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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
EDITORIAL

Mental health reform: where are we in 2024?

Ian Hickie A and Sebastian Rosenberg A B *
+ Author Affiliations
- Author Affiliations

A Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.

B Health Research Institute, University of Canberra, Canberra, ACT, Australia.


Australian Health Review 48(4) 337-339 https://doi.org/10.1071/AH24194
Submitted: 16 July 2024  Accepted: 17 July 2024  Published: 1 August 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

What is known about the topic? Little is known about the state of mental health reform in Australia. This article describes the struggle to develop the systems of accountability necessary to assess national progress. What does this paper add? We provide some historical context regarding mental health reform and consider recent efforts in particular, before then describing current key opportunities. What are the implications for practitioners? Many people working in mental health are struggling to deliver quality services to Australians. This paper considers the broad policy issues which have led to this situation. This is useful for practitioners who can then better respond and participate in processes of systemic reform. Opportunities to engage now in key policy formulation are identified in the article.

References

Federal Government. Budget 2024-25. 2024. Available at https://budget.gov.au/ (accessed 13 July 2024)

Productivity Commission. Mental Health, Report no. 95. Canberra: Productivity Commission; 2020.

Rosen A, Gill NS, Salvador-Carulla L. The future of community psychiatry and community mental health services. Curr Opin Psychiatry 2020; 33(4): 375-90.
| Crossref | Google Scholar | PubMed |

Rosenberg S, Harvey C. Mental health in Australia and the challenge of community mental health reform. Consort Psychiatr 2021; 2(1): 40-6.
| Crossref | Google Scholar | PubMed |

Mental Health Council of Australia. Not For Service: Experiences of Injustice and Despair in Mental Health Care in Australia. Canberra: Mental Health Council of Australia; 2005.

Council of Australian Governments. National Action Plan on Mental Health 2006-2011. 2006. Available at https://apo.org.au/node/159056 (accessed 15 July 2024)

Rosenberg S, Hickie I. How to tackle a giant: creating a genuine evaluation of the Better Access Program. Australas Psychiatry 2010; 18(6): 496-502.
| Crossref | Google Scholar | PubMed |

Howard J. Better Mental Health Services for Australia 5/4/2006. Available at https://pmtranscripts.pmc.gov.au/release/transcript-22207 (accessed 15 July 2024)

Rosenberg SP, Mendoza J, Russell L. Well meant or well spent? Accountability for $8 billion of mental health reform. Med J Aust 2012; 196(3): 159-61.
| Crossref | Google Scholar | PubMed |

10  Hancock N, Scanlan JN, Gillespie JA, Smith-Merry J, Yen I. Partners in Recovery program evaluation: changes in unmet needs and recovery. Aust Health Rev 2017; 42(4): 445-52.
| Crossref | Google Scholar | PubMed |

11  Dunstan DA, Todd AK, Kennedy LM, Anderson DL. Impact and outcomes of a rural Personal Helpers and Mentors service. Aust J Rural Health 2014; 22(2): 50-5.
| Crossref | Google Scholar | PubMed |

12  Happell B, Platania-Phung C. Review and analysis of the mental health nurse incentive program. Aust Health Rev 2017; 43(1): 111-9.
| Crossref | Google Scholar | PubMed |

13  National Mental Health Commission. Contributing Lives (2014). Available at https://www.mentalhealthcommission.gov.au/publications/contributing-lives-review-2014 (accessed 15 July 2024)

14  Australian Government. The National Mental Health and Suicide Prevention Agreement. 2022. Available at https://federalfinancialrelations.gov.au/agreements/mental-health-suicide-prevention-agreement (accessed 15 July 2024)

15  Victorian Government. The Royal Commission into Victoria’s Mental Health System (2021). Available at http://rcvmhs.archive.royalcommission.vic.gov.au/ (accessed 15 July 2024)

16  Australian Institute of Health and Welfare. Expenditure on mental health-related services. Available at https://www.aihw.gov.au/mental-health/topic-areas/expenditure (accessed 15 July 2024)

17  Australian Government, Budget 2024-25. Strengthening Medicare and the care economy. Available at https://budget.gov.au/content/04-medicare.htm (accessed 15 July 2024)

18  Rosenberg S, Salvador-Carulla L. PERSPECTIVES: Accountability for Mental Health: The Australian Experience. J Ment Health Policy Econ 2017; 20(1): 37-54.
| Google Scholar | PubMed |

19  Rosenberg S, Park SH, Hickie I. Paying the price – out-of-pocket payments for mental health care in Australia. Aust Health Rev 2022; 46(6): 660-6.
| Crossref | Google Scholar | PubMed |

20  Community Mental Health Australia. Pre-Budget Submission. 2024. Available at https://cmha.org.au/wp-content/uploads/2024/02/Federal-Pre-Budget-2024-2025-Submission-Community-Mental-Health-Australia.pdf (accessed 15 July 2024)

21  Meeting of National Cabinet – the Federation working for Australia. 6 December 2023. Available at https://www.pm.gov.au/media/meeting-national-cabinet-federation-working-australia (accessed 15 July 2024)

22  Bentley R, Baker E, Ronald R, Reeves A, Smith SJ, Simons K, Mason K. Housing affordability and mental health: an analysis of generational change. Hous Stud 2022; 37(10): 1842-57.
| Crossref | Google Scholar |