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Now its the states' turn to chip in on mental health : Comments
By Ian Hickie, published 10/4/2006New monies for new services mark the first significant step in mental health reform.
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However, Professor Hickie's concerns that psychologists will rort the Medicare system as a few of his medical colleagues have done, although expressed less offensively here than elsewhere, are an unwarranted slight on another profession with as firm a code of ethics as his own. If Medicare in its present form is open to rorting by unscrupulous practitioners, the answer is to reform the system, not to maintain an obstacle to ordinary Australians obtaining evidence-based psychological treatment.
Equally obviously, if state governments fear a flight of public sector psychologists to private practice after the foreshadowed changes to Medicare, the answer is to make a public sector career in psychology more attractive, with salaries that recognise the lengthy training and specialist skills of clinical psychologists, meaningful career paths, and recognition of psychologists' advanced specialist skills that cannot be equated with brief training for nurses or GPs.
Like Professor Hickie, we look forward to financial and structural arrangements that facilitate and support our working in collaboration with our colleagues in the other health professions, including psychiatrists. Many of us have been doing this for some years.
Dr Bob Montgomery
Director of Communications
Australian Psychological Society