
%0 Journal Article
%A Andrews, Gavin 
%A Titov, Nickolai 
%T Changing the face of mental health care through needs-based planning
%J Australian Health Review
%D 2007/12/01
%V 31
%N 5
%P 122-128
%K 
%R https://doi.org/10.1071/AH07S122
%U https://www.publish.csiro.au/paper/AH07S122 
%X Mental disorders contribute to the burden of human disease. The National Survey of Mental Health and Wellbeing revealed low participation in treatment. The Tolkien II report provided evidence that a mental health service that utilised needsbased stepped care was likely to be effective and affordable to the point that a 30% increase in budget would treat 60% more people and produce a 90% increase in health gain. Five priorities were identified: ¦ Solve the crisis in psychosis by providing more step-down beds for people with schizophrenia who need long-term accommodation. ¦ Educate the workforce by providing a nationwide web-based basic curriculum. ¦ Use clinician guided, step-down web-based therapy for patients who are mild or moderate, and web-based education to enhance clinical treatment for patients who are more severe. ¦ Educate patients and their families about treatments that work and about lifestyle changes that facilitate these treatments. ¦ Reduce the onset of common mental disorders by using proven web-based prevention programs in schools. With resources such as these in place, changing the face of mental health care might just be within our reach. 
