Inclusion | Example | Exclusion | |
---|---|---|---|
P | Patients/individuals with mental health issues/concerns of any age | Diagnosed mental disorders: • Schizophrenia (spectrum) and other psychotic disorders • Depressive disorders • Bipolar and related disorders • Anxiety disorders • Obsessive-compulsive and related disorders • Trauma- and stressor-related disorders • Somatic and related disorders • Dissociative disorders • Feeding and eating disorders • Disruptive, impulse control, and conduct disorders • Substance-related and additive disorders • Personality disorders Mental health issues: • Psychological distress indicated via validated measure • “At-risk” groups (e.g., where mental health services have been sought/warranted but a diagnosis has not yet been made) • Mental disorders not otherwise specified Part of mental health/community service: • Adult mental health service • Child and adolescent mental health service • Community mental health organisation | Neurodevelopmental disorders Elimination disorders Sleep-wake disorders Sexual dysfunctions Gender dysphoria Neurocognitive disorders Paraphilic disorders |
Healthcare providers providing diagnostic/assessment/treatment for mental health issues | • Medical specialists (e.g., general practitioners and psychiatrists) • Allied health professionals (e.g., psychologists, social workers, counsellors) • Nurses and nurse practitioners • Drug and alcohol workers • Community mental health workers (i.e., workers who provide social/housing/occupational support) • Peer-workers • Pharmacists | Healthcare providers who do not specifically diagnose/assess/treat individuals with mental health issues | |
C | Barriers | Obstacles that obstruct the uptake of mental health services or factors that prevent the quality/level of care being accessed • Confidentiality concerns • Fear of stigma • Poor mental health literacy • Geographic isolation • Limited appointment availability • High cost of service | Factors that are not considered to be barriers |
Facilitators | Factors that permit the uptake of mental health services or factors that allow the appropriate amount/quality of care to be received: • Telehealth availability • Free/low cost of service • Appointment timeliness • Safe and supportive environment • Culturally competent healthcare providers • Mentors to assist with system navigation | Factors that are not considered to be facilitators | |
Access factors | Factors that measure of the alignment between healthcare provider/services and the characteristics/expectations of clients: • Aspatial dimensions (i.e., affordability, acceptability, and accommodation) • Spatial dimensions (i.e., availability and accessibility) | Factors that are not considered to be related to access | |
Utilisation factors | Factors that affect the utilisation of healthcare services, including the implementation of subsequent healthcare encounters: • Effective information exchange • Satisfactory negotiation of a healthcare plan • Interpersonal relationship between the healthcare provider and the patient | Factors that are not considered to be related to the utilisation of mental health services | |
Mental health services | • Services provided by hospitals (public and private) • Community-based services (i.e., Acute Community Intervention Service [ACIS], community care units (CCUs), Prevention and Recovery Centres (PARCs), and outpatient clinical treatment) • Mental Health Community Support Services (MHCSS) (e.g., services that are operated by non-government organisations) • Specialist mental health services (e.g., services provided specifically for individuals with certain mental health needs) • Outreach services • Day programs • Early intervention programs embedded within schools | All other health services, mental health programs, health promotion initiatives | |
C | Regional, rural, and remote areas of Australia | Areas classified as regional, rural, or remote Australia according to the MMM: • MM2 Regional Centres • MM3 Large Rural Towns • MM4 Medium Rural Towns • MM5 Small Rural Towns • MM6 Remote Communities • MM7 Very Remote Communities | Areas classified as a Major City in Australia according to the MMM: • MM1 Metropolitan Areas |