however there are typical factors generally improving treatment access and treatment adequacy which have been promoted by guidelines from the american psychiatric association and the national institute for clinical excellence in the united kingdom no specialist includes general practitioner pharmacist nurse social worker or someone else similar successful initiatives have been undertaken by the australian government better access initiative access to allied psychological services initiative see above eg harris et al in most of the countries participating in the current project a majority of psychiatric inpatients will be discharged within one week from the psychiatric clinic