk population groups. Divisions of General Practice have implemented innovations in the Access to Allied Psychological Services (ATAPS) program for several years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What does this paper add?<\/jats:title>\n                    <jats:p>Drawing on data from an ongoing national ATAPS evaluation, this paper presents a systematic analysis of the uptake, outcomes and issues associated with provision of the innovative ATAPS program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>What are the implications for practitioners?<\/jats:title>\n                    <jats:p>The findings highlight the benefits of introducing innovations in primary mental healthcare in terms of increased access to care and positive consumer outcomes. They also identify challenges to and facilitators of the implementation process, which can inform innovation efforts in other primary care contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah12203","type":"journal-article","created":{"date-parts":[[2013,4,21]],"date-time":"2013-04-21T21:12:00Z","timestamp":1366578720000},"page":"312-317","source":"Crossref","is-referenced-by-count":11,"title":["Innovations in primary mental healthcare"],"prefix":"10.1071","volume":"37","author":[{"given":"Lennart","family":"Reifels","sequence":"first","affiliation":[{"name":"ACentre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3010, Australia. Emails:"},{"name":"CCorresponding author. Email: l.reifels@unimelb.edu.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Bassilios","sequence":"additional","affiliation":[{"name":"ACentre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3010, Australia. Emails:"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kylie E.","family":"King","sequence":"additional","affiliation":[{"name":"ACentre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3010, Australia. Emails:"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justine R.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"ACentre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3010, Australia. Emails:"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant","family":"Blashki","sequence":"additional","affiliation":[{"name":"BNossal Institute for Global Health, University of Melbourne, 161 Barry Street, Carlton, Vic. 3010, Australia. Email: gblashki@unimelb.edu.au"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane E.","family":"Pirkis","sequence":"additional","affiliation":[{"name":"ACentre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie Street, Carlton, Vic. 3010, Australia. Emails:"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2013,4,22]]},"reference":[{"key":"2025121504210609600_R1","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1046\/j.1440-1665.2002.00498.x","article-title":"Primary care-led mental health service reform: an outline of the Better Outcomes in Mental Health Care initiative.","volume":"10","author":"Hickie","year":"2002","journal-title":"Australas Psychiatry"},{"key":"2025121504210609600_R2"},{"key":"2025121504210609600_R3"},{"key":"2025121504210609600_R4"},{"key":"2025121504210609600_R5","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1177\/1062860608317695","article-title":"Innovation in health care: a primer.","volume":"23","author":"Varkey","year":"2008","journal-title":"Am J Med Qual"},{"issue":"2","key":"2025121504210609600_R6","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/1035719X0700700203","article-title":"Utilisation of findings from the evaluation of a major primary mental health care initiative in Australia.","volume":"7","author":"Kohn","year":"2007","journal-title":"Evaluation Journal of Australasia"},{"key":"2025121504210609600_R7"},{"key":"2025121504210609600_R8"},{"key":"2025121504210609600_R9","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale.","volume":"150","author":"Cox","year":"1987","journal-title":"Br J Psychiatry"},{"issue":"6","key":"2025121504210609600_R10","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1017\/S0033291702006074","article-title":"Short screening scales to monitor population prevalences and trends in non-specific psychological distress.","volume":"32","author":"Kessler","year":"2002","journal-title":"Psychol Med"},{"issue":"5","key":"2025121504210609600_R11","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1037\/0022-006X.54.5.724","article-title":"The Modified Scale for Suicidal Ideation: reliability and validity.","volume":"54","author":"Miller","year":"1986","journal-title":"J Consult Clin Psychol"},{"key":"2025121504210609600_R12"},{"issue":"3","key":"2025121504210609600_R13","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1071\/AH060277","article-title":"Models of psychological service provision under Australia\u2019s Better Outcomes in Mental Health Care program.","volume":"30","author":"Pirkis","year":"2006","journal-title":"Aust Health Rev"},{"key":"2025121504210609600_R14"},{"issue":"4","key":"2025121504210609600_R15","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1111\/j.0887-378X.2004.00325.x","article-title":"Diffusion of innovations in service organizations: systematic review and recommendations.","volume":"82","author":"Greenhalgh","year":"2004","journal-title":"Milbank Q"}],"container-title":["Australian Health Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/ah\/article-pdf\/37\/3\/312\/1264504\/ah12203.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/ah\/article-pdf\/37\/3\/312\/1264504\/ah12203.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T09:21:12Z","timestamp":1765790472000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/ah\/article\/37\/3\/312\/188467\/Innovations-in-primary-mental-healthcare"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,22]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,6,4]]}},"URL":"https:\/\/doi.org\/10.1071\/ah12203","relation":{},"ISSN":["0156-5788","1449-8944"],"issn-type":[{"type":"print","value":"0156-5788"},{"type":"electronic","value":"1449-8944"}],"subject":[],"published":{"date-parts":[[2013,4,22]]}}}