Government Structure, Service System Design, and Equity in Access to Psychotherapy in Australia, the United Kingdom, and Canada
Publication: Canadian Journal of Community Mental Health
30 July 2020
Abstract
This article reports the results from 22 interviews regarding the relationship among government structure, service system design, and equity in access to psychotherapy in Australia, the United Kingdom and Canada. Key themes focused on the strong relationship between government structure and at least one other factor in shaping psychotherapy reforms in each country, as well the persistence of inequities despite the introduction of universal reforms. These findings suggest that improving equity in access will require explicit focus regardless of government structure or service system design.
Résumé
Cet article présente les résultats de 22 entrevues concernant la relation entre la structure gouvernementale, la conception du système de services et l’équité d’accès à la psychothérapie en Australie, au Royaume-Uni et au Canada. Les thèmes clés ont été axés sur les relations étroites existant entre la structure gouvernementale et au moins un autre facteur déterminant dans les réformes de la psychothérapie dans chaque pays, ainsi que sur la persistance des inégalités malgré l’introduction de réformes universelles. Ces résultats suggèrent que l’amélioration de l’équité d’accès nécessitera une attention explicite, quelle que soit la structure gouvernementale ou la conception du système de services.
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Canadian Journal of Community Mental Health
Volume 39 • Number 2 • July 2020
Pages: 11 - 23
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Version of record online: 30 July 2020
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Mary Bartram. 2020. Government Structure, Service System Design, and Equity in Access to Psychotherapy in Australia, the United Kingdom, and Canada. Canadian Journal of Community Mental Health.
39(2): 11-23. https://doi.org/10.7870/cjcmh-2020-010
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