Victorians seeking an ADHD diagnosis will soon be able to see their local GP rather than wait months for a specialist, under new state government reforms expected to begin this year. This significant shift in healthcare delivery is set to commence by September, with the state investing $750,000 to train an initial cohort of 150 general practitioners.
Currently, adults must consult a psychiatrist and children must see either a paediatrician or psychiatrist to receive a diagnosis and medication. This process often involves wait lists stretching from six to 12 months and assessments costing upwards of $2,000. The new changes will empower GPs to diagnose, prescribe medication, and provide ongoing management, including referrals for behavioral therapy, education support, and lifestyle strategies.
The government asserts that this move will reduce out-of-pocket costs, improve access in regional areas, and alleviate pressure on specialist services. According to the Royal Australian College of General Practitioners (RACGP), an estimated 163,000 Victorian children and 320,000 adults may be living with ADHD.
Impact on Families and Healthcare System
Premier Jacinta Allan emphasized the importance of making ADHD care more accessible and affordable. “Families have told me how difficult it is to get this care – so we’re making it cheaper and easier,” she stated. “No child or family should be left behind because the system is too complex, too hard, or too expensive.”
The reforms align with a broader national trend towards GP-led ADHD care. Queensland has allowed GP-initiated treatment since 2017, while Western Australia and South Australia are implementing training-based programs. New South Wales is trialing GP diagnosis in selected areas, and Tasmania and the ACT have also committed to similar changes.
Expert Opinions and Reactions
The RACGP, a long-time advocate for the change, welcomed the announcement. Dr. Anita Muñoz, RACGP Victoria chair, highlighted the struggles faced by many in accessing affordable care. “This announcement is keenly welcomed by Victorian GPs on behalf of the many untreated or undiagnosed Victorians who have to date struggled with access to affordable care in their local communities,” she said.
“Assessment and diagnosis for ADHD can cost thousands of dollars and mean months of waiting. Patients may have to travel for hours to see a non-GP specialist. Patients in rural and lower socioeconomic status areas miss out on care,” Dr. Muñoz explained.
She further noted that the reforms would enable GPs to support patients beyond medication, offering comprehensive, whole-of-life care. “Being able to prescribe for ADHD is key, but patients with ADHD also benefit from care to help them maintain sleep hygiene, manage screen time, receive counseling when needed, and provide and receive support with peers,” Dr. Muñoz added.
Calls for a Collaborative Approach
While the Australian Psychological Society (APS) supports improved access, it advocates for a broader team-based approach involving psychologists in assessment and therapy alongside doctors. APS President Dr. Kelly Gough emphasized the importance of a collaborative model.
“A truly collaborative model where psychologists provide assessment, diagnosis, and psychological treatment, and GPs oversee medication management has the potential to reduce system strain, shorten wait times, and deliver more accessible, effective support for individuals and families,” Dr. Gough said.
Dr. Gough highlighted that psychologists are uniquely trained to manage the psychological impact of ADHD, including its effects on emotions, relationships, and work or study. “We call on all governments to address the under-recognized contribution of psychologists and to work with us to design initiatives that enable psychologists to provide these much-needed services to the Australian community,” she concluded.
Looking Ahead
The announcement comes as part of a growing recognition of the need for more accessible mental health care across Australia. As the reforms roll out, they promise to transform the landscape of ADHD care in Victoria, potentially serving as a model for other regions. The success of this initiative could pave the way for further integration of GPs in managing other mental health conditions, ultimately striving for a more inclusive and efficient healthcare system.
