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Workforce deployment: reconciling demands and resources

G Andrews1

  • 1University of New South Wales, St Vincent's Hospital, Anxiety Disorders Unit, Sydney, New South Wales.

The Australian and New Zealand Journal of Psychiatry
|September 1, 1995
PubMed
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Many Australians with mental disorders remain untreated, particularly those with severe conditions. A significant mental health workforce shortfall exists, especially in rural areas, necessitating improved data collection and service strategies.

Area of Science:

  • Mental Health Services Research
  • Epidemiology
  • Health Workforce Studies

Background:

  • A prior consultancy for the National Mental Health Policy indicated significant undertreatment of serious mental illnesses and overservicing of less severe mental health issues.
  • The needs of individuals with mid-range mental disorders were not adequately addressed in previous assessments.

Purpose of the Study:

  • To reconcile epidemiological data with existing mental health service patterns.
  • To estimate the extent of unmet mental health needs within the Australian population.

Main Methods:

  • Analysis of epidemiological data on mental disorder prevalence.
  • Reconciliation of prevalence data with clinical workforce service patterns.
  • Estimation of treatment gaps and unmet needs.

Related Experiment Videos

Main Results:

  • An estimated 25-30% of Australians meet criteria for a mental disorder annually, with less than one-third receiving treatment.
  • General practitioners provide treatment for three-quarters of those receiving care, with the remainder treated by specialist services or private psychiatrists.
  • Less than half of individuals with serious mental disorders and two-thirds with chronic, disabling disorders are treated, indicating a substantial treatment gap and potential workforce shortfall, particularly in rural areas.

Conclusions:

  • Addressing the mental health treatment gap requires strategic interventions involving psychiatrists, clinical psychologists, and general practitioners.
  • A comprehensive National Mental Health Survey is crucial for obtaining accurate data to inform policy and service planning.