Australian Health Minister Sussan Ley has had the four-volume National Review of Mental Health Programmes and Services since 1 December 2014.
Despite the report being leaked to Crikey, she insisted on 15 April 2015 that; there was no sense in releasing the report before the Government had formulated a response.
On 19 April Crikey Insider sent out access links to all four volumes to its readers.
The Abbott Government has now released the full report which can be read at leisure on the Mental Health Commission website.
The report makes 25 recommendations:
Summary
of recommendations
1.
Set clear roles and accountabilities to shape a person-centred mental health
system
Rec 1. Agree the Commonwealth’s role in mental health is through
national leadership
and
regional integration, including integrated primary and mental health care.
Rec 2. Develop, agree and implement a National Mental Health and Suicide Prevention
Plan with
states and territories, in collaboration with people with lived
experience,
their families and support people.
Rec 3. Urgently clarify the eligibility criteria for access to
the National Disability
Insurance
Scheme (NDIS) for people with disability arising from mental illness
and
ensure the provision of current funding into the NDIS allows for a significant
Tier
2 system of community supports.
2.
Agree and implement national targets and local organisational performance
measures
Rec 4. Adopt a small number of important, ambitious and
achievable national targets
to
guide policy decisions and directions in mental health and suicide prevention.
Rec 5. Make Aboriginal and Torres Strait Islander mental health
a national priority and
agree
an additional COAG Closing the Gap target specifically for mental health.
Rec 6. Tie receipt of ongoing Commonwealth funding for
government, NGO and
privately
provided services to demonstrated performance, and use of a single
care
plan and eHealth record for those with complex needs.
3.
Shift funding priorities from hospitals and income support to community and
primary health care services
Rec 7. Reallocate a minimum of $1 billion in Commonwealth acute
hospital funding in
the
forward estimates over the five years from 2017–18 into more community based
psychosocial,
primary and community mental health services.
Rec 8. Extend the scope of Primary Health Networks (renamed
Primary and Mental
Health
Networks – PMHNs) as the key regional architecture for equitable
planning
and purchasing of mental health programmes, services and integrated
care
pathways.
Rec 9. Bundle-up programmes and boost the role and capacity of
NGOs and other
service
providers to provide more comprehensive, integrated and higher-level
mental
health services and support for people, their families and supporters.
Rec 10. Improve service equity for rural and remote communities
through place-based
models
of care.
4.
Empower and support self-care and implement a new model of stepped care across Australia
Rec 11. Promote easy access to self-help options to help people,
their families and
communities
to support themselves and each other, and improve ease of
navigation
for stepping through the mental health system.
Rec 12. Strengthen the central role of GPs in mental health care
through incentives for
use
of evidence-based practice guidelines, changes to the Medicare Benefits
Schedule
and staged implementation of Medical Homes for Mental Health.
Rec 13. Enhance access to the Better Access programme for those
who need it most
through
changed eligibility and payment arrangements and a more equitable
geographical
distribution of psychological services.
Rec 14. Introduce incentives to include pharmacists as key
members of the mental
health
care team.
5.
Promote the wellbeing and mental health of the Australian community, beginning
with a healthy start to life
Rec 15. Build resilience and targeted interventions for families
with children, both
collectively
and with those with emerging behavioural issues, distress and
mental
health difficulties.
Rec 16. Identify, develop and implement a national framework to
support families and
communities
in the prevention of trauma from maltreatment during infancy and
early
childhood, and to support those impacted by childhood trauma.
Rec 17. Use evidence, evaluation and incentives to reduce stigma,
build capacity and
respond
to the diversity of needs of different population groups.
6.
Expand dedicated mental health and social and emotional wellbeing teams for
Aboriginal
and Torres Strait Islander people
Rec 18. Establish mental health and social and emotional
wellbeing teams in Indigenous
Primary
Health Care Organisations (including Aboriginal Community-Controlled
Services),
linked to Aboriginal and Torres Strait Islander specialist mental health
services.
7.
Reduce suicides and suicide attempts by 50 per cent over the next decade
Rec 19. Establish 12 regions across Australia as the first wave
for nationwide
introduction
of sustainable, comprehensive, whole-of-community approaches to
suicide
prevention.
8.
Build workforce and research capacity to support systems change
Rec 20. Improve research capacity and impact by doubling the
share of existing and
future
allocations of research funding for mental health over the next five years,
with
a priority on supporting strategic research that responds to policy
directions
and community needs.
Rec 21. Improve supply, productivity and access for mental health
nurses and the
mental
health peer workforce.
Rec 22. Improve education and training of the mental health and
associated workforce
to
deploy evidence-based treatment.
Rec 23. Require evidence-based approaches on mental health and
wellbeing to be
adopted
in early childhood worker and teacher training and continuing
professional
development.
9.
Improve access to services and support through innovative technologies
Rec 24. Improve emergency access to the right telephone and
internet-based forms of
crisis
support and link crisis support services to ongoing online and offline forms
of
information/education, monitoring and clinical intervention.
Rec 25. Implement cost-effective second and third generation
e-mental health solutions
that
build sustained self-help, link to biometric monitoring and provide direct
clinical
support strategies or enhance the effectiveness of local services.
support strategies or enhance the effectiveness of local services.
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