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Record W1976517948 · doi:10.1037/a0036237

Lessons from Australia in the public funding of mental health services.

2014· article· en· W1976517948 on OpenAlexaboutno aff
Judy Hyde

Bibliographic record

VenueCanadian Psychology/Psychologie canadienne · 2014
Typearticle
Languageen
FieldHealth Professions
TopicChild and Adolescent Health
Canadian institutionsnot available
Fundersnot available
KeywordsMental healthPsychologyPublic healthPsychiatryPublic relationsPolitical scienceNursingMedicine

Abstract

fetched live from OpenAlex

If Canada is to enter the realm of public funding of private mental health services well prepared, psychology needs to draw on the experience of other countries to avoid known pitfalls and position the profession to best utilize its expertise in mental health. In Australia, the low training requirements that lead to registration of psychologists have provided a large workforce to meet the ever-expanding demand for mental health services, but have also led to the undermining, devaluing, further downgrading, and blurring of professional psychology standards and expertise. This positioning of psychology has fragmented the profession. A brief outline of key factors contributing to this diminishing of the profession and the high demand for low-cost services are outlined to demonstrate that similar parallel differentials and challenges are present for psychology in the Canadian context. To avoid similar impacts on psychology in Canada, the profession needs to unite and recognise that it is unable to meet the needs of the population for mental health services and to claim a role of expert in mental health to enable the public to make best use of the expertise of psychologists.Keywords: funding, mental health, workforce, qualifications, AustraliaResumeSi le Canada veut s'attaquer au financement public des services de sante mentale du secteur prive, la psychologie doit mettre a profit l'experience des autres pays afin d'eviter les pieges connus et positionner la profession de sorte a mieux exploiter son expertise dans le domaine de la sante mentale. En Australie, les faibles exigences en matiere de formation menant a l'inscription des psychologues ont cree un important bassin de main-d'oeuvre pour repondre a la demande croissante de services de sante mentale. Cela a toutefois egalement entraine la devalorisation, la devalua- tion, la degradation et une certaine ambiguite de l'expertise et des normes relatives a la psychologie professionnelle. En fait, ce positionnement de la psychologie a fragmente la profession. Un bref apercu des facteurs cles ayant contribue a cette devaluation de la profession et a la forte demande de services bon marche sont exposes dans le but de demontrer que des defis et des ecarts paralleles semblables sont aussi presents dans le contexte cana- dien. Si l'on veut eviter que des effets similaires se produisent sur la psychologie au Canada, la profession a besoin de s'unir et de reconnaitre qu'elle est actuellement incapable de repondre aux besoins de la population dans le domaine des services de la sante mentale et de revendiquer un role d'expert en sante mentale afin de permettre au public de profiter de l'expertise des psychologues.Mots-cles : financement, sante mentale, main-d'oeuvre, qualifica- tions, Australie.Following the lead of the United Kingdom and Australia, Can- ada is ideally positioned to enter into public funding of private mental health services well informed and aware of the issues that are likely to emerge. Having seen somewhat different models of service delivery rolled out in other countries, Canada is able to select the model, or combination of models, that best suits its population and distribution of mental health professionals. How- ever, it is essential that this be undertaken with awareness of the potential impacts of these models on the profession of psychology in the Canadian context.Psychology needs to position itself with care to avoid known pitfalls and to ensure the best utilisation of psychology services for the public. Unfortunately, in Australia, the experience of public funding of private mental health services has led to the fragmen- tation and demoralisation of the psychology profession and the devaluing of qualifications and training, particularly in clinical psychology, the training most required for treating mental health problems.The Public Funding of Private Psychology Services in AustraliaMental health services in Australia are funded by a combination of government (national, state, and territory) and private health insurance funds. …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.383
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.172
GPT teacher head0.464
Teacher spread0.292 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2014
Admission routes1
Has abstractyes

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