{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:17:55Z","timestamp":1753877875723,"version":"3.41.2"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective(s)<\/jats:title><jats:p>To assess the impact of a regional General Practitioner Psychiatry Phone Line (GPPPL), embedded in a public Community Mental Health service (CMHS) on the wider health service's workflow and systemic outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Non\u2010controlled population\u2010based interventional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Public CMHS in the Great Southern region of Western Australia (WA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Aggregated monthly data on (i) referrals to the CMHS (July 2017\u2013March 2022), and (ii) Emergency Department presentations (July 2017\u2013May 2022) were obtained from the West Australian Country Health Service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Introduction of a regional <jats:styled-content style=\"fixed-case\">GPPPL<\/jats:styled-content>, for local publicly employed psychiatrists to provide specialist mental health care advice to General Practitioners working in the same region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Service input: Number of calls to the GPPPL, call duration and frequency.<\/jats:p><jats:p>Service output: Rate of referrals to the CMHS, and rate of Emergency Department presentations related to mental health issues, and alcohol and other drugs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of weekly calls to the GPPPL decreased (slope \u22120.13, 95% CI \u22120.17, \u22120.08; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) over the course of the one\u2010year pilot. The referral rate to CMHS was approximately 70.5 referrals per 1000 person\u2010years in July 2017, and quite steady pre\u2010GPPPL (<jats:italic>p<\/jats:italic>\u2009=\u20090.9283), then reduced significantly post\u2010GPPPL, by 1.7 (95% CI 0.14, 3.26; <jats:italic>p<\/jats:italic>\u2009=\u20090.0372) referrals per 1000 person\u2010years each month.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study has demonstrated the GPPPL's effectiveness in reducing the referral rates to CMHS and its self\u2010sustainability. The psychiatrists involved were able to continue full\u2010time public service roles while running the phoneline, with a decreasing time demand over the one\u2010year pilot.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.70062","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T12:29:18Z","timestamp":1749558558000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Western Australia's First and Regional General Practitioner Psychiatry Phone Line to Improve Primary Mental Health Care: Indicators of Effectiveness and Sustainability: A Non\u2010Controlled Population\u2010Based Interventional Study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8711-5887","authenticated-orcid":false,"given":"Hanh","family":"Ngo","sequence":"first","affiliation":[{"name":"The Rural Clinical School of Western Australia School of Medicine, the University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Taran","sequence":"additional","affiliation":[{"name":"Western Australia Country Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Cuesta\u2010Briand","sequence":"additional","affiliation":[{"name":"The Rural Clinical School of Western Australia School of Medicine, the University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Ridley","sequence":"additional","affiliation":[{"name":"Western Australia Country Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathew","family":"Coleman","sequence":"additional","affiliation":[{"name":"The Rural Clinical School of Western Australia School of Medicine, the University of Western Australia  Perth Western Australia Australia"},{"name":"Western Australia Country Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Australian Bureau of Statistics \u201cHealth Conditions Prevalence 2022 \u201dhttps:\/\/www.abs.gov.au\/statistics\/health\/health\u2010conditions\u2010and\u2010risks\/health\u2010conditions\u2010prevalence\/2020\u201021(2022)."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/17456916211029964"},{"volume-title":"Mental Health Services in Australia","year":"2022","author":"Australian Institute of Health and Welfare","key":"e_1_2_12_4_1"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674221107872"},{"key":"e_1_2_12_6_1","unstructured":"Australian Institute of Health and Welfare \u201cMental Health Services Provided in Emergency Departments 2024 \u201dhttps:\/\/www.aihw.gov.au\/mental\u2010health\/topic\u2010areas\/emergency\u2010departments(2024)."},{"key":"e_1_2_12_7_1","unstructured":"Australian Institute of Health and Welfare \u201cCommunity Mental Health Care Services 2024 \u201dhttps:\/\/www.aihw.gov.au\/mental\u2010health\/topic\u2010areas\/community\u2010services(2024)."},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13651"},{"key":"e_1_2_12_9_1","unstructured":"Royal Australian College of General Practitioners \u201cGeneral Practice Health of the Nation 2022: An Annual Insight Into the State of Australian General Practice: RACGP; 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