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2020 Annual Report

Advocacy

The APS has been clear on what members want and need in 2020. This was achieved by keeping the lines of communication open at all times, even through a seamless transition to a fully virtual office in March following the announcement of the pandemic. Staff heard directly from members via thousands of emails and phone calls, and through multiple webinars. With this singular direction gathered from multiple voices, the APS presented a clear case to Government, resulting in some significant achievements. 

These included:

  • COVID-19 telehealth items for all Australians
  • Gap fee options for all COVID-19 telehealth items, for all Australians
  • Coverage for teleconsultations from Australian health funds during the coronavirus outbreak
  • The lifting of restrictions on charging gap fees for children, as a result of our advocacy work
  • Additional Medicare-rebated sessions for bushfire-affected communities.

Our lobbying work continued in earnest regarding increasing the currently available 10 sessions to at least 20 sessions to any Australian, in any part of the country, with a Mental Health Treatment Plan. Given the stresses placed on Australians – in particular over the last year – this is essential.

In April, the APS was advised that the MBS Review Taskforce had been put on hold until further notice, to allow the clinicians who make up the Taskforce to focus on their patients during the coronavirus crisis. The Taskforce’s report was originally expected to be delivered in May 2020.

Similarly, the Psychology Board of Australia’s (PsyBA) review of professional competency requirements, which was due to begin in late March, was also put on hold. The APS has carefully considered the PsyBA Green Paper released in February, and will be involved in stakeholder meetings in 2021 and beyond. 

In November 2019, the APS joined the leaders of 43 psychological associations at the first International Summit on Psychology and Global Health: A Leader in Climate Action in Lisbon. There, we signed a referendum citing the “overwhelming agreement among climate scientists that climate change poses a serious global threat, is occurring faster than previously anticipated and is contributed to by human behaviour.” The APS and our international colleagues pledged to encourage leaders in government, academia, health and business to use more psychological science in designing policies to promote sustainable preventive and corrective behaviours.

In August 2019, the APS acted quickly to address many of the concerns our members raised around the introduction of new contracting arrangements in the shift of ADF service provider from Medibank to Bupa. The APS met with ADF representatives and as a result, Bupa agreed to reinstate many of the arrangements that were previously in place under Medibank.

In 2020 the APS continued its work providing secretariat support for the National Assessment and Referral Project, funded by the Department of Health. The project aims to develop national guidance and resources for the assessment and referral of clients presenting for assistance across the stepped-care approach.

Submissions

The APS made submissions to Government across a range of areas affecting Australian communities. Once again, health workforce and regulation was a focus, relating to the structure and function of the mental health workforce. There was a significant increase in submissions around social issues, in large part due to COVID-19.

Representations

APS strategic advocacy and contribution to community wellbeing was supported through representation on a large number of influential advisory groups and committees. The APS voiced its expertise on a range of issues and areas where psychology plays a role.

Aged Care and End-of-Life

  • Improving the mental health and wellbeing of people in the aged care sector, including the staff particularly given the current impacts of COVID-19 on aged care facilities.
  • Ensuring adequate resourcing for the provision of psychological care and oversight in the end-of-life and palliative care services.
  • Equitable funding for aged care residents to access mental health assessment and treatment services and also to train RACF staff to improve their ability to address behavioural issues and reduce the frequency and use of restrictive practices.
  • Improving support for older Aboriginal and Torres Strait Islander people in remote communities.

Highlights

Submissions

  • Submission to the Royal Commission into Aged Care Quality and Safety
  • State based submissions to legislative changes regarding voluntary assisted dying such as the South Australian End of Life Choices Inquiry
  • APS response to Evaluation of the National Framework for Action on Dementia 2015-2019

Representations

  • Royal Commission into Aged Care Quality and Safety - Mental health
  • National Aged Care Alliance

Child and Family Welfare

  • Enhancing access to various services via telehealth to support children and families through the COVID-19 pandemic.
  • Advocating for children and families to have enhanced access to neurodevelopmental assessments and early intervention services.
  • Advocating for increased integration of psychologists and psychological science within the justice system, especially the youth justice.
  • The critical role of psychologists in schools, including minimum ratios.

Highlights
Submissions

  • APS response to questions from the Productivity Commission in related to minimum ratios of psychologists in schools and increased integration of psychologists and psychological science in the justice sector
  • Mental Health Commissions Pandemic Response - recovery plan for children

Representations

  • National Mental Health Commission – National Children’s Mental Health and Wellbeing Strategy 
  • Attorney General Department – Family Law and Family Report Assessments

Disability

  • Ensuring a viable and sustainable NDIS workforce, including a comprehensive workforce development plan for education, training, recruitment and retention of NDIS staff.
  • Addressing several issues and gaps with the NDIS that impact the delivery of psychological services to NDIS participants.
  • Improving access to disability services in the justice system.

Highlights
Submissions

  • APS Response to Joint Standing Committee on the National Disability Insurance Scheme: NDIS Planning
  • SA Attorney General Office – Communication Partner Service

Representations

  • Department of Veterans' Affairs 
  • National Disability Insurance Scheme

Health Service Delivery

  • Amendments to the availability of mental health services to all Australians during the COVID-19 pandemic, including increased access to telehealth, increased sessions, access for bushfires, including allowing for the adjunct of interpreter services.
  • Strengthening the evidence-base for the delivery of mental health services to ensure Australia’s mental health system is effective and efficacious in reducing the burden of mental health.
  • Enhancing the funding and structural reform of Australia’s mental health system to facilitate long-term sustainability.

Highlights
Submissions

  • Productivity Commission Inquiry into Mental Health: APS Response to Draft Report
  • Submission into the WA Inquiry into the Guardianship and Administration Amendment Bill
  • APS Response to the Mental Health Reference Group Report – MBS Review

Representations

  • Health Experts Advisory Group – Department of Home Affairs
  • Department of Health
  • National Mental Health Commission

Health Workforce and Regulation

  • Advocating for enhanced workforce planning to clarify the competencies and roles of mental health professionals across the mental health system.
  • Enhancing access to psychological services for Australians living/working in regional, rural and remote areas of Australia. 
  • Enhancing the structure and function of the mental health workforce across the stepped care model to strengthen care pathways and ensure individuals access the right care at the right time, including addressing the training needs and roles of professionals within the mental health care system.

Highlights
Submissions

  • Joint submission in response to final report of the Accreditation Standards Review
  • APS response to preliminary consultation paper: Consultation on review of the guidelines for mandatory notifications
  • The Department of Employment, Skills, Small and Family Business (DESSFB) consultation on draft proposed occupation lists

Representations

  • Australian Health Professionals Regulation Agency (AHPRA) Professions Reference Group
  • Digital Mental Health Advisory Committee 
  • Allied Health Professions Association (AHPA)

Social Issues

  • Advocating for a range of government responses in relation to the impacts of the COVID-19 pandemic, including increased access to psychological services, continuity of care, and addressing loneliness and social isolation impacts.
  • Enhancing the government and community response to the impact of the Australian bushfires on the mental health and wellbeing of children, families and the community.
  • Increasing the availability of affordable and safe housing and accommodation through better resourcing and educating housing providers to work with and understand the impact of trauma and mental illness required to support early intervention.
  • Supporting protection against discrimination for Australians on the grounds of race, sex, gender, disability and age.

Highlights
Submissions

  • Submission to the Senate Select Committee on COVID-19
  • Submission to the Religious Freedom Bills - First Exposure Drafts
  • Submission to the Tasmania Law Reform Institute on the Legal Recognition of Sex and Gender
  • APS response to the National Mental Health Commission’s Issues Paper – Mental Health Impacts of Quarantine and Isolation
  • APS Response to Senate Finance and Public Administration Committee – Lessons to be learned in relation to the Australian bushfire season 2019-2020

Representations

  • Department of Home Affairs – Countering Violent Extremism
  • The Centre for Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention
  • National Mental Health Commission – Bushfire response and COVID-19 response

Workplace and Employment

  • Advocating for equity in the treatment of physical and psychological wellbeing in the workplace.
  • Implementing safe and evidence-based strategies about what fosters good workplace mental health.

Highlights
Submissions

  • APS response to Consultation on the Regulation Impact Statement: 2018 Review of the Model Work Health and Safety Laws
  • APS response to SIRA Consultation Paper on customer services conduct principles

Representations

  • State Insurance Regulatory Authority
  • WorkSafe Australia and state bodies