This refers to a client, parent, carer or child referred to an external private psychologist for therapy to promote some development or change.
This requires there to be a set of goals which clearly state the behaviour or change that the therapy is aimed at and is evaluated.
It is the responsibility of the private psychologist to ensure there is no conflict of interest in accepting the referral. Should such a conflict exist, complete the General Conflict of Interest Form and discuss with the district psychologist or Senior Consultant Psychologist to examine what measures will need to be taken to manage the conflict. Record any measures identified.
Access through the Medicare Benefits Schedule
It is possible to access private practitioner services via the Medicare Benefits Scheme under the Mental Health Care Plan (MHCP). The MHCP is accessed via referral from a General Practitioner (GP).
Consult with your district psychologist or a Senior Consultant Psychologist before seeking referral to a private psychologist through the Medicare Benefits Schedule (MBS).
This may also require discussion with the DD as sometimes the treating psychologist may refuse to provide the information to the Department about the therapy stemming from the treatment contract being between the referring GP and the psychologist.
Referral
Referrals can only be made by a GP or medical practitioner to a registered psychologist. Many general and specialist endorsed psychologists are registered to provide services eligible for Medicare rebates. Medicare rebates are available for the treatment of mental health disorders.
Comprehensive information about the range of disorders is available on the
Australian Psychological Society website. Disorders listed as being eligible include:
- adjustment
- alcohol use
- anxiety
- attention deficit
- bereavement
- bipolar
- conduct
- depression
- drug use
- eating
- obsessive compulsive
- panic
- phobic
- post-traumatic stress, and
- psychotic.
Clinical assessments
A clinical assessment usually forms part of the initial consultation in preparation for treatment or therapy. The practitioner usually undertakes this in the first session to ensure that:
- the referral is appropriate
- the problem outlined in the referral is what the client presents with, and
- whether the therapist can provide a suitable service to meet the client's needs.
The clinical assessment forms part of the usual first session and is acceptable in the MHCP. No report results from this assessment as it is purely to inform the therapy process.
| IQ testing, neuropsychological assessment or forensic assessments such as parenting capacity assessments, are not eligible for a Medicare rebate.
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To progress with a referral, schedule a medical appointment with the client to inform the client's GP about the issues of concern. A GP will need to develop a MHCP and this will usually require a longer appointment.
You and the district psychologist work together to compile the necessary background information and reasons for your concerns. The GP requires this information to develop and appraise the client's MHCP and informs the GP's decision as to whether the plan and referral will be advanced. This information also forms the basis for the GP's referral to the practitioner.
Under the MBS, up to 20 sessions are available with a review after approximately half the sessions, in any calendar year. Further sessions are available under exceptional circumstances.
Approved private psychologist
When attempting to secure services for children in the CEO's care via a MHCP, you should provide the GP with a list of local private practitioners chosen from the Approved Psychologist Practitioners List
whenever possible. Practitioners on this list have been deemed to possess knowledge and skills relevant to children in the CEO's care particularly regarding being "trauma informed". You should inform and discuss this with the GP.
In circumstances where it is not possible to use a psychologist from the approved list, it is imperative that the approved psychologist, on accepting the referral, has a valid Working with Children Card and the necessary police clearances.
Further information
Further information on MBS items can be obtained from: