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Australia's National Mental Health Strategy.

Harvey Whiteford1, Bill Buckingham, Ronald Manderscheid

  • 1The University of Queensland, Toowong, Queensland, Australia. hwhiteford@worldbank.org

The British Journal of Psychiatry : the Journal of Mental Science
|March 2, 2002
PubMed
Summary

Australia

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Area of Science:

  • Health Services Research
  • Mental Health Policy

Background:

  • Australia initiated a significant 5-year mental health service reform in 1993.
  • The reform aimed to reshape the delivery and structure of mental healthcare nationwide.

Purpose of the Study:

  • To evaluate the outcomes of Australia's National Mental Health Strategy by 1998.
  • To report on the structural and financial changes in mental health services.

Main Methods:

  • Analysis of data from the Australian National Mental Health Report 2000.
  • Inclusion of findings from an independent evaluation of the National Mental Health Strategy.

Main Results:

  • A 30% real-terms increase in mental health expenditure.
  • Significant growth in community-based services (87%) and general hospital services (38%), with a decrease in psychiatric hospital services (29%).
  • Reversal of private psychiatry growth and increased consumer/carer involvement.

Conclusions:

  • Substantial structural reforms were implemented in Australian mental health services.
  • Limited evidence suggested improvements in service quality despite structural changes.
  • The National Mental Health Strategy was extended for an additional five years.

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