Rural and remote psychiatry — structured clinical viva

Map reading. MMM2 vs MMM7 are different service problems: the regional centre may support a small CMHT and collaborative care density; the very remote site needs ACCHO partnership, tele + visiting models, and retrieval readiness. Neither is "fixed" by a capital video clinic alone.^[5][3]

Suicides. Media bed demand is understandable but incomplete. Rural suicide literature shows mental health problems with incomplete help-seeking — so prevention requires earlier engagement, means safety, and continuity, not only inpatient bricks.^[4][6]

Tele roster. Three half-days can help if embedded in primary care with emergency protocols (Shore), measurement-based follow-up, and between-session care management (Fortney). Effectiveness evidence exists (Hilty), but process safety and integration determine value.^[1][2][3]