{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T14:09:08Z","timestamp":1793628548917,"version":"4.5.1"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100025520","name":"MRFF","doi-asserted-by":"crossref","award":["2017915"],"award-info":[{"award-number":["2017915"]}],"id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study explored differences in mental health service use between Indigenous and non-Indigenous Australians and identified related sociodemographic, mental health history and service factors in an urban Indigenous population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analysed linked 2021 Census, 2021 Medicare Benefits Schedule, and composite Indigenous identifier data from the Australian Bureau of Statistics Person-Level Integrated Data Asset for 2,494,381 individuals (2.98% Indigenous) in Southeast Queensland residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Both crude and adjusted comparisons (controlling for sociodemographic, mental health history, and service-related factors) showed that Southeast Queensland Indigenous populations were more likely to use any Medicare Benefits Schedule\u2013subsidised mental health services than non-Indigenous populations. They used less total mental health sessions on average, waited more days between mental health care plan and follow-up treatment, had fewer psychotherapy sessions, a higher percentage of bulk-billed sessions, and incurred lower average gap payments. Indigenous males, those aged 40\u2009years or older, not speaking an Aboriginal language at home, having unstable housing, lower education attainment, and no history of mental illness were less likely to use any services. Those receiving psychotherapy treatment sessions, having a history of mental illness, being unemployed or not in the labour force, aged 40\u201354\u2009years old, and having a post-secondary degree used more services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>While more Indigenous populations used any Medicare Benefits Schedule mental health services, lower psychotherapy use and longer wait times for follow-ups suggest ongoing inequities. Subgroups like men and those with lower education levels may need targeted interventions for equitable mental health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261476557","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T11:41:21Z","timestamp":1786621281000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with Medicare mental health service use by Aboriginal and Torres Strait Islander adults and children in an urban area: A case study from Southeast Queensland"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3903-4166","authenticated-orcid":false,"given":"Xiaoyun","family":"Zhou","sequence":"first","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"School of Public Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Pagliaro","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"School of Public Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8436-5159","authenticated-orcid":false,"given":"Manuel","family":"Wailan","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"School of Public Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Suetani","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"},{"name":"Queensland Brain Institute, The University of Queensland, Brisbane, Australia"},{"name":"School of Medicine and Dentistry, Griffith University, Southport, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4667-5049","authenticated-orcid":false,"given":"Tabinda","family":"Basit","sequence":"additional","affiliation":[{"name":"Queensland Centre for Mental Health Research, Brisbane, Australia"},{"name":"School of Psychology, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall","family":"Frazer (Bidjara Nation)","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Nelson","sequence":"additional","affiliation":[{"name":"Institute for Urban Indigenous Health, Brisbane, QLD, Australia"},{"name":"Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of the Environment, The University of Queensland, Brisbane, Australia"},{"name":"Department of Geography and Resource Management, The Chinese University of Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihong","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of the Environment, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roxanne","family":"Bainbridge (Gunggari\/Kunja Nations)","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Indigenous Futures, The University of Queensland, Brisbane, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang-Yu","family":"Hou","sequence":"additional","affiliation":[{"name":"Broken Hill University Department of 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