An Evaluation of the Implementation of the Australian ATAPS Suicide Prevention Services Initiative

  • Angela Nicholas
  • Bridget Bassilios
  • Kylie King
  • Maria Ftanou
  • Anna Machlin
  • Lennart Reifels
  • Jane Pirkis
Article
  • 38 Downloads

Abstract

The Access to Allied Psychological Services (ATAPS) Suicide Prevention Services initiative is an Australian Government-funded primary mental healthcare initiative providing free intensive psychological intervention for consumers at moderate risk of self-harm or suicide. Findings from a multi-method evaluation aimed at identifying whether the initiative is being implemented as stipulated within the operational guidelines, barriers and facilitators to implementation, and preliminary outcomes suggest that the Suicide Prevention Services are largely being implemented as stipulated in the Guidelines, but with some exceptions. In particular, service delivery barriers unique to rural and remote areas place limitations on implementation. Uptake of the ATAPS Suicide Prevention Services is high (10,428 consumers were referred to the Suicide Prevention Services between October 2008 and April 2013, and 86% of those attended at least one session), as is acceptance from organizations involved in its implementation.

Notes

Acknowledgements

This work was supported through funding from the Australian Government Department of Health.

Compliance with Ethical Standards

Conflict of Interest

This evaluation is funded by the Australian Government Department of Health, which also funds the ATAPS Suicide Prevention Services initiative.

References

  1. 1.
    World Health Organization. Global Health Estimates 2014 Summary Tables: Deaths by Cause, Age, and Sex, 2000-2012. Geneva, CH: World Health Organization, 2014.Google Scholar
  2. 2.
    Overview. 3303.0 - Causes of Death, Australia, 2014. Australian Bureau of Statistics. Available online at http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2014~Main%20Features~Leading%20Causes%20of%20Death~10001. Accessed on 29 Jan 2017.
  3. 3.
    World Health Organization. Preventing Suicide: A Global Imperative. Geneva, CH: World Health Organization, 2014.Google Scholar
  4. 4.
    Australian Government Department of Health and Ageing, National Suicide Prevention Strategy. Canberra, AU: Commonwealth of Australia, 2012.Google Scholar
  5. 5.
    Australian Government Department of Health and Ageing. Operational Guidelines for the Access to Allied Psychological Services Initiative. Canberra, AU: Mental Health Services Branch, Mental Health and Drug Treatment Division, 2012.Google Scholar
  6. 6.
    Horvath J. Review of Medicare Locals: Report to the Minister for Health and Minister for Sport. Canberra, AU: Australian Government Department of Health, 2014.Google Scholar
  7. 7.
    Australian Government Department of Health and Ageing. Operational Guidelines for the Access to Allied Psychological Services (ATAPS) Suicide Prevention Service. Canberra, AU: Mental Health Services Branch, Mental Health and Drug Treatment Division, 2012.Google Scholar
  8. 8.
    Suicide Prevention. AHS Suicide Support Service. On the Line. Available online at https://ontheline.org.au/ahs-suicide-support-service/. Accessed on 29 Jan, 2017.
  9. 9.
    Bassilios B, Nicholas A, Reifels L, et al. Achievements of the Australian Access to Allied Psychological Services (ATAPS) Program: Summarising (Almost) a Decade of Key Evaluation Data. International Journal of Mental Health Systems. 2016;10(1):61.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    King K, Bassilios B, Reifels L, et al. Suicide Prevention: Evaluation of a Pilot Intervention in a Primary Care Context. Journal of Mental Health. 2013;22(5):439–448.CrossRefPubMedGoogle Scholar
  11. 11.
    Bassilios B, Nicholas A, Reifels L, et al. Evaluating the Access to Allied Psychological Services (ATAPS) Component of the Better Outcomes in Mental Health Care (BOiMHC) Program: Ten-Year Consolidated ATAPS Evaluation Report. University of Melbourne. Available online at https://www.ataps-mds.com/site/assets/files/1016/ten-year-ataps-report_v1-1.pdf. Accessed on 29 Jan, 2017.
  12. 12.
    Miller IW, Norman WH, Dow MG, et al. The Modified Scale for Suicidal Ideation: Reliability and Validity. Journal of Consulting and Clinical Psychology. 1986;54(5):724–725.CrossRefPubMedGoogle Scholar
  13. 13.
    Miller IW, Norman W, Bishop S, et al. The Modified Scale for Suicidal Ideation. Okmis. Available online at http://okmis.com/forms/Charting/20160118183859_Modified_Scale_for_Suicidal_Ideation_20150126.pdf. Accessed on 29 Jan, 2017.
  14. 14.
    Lovibond PF, Lovibond SH. The Structure of Negative Emotional States: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy. 1995;33:335–343.CrossRefPubMedGoogle Scholar
  15. 15.
    Kessler RC, Andrews G, Colpe LJ, et al. Short Screening Scales to Monitor Population Prevalences and Trends in Non-Specific Psychological Distress. Psychological Medicine. 2002;32(6):959–976.CrossRefPubMedGoogle Scholar
  16. 16.
    Antony MM, Bieling PJ, Cox BJ, et al. Psychometric Properties of the 42-item and 21-item Versions of the Depression Anxiety Stress Scales (DASS) in Clinical Groups and a Community Sample. Psychological Assessment. 1998;10:176–181.CrossRefGoogle Scholar
  17. 17.
    Brown TA, Korotitsch W, Chorpita BF, et al. Psychometric Properties of the Depression Anxiety Stress Scales (DASS) in Clinical Samples. Behaviour Research and Therapy. 1997;35:79–89.CrossRefPubMedGoogle Scholar
  18. 18.
    Braun V, Clarke V. Using Thematic Analysis in Psychology. Qualitative Research in Psychology. 2006;3(2):77–101.CrossRefGoogle Scholar
  19. 19.
    Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion on Innovations in Service Organizations: Systematic Review and Recommendations. The Milbank Quarterly. 2004;82(4):581–629.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Hunt I, Kapur N, Robinson J, et al. Suicide within 12 Months of Mental Health Service Contact in Different Age and Diagnostic Groups. National Clinical Survey. 2006;188(2):135–142.Google Scholar
  21. 21.
    Australian Government Department of Health. Australian Government Response to Contributing Lives, Thriving Communities - Review of Mental Health Programmes and Services. Commonwealth of Australia. Available online at http://www.health.gov.au/internet/main/publishing.nsf/content/0DBEF2D78F7CB9E7CA257F07001ACC6D/$File/response.pdf. Accessed on 29 January, 2017.
  22. 22.
    Australian Government Department of Health, PHN Primary Mental Health Care Flexible Funding Pool Implementation Guidance: Stepped Care. Commonwealth of Australia. Available online at http://www.health.gov.au/internet/main/publishing.nsf/content/2126B045A8DA90FDCA257F6500018260/%24File/1PHN%20Guidance%20-%20Stepped%20Care.PDF. Accessed on January 29, 2017.

Copyright information

© National Council for Behavioral Health 2018

Authors and Affiliations

  1. 1.Centre for Mental Health, Melbourne School of Population and Global HealthThe University of MelbourneCarltonAustralia

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