BOMHCBetter Outcomes in Mental Health Care (Australia)
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(2004) noted that paperwork demands, concerns regarding appropriately qualified health professionals, delays in registration of GPs with the Health Insurance Commission and General Practice Mental Health Standards Collaboration, and GP reluctance to refer patients who may not complete the six sessions and review step that trigger GP payment are issues for GPs contemplating using the BOMHC scheme.
The model suggests that the likelihood of referrals to psychologists is reduced when the patient factors are poor finances, access problems, less severe mental health problems, and stigma; GP factors include high confidence and low knowledge; and organizational factors are limitations seen in BOMHC, low service supports, and low access.
Without that evidence base, they will not be included as permitted therapies under the BOMHC model (Crane & Hafen, 2002).