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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

The Mental Health Nurse Incentive Program: reactions of general practitioners and their patients

Thomas Meehan A B and Samantha Robertson A
+ Author Affiliations
- Author Affiliations

A Service Evaluation & Research, The Park, Centre for Mental Health and the University of Queensland, Locked Bag 500, Richlands, Qld 4077, Australia.

B Corresponding author. Email: thomas_meehan@health.qld.gov.au

Australian Health Review 37(3) 337-340 https://doi.org/10.1071/AH12005
Submitted: 3 March 2012  Accepted: 6 December 2012   Published: 22 April 2013

Abstract

Objective. To evaluate reactions of general practitioners (GPs) and their patients to the Mental Health Nurse Incentive Program (MHNIP).

Method. A descriptive, exploratory approach was employed using discussion groups with 25 GPs and individual interviews with 19 patients receiving treatment through the MHNIP. All discussion groups and interviews were audio taped, transcribed and analysed using thematic content analysis.

Results. There was overwhelming support for the MHNIP across GP and patient groups. Patients noted that the treatment provided through the program was convenient, holistic and non-stigmatising. GPs valued the collaborative working arrangements with mental health nurses (MHNs) and highlighted the ability of these nurses to provide a wide range of interventions for patients with complex mental health problems.

Conclusions. The collaborative working arrangement between GPs and MHNs promoted through the MHNIP was perceived to have significantly enhanced primary care services for those with mental health problems.

What is known about the topic? The introduction of MHNs into GP practices under the MHNIP, a new primary care initiative, represents a major reform in the provision of primary care services for those with mental health problems.

What does this paper add? This paper reports on the reactions of GPs and patients to the introduction of the MHNIP.

What are the implications for practitioners? The collaborative model promoted through the program enables family doctors to play a greater role in the management of mental health conditions within the primary care setting. MHNs working with the program need considerable experience and skill in dealing with a broad range of mental health problems. In general, GPs require a better understanding of the overall program.


References

[1]  Council of Australian Governments. National Action Plan on Mental Health 2006–2011; 2006. Available at http://www.health.gov.au/coagmentalhealth [verified 16 Mar 2012].

[2]  Australian Government Department of Health and Aging. Nurses: Mental Health Nurse Incentive Program; 2010. Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/work-pr-mhnip [verified 10 May 2012].

[3]  Australian Government Medicare Australia. Mental Health Nurse Incentive Program; 2009. Available at http://www.medicare.gov.au/provider/incentives/mental-health.jsp [verified 16 March 2012].

[4]  Morse J, Field P. Nursing research: the application of qualitative approaches . 2nd ed. London: Chapman & Hall; 1996.

[5]  Happell B, Palmer C, Tennent R. The Mental Health Incentive Program: desirable knowledge, skills and attitudes from the perspective of nurses. J Clin Nurs 2011; 20 901–10.
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