June 6th, 2024
The findings and recommendations from the NSW Parliamentary Inquiry into the equity, accessibility and appropriate delivery of outpatient and community mental health care in New South Wales, were recently announced at a launch at NSW Parliament.
Dr. Amanda Cohn and the Portfolio committee are to be commended on their work, which resulted in 39 recommendations based on 1,200 submissions received. The report is a substantial document with key findings supported by evidence. However, concerns exist regarding the effective implementation of the recommendations. Past reports like the Productivity Commission Inquiry Report into Mental Health in 2020, has resulted in little action being taken.
Addressing mental health requires a comprehensive strategy that goes beyond traditional approaches. To effectively improve mental health outcomes, we must adopt a holistic whole-of-government and whole of community approach that involves sectors collaborating. This must encompass education, housing, health, employment, business, mental health and community sectors working together to drive meaningful systems change in mental health.
While the recent $111.8 million NSW budget allocation announced yesterday is a positive step, there is a need for increased funding to community-based mental health services. Addressing systemic changes alongside funding is essential to improve mental health services in NSW.
The amount of funding allocated to acute mental health care is disproportionate to what is required over the life span. There needs to be more investment in early intervention and prevention care to minimise the risk of reaching crisis point. For those who do receive acute care, there is an urgent requirement for more investment in aftercare and relapse prevention to minimise the risk of returning to acute care. This would have clear economic and wellbeing benefits to the Australian community.
Wayahead’s CEO Sharon Grocott said “The inquiry report only makes two references to discrimination and there is one reference to human rights. There is a minor mention of stigma and how attitudes influence access to support services. If systemic change is to be achieved, we need to address the detrimental effects of stigma and discrimination on individuals with a mental illness, as this can hinder help-seeking, maintaining treatment and support, and worsen mental health conditions.”
In a survey conducted by Wayahead over the past two years, involving 2,000 people with lived experience, it was revealed that a significant 88% of respondents believe that mental health stigma remains prevalent. Shockingly, 68% of those surveyed admitted they would conceal their mental health status from their employer because of discrimination. It is well-documented that stigma and discrimination can act as significant barriers, preventing individuals from seeking help, maintaining treatment and support and ultimately worsening their mental health condition. Addressing these issues is crucial to creating a supportive community where people with a mental illness can live without fear of discrimination to achieve good health and life outcomes.
There have been recent instances of discrimination, particularly evident following the tragic Bondi event, highlighting the pressing need to combat stigma and discrimination surrounding mental ill-health. By promoting positive portrayals in the media, we can actively challenge stereotypes and work towards reducing stigma associated with mental illness. Additionally, early intervention and comprehensive education about mental health in the wider community can play a pivotal role in creating a more inclusive society which will result in better mental health outcomes.
The findings and recommendations from the NSW Parliamentary Inquiry into the equity, accessibility and appropriate delivery of outpatient and community mental health care in New South Wales, were recently announced at a launch at NSW Parliament.