{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:52:53Z","timestamp":1781769173760,"version":"3.54.5"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The Australian Primary Health Networks\u2019 Initial Assessment and Referral Decision Support Tool (IAR-DST) aims to help clinicians recommend an appropriate Level of Care (LOC) for adults with mental health difficulties. This study evaluated whether the IAR-DST has utility assessing ongoing care needs for young adults attending a tertiary community mental health service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Cross-sectional IAR-DST ratings for young adults (aged 18\u201324 years) attending a tertiary community mental health service in Adelaide in May 2019 were based on retrospective file review by senior clinicians. Health service use indices during patients\u2019 current episode of care were collected using electronic record systems. Incidence Rate Ratios (IRRs) were generated to compare service intensity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>104 young adults were included. Psychotic Spectrum Disorders and Borderline Personality Disorder were the most common diagnoses. 63% received IAR-DST ratings recommending for high-intensity care (i.e. LOC 4 or 5), whereas for 37% lower-intensity services were recommended. IRRs showed higher service use with increasing LOC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The IAR-DST may be useful for reassessing service needs in young adults attending specialist mental health services, to support transitions within a tiered mental health system. More research is needed to evaluate the tool\u2019s utility in different help-seeking populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261455774","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T04:26:31Z","timestamp":1781497591000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The utility of the Australian primary health networks\u2019 initial assessment and referral decision support tool (IAR-DST) for cross-sectional assessment of care needs in young adults attending a tertiary community mental health service"],"prefix":"10.1177","author":[{"given":"Jessica","family":"Lowe","sequence":"first","affiliation":[{"name":"Northern Adelaide Local Health Network"},{"name":"The University of Adelaide"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damon","family":"Fenech","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Larsen","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Phillips-Hughes","sequence":"additional","affiliation":[{"name":"The University of Adelaide"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-9677","authenticated-orcid":false,"given":"Cherrie","family":"Galletly","sequence":"additional","affiliation":[{"name":"Adelaide Medical School, Adelaide University, North Terrace Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Oliver","family":"Schubert","sequence":"additional","affiliation":[{"name":"Northern Adelaide Local Health Network"},{"name":"The University of Adelaide"},{"name":"Headspace Adelaide Early Psychosis, Sonder, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,14]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00163-9"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-021-01161-7"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00579-1"},{"key":"e_1_3_6_5_2","unstructured":"Australian Institute of Health and Welfare. Deaths in Australia. https:\/\/www.aihw.gov.au\/reports\/life-expectancy-death\/deaths-in-australia\/contents\/leading-causes-of-death (2023 accessed 12 Feb 2025)."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52047"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00320-1"},{"key":"e_1_3_6_8_2","volume-title":"National PHN guidance: initial assessment and referral for mental health care","author":"Department of Health","year":"2019","unstructured":"Department of Health. National PHN guidance: initial assessment and referral for mental health care. Canberra: Australian Government, 2019. Available from: https:\/\/www.health.gov.au\/resources\/publications\/initial-assessment-and-referral-decision-support-tool-iar-decision-support-tool?language=en"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50383"},{"key":"e_1_3_6_10_2","unstructured":"Commonwealth of Australia (Department of Health) 2021 Portfolio Budget Statements 2021\u201322. Budget related paper no. 1.7 health portfolio. https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2021\/06\/budget-2021-22-portfolio-budget-statements-budget-2021-22-health-portfolio-budget-statements.docx"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12261"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41537-024-00509-6"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S104301"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261455774","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261455774","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261455774","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:19:00Z","timestamp":1781767140000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261455774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,14]]},"references-count":12,"alternative-id":["10.1177\/10398562261455774"],"URL":"https:\/\/doi.org\/10.1177\/10398562261455774","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,14]]},"article-number":"10398562261455774"}}