{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:45:57Z","timestamp":1777434357010,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The northern suburbs of Adelaide, South Australia, are characterised by marked socio-economic disadvantage. Through private practice agreements, psychiatrists employed by this region\u2019s public health service accept referrals from General Practitioners (GPs) to undertake Medicare-Benefits-Scheme Item 291 Psychiatric Assessments (MBS-291s). This study reports the clinical characteristics of people in this region who received an assessment under this initiative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data was collected from 169 consumers aged 18\u201365\u00a0years, who attended MBS-291s with one psychiatrist between 2017 and 2021. Data included demographics, diagnoses, comorbidities, management challenges, engagement with other services, and the psychiatrist\u2019s recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 169 consumers, 32% were aged 18\u201325. Mood (37%) and trauma-related (36%) disorders predominated. Psychiatric comorbidity was common (37% had \u22652 diagnoses). Adverse experiences were reported by 92%, including psychological abuse (60%) and suicidality (51%). Medication recommendations were provided in 99% of cases, alongside psychotherapy (75%), referrals to other services (88%), and lifestyle recommendations (70%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the complex clinical and psychosocial characteristics of those referred for MBS-291s in the northern suburbs of Adelaide, South Australia. We discuss the range of specialist recommendations and comment on the value and sustainability of providing these assessments in the Australian healthcare context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562251369756","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:55:20Z","timestamp":1756461320000},"page":"916-922","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical characteristics of people referred for Medicare Item 291 Psychiatric Assessments in northern metropolitan Adelaide"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2995-8195","authenticated-orcid":false,"given":"Chelsea","family":"Burford","sequence":"first","affiliation":[{"name":"The University of Adelaide"},{"name":"Northern Adelaide Local Health Network"},{"name":"Barossa Hills Fleurieu Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1231-4782","authenticated-orcid":false,"given":"Jessica","family":"Proctor","sequence":"additional","affiliation":[{"name":"The University of Adelaide"},{"name":"Northern Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2873-2030","authenticated-orcid":false,"given":"Sumana","family":"Thomson","sequence":"additional","affiliation":[{"name":"The University of Adelaide"},{"name":"Northern Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Toh","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1690-0209","authenticated-orcid":false,"given":"Klaus Oliver","family":"Schubert","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network"},{"name":"Headspace Adelaide Early Psychosis, Sonder"},{"name":"The University of Adelaide"},{"name":"Flinders University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cherrie","family":"Galletly","sequence":"additional","affiliation":[{"name":"The University of Adelaide"},{"name":"Northern Adelaide Local Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"National study of mental health and wellbeing (Cat. 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