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Posted: 2022-12-12 17:49:37

The federal government is under fire for halving access to cheaper psychology sessions despite an independent review recommending the scheme continue.

In 2020, at the height of the COVID-19 pandemic, the Morrison government doubled the number of Medicare-funded mental health sessions available to patients each year from 10 to 20.

However the government on Monday announced that from next year, the so-called "Better Access Initiative" would revert to 10 subsidised sessions

Defending the decision, Health Minister Mark Butler pointed to an independent evaluation by the University of Melbourne, commissioned by the government, which found the program was not serving all Australians equally, and that those from lower-socio economic backgrounds and regional areas were missing out.

But the same report also stated that on balance, "the evidence from the evaluation suggests that the additional 10 sessions should continue to be made available and should be targeted towards those with more complex mental health needs."

A man wearing a suit and tie with a neutral expression
Health Minister Mark Butler says the report identifies concerns the government can address. (ABC News: Che Chorley)

Australian Psychological Society (APS) president Catriona Davis-McCabe said given that finding, it was unclear why the government was suspending the scheme.

"By cutting to 10 sessions, we're creating a revolving door of mental health issues that are half-treated and going to be returning six months later, with probably much worsening symptoms," she said.

"So really I think psychologists are left with a real ethical dilemma, because we're practising within a system that we're unable to provide evidence-based care within."

Dr Davis-McCabe said in the absence of the additional funding, many Australians would defer or abandon care.

"It has been life-saving for so many patients," she said.

"So they are going to be left deciding, do I need to space my sessions out? Can I afford to pay for ongoing sessions?

"And it's really difficult for them because they're then having to choose whether they do or they don't deal with their mental health issues."

Decision brings 'added anxiety'

One of those Australians is Blue Mountains mother Lindsay, who has relied heavily on additional Medicare-funded psychology sessions over the past two years.

Her 20-year-old daughter has severe OCD and anxiety, and she told the ABC the extra federal funding had meant they could access consistent support.

"It's made a huge difference because we haven't had to worry about whether we can afford these extra sessions if we need them, and it just gives you a sense of security," she said.

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