6th Oct 2015
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Mental health system under review
Mental health system under review

A review by the National Mental Health Commission has found the current mental health system is stretched to breaking point and needs to focus on “catching people before they fall”. Health Minister Sussan Ley is planning an overhaul of the mental health system, but there is no quick fix and details won’t be released until later in the year.

The mental health system review, concluded in April, concluded that Australia needed to move away from focusing on crisis and acute care, and, instead, invest more resources into community-based services, primary health care, prevention and early intervention.

The new system will also see an approach based on organising services around the needs of the person instead of the current service-centred approach. In her radio interview with the ABC, Sussan Ley described a “stepped-care system” focused on the needs of the person so that the correct levels of care are put in place after a hospital visit.

“I do want to say that it needs to be different from the previous one. And it needs to, for example, recognise that where somebody may go into hospital after a suicide attempt, when they leave hospital they're not left on their own, they do have somewhere to go, and they do have some follow up.” said Sussan Ley.

Read more at www.abc.net.au

Read more from The Age.





    COMMENTS

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    gilstamp
    6th Oct 2015
    10:39am
    Sounds even worse than what it is intended to replace. The attention is focused on the tail end of the process if this is the main approach. Early intervention is about anyone who is having difficulties.
    gilstamp
    6th Oct 2015
    10:41am
    Perhaps I am reading it wrongly. I hope so and that the suicide example is only an example and not the main approach.
    TREBOR
    6th Oct 2015
    11:06am
    So... La Ley is a closet socialist after all? Community-based services?
    niemakawa
    6th Oct 2015
    5:07pm
    The Government, under it's new "Leadership" clearly are closet socialist.
    jackie
    6th Oct 2015
    12:15pm
    Cut backs have destroyed the mental health system. It can never be fixed in a world with governments that don't want to govern and spend money on the poor class.
    niemakawa
    6th Oct 2015
    4:59pm
    Where the best option is to become rich, if that is the case.
    Shirl's
    6th Oct 2015
    12:26pm
    Hi Susan
    Firstly I originated from your Electorate to the Mid North Coast after a nasty work injury.
    One area that's needs urgent attention is Mental Illness from a Worker Compensation over 50+ of injuries end up a secondary injury from mental illness. Until u have been there little is known of this cruel and devastating system I thought I was bullet proof worked as a nurse for 30 plus years so dedicated to my profession, Now I live with the injury and acute depression daily so please investigate the cost and heart ache to the community
    Kato
    6th Oct 2015
    12:38pm
    Review usually equals reductions.how many reviews do governments need to put a solid programme in place to help our mentally ill. One place to start would be to take our young and there concerns seriously and treat them like human beings.
    Possum
    6th Oct 2015
    12:49pm
    Something needs to be done ! I have a 30 year old son with mental issues (suicidal tendencies and self harming). There is, speaking from my experiences only, nothing available for him, follow up from hospital is non existent. The other side of the coin in regards to mental issues is the cost involved with follow up support, treatment, medications, psychiatrist appointments which is generally out of a mental issues sufferers affordability as nothing is bulk billed. I have dealt with my son and his mental issues from his teens right through to his adult life. 25 years old seems to be the cut off point for any form of professional help and assistance which is unfair not only on him but any other suffers as this can be a life long ailment.
    KSS
    6th Oct 2015
    1:37pm
    Let me say at the outset, there needs to be appropriate and readily accessible mental health services available to those who need them.

    Having said that, I do wonder whether we are not in danger of 'medicalising' or pathologising normal human responses to everyday life. Consider, no-one is ever upset, disappointed, angry, or a range of other perfectly normal emotional responses to normal human events. Today, you are not upset or disappointed, you are "depressed"; being worried and or angry has been replaced with "anxiety disorder"; the usual behavioural and emotional trials and tribulations of adolescence are now "oppositional defiant disorder" and the list goes on. Have we bred offspring so cossetted that they are now unable to cope with the normal ups and downs of life? Has our total lack of acceptance of any responsibility for our own actions meant that there must be an external cause i.e. mental illness for our own failings? The continual expansion of what is considered mental illness has resulted in a corresponding increase in tenuous mental illness diagnoses and justification of the over-medication of 'difficult' kids (and adults).

    Carrying on like an ally-cat used to be called just that! Now it is a "sex addiction" mental health issue and must be treated with significant health resources at the expense of others who truly have a serious problem.

    Perhaps this is where any review needs to begin. Sort out the real from the fabricated and direct the resources accordingly. Stop pandering to 'worried-well' and spend the scarce funding where it is really needed.

    And before you all get up on your soap boxes, please re-read the opening sentence again first!
    happy
    6th Oct 2015
    4:53pm
    Agree. We should be teaching encouraging resilience. We also need to hold people responsible for their actions. Our problems and actions are too often the fault of others. True mental illness is terrible not only for the patient but also for family and friends.
    buby
    6th Oct 2015
    1:49pm
    Yes Gil i think that your right. Because you know any one of us can get mental problems very quickly. the Needs of the poor need to be addressed. But nobody cares,Not even their own governments. You never heard of such big problems in days of yor.
    Many are without homes, and don't have a roof over their head. some don't even know how to get there, some have never been taught on how to cope in life, when situations hit them they don't know what to do. and everybodies situation will be different.
    Many think just feeding some a pill, will fix it all. but it doesn't.
    So really something needs to change from the top!!! but Do they care enough, to fix the problems in their own back yard, which is what they should be doing before they try to fix overseas problems!!!!
    KSS
    6th Oct 2015
    2:00pm
    True mental illness does not restrict itself to those with a low bank balance buby. It is no respector of class, wealth or where you live. Do not make this another battle ground based on perceived wealth or lack thereof.
    Kato
    6th Oct 2015
    2:26pm
    Yes Buby I have to agree with KSS mental illness is no respecter of class and or wealth.
    Whilst not considering my self wealthy I provided my daughter with what I thought were the needs of life love and a decent education to University level but could never understand her unhappiness with life until she was diagnosed with bipolar. And that put a lot of things in place for me.
    buby
    9th Oct 2015
    10:00am
    KSS and Kato, I"M not just talking about Class or the wealth!! you certainly got it wrong there. I"M talking about disfunction. Which can even occurr in the wealthiest of families, as well as in the Poor. REally You are truly off, and have not understood me......I guess cause you don't really know me, i'll forgive you for those comments.
    Lynzo
    6th Oct 2015
    2:13pm
    I have a family member in NSW whose life has been destroyed by mental illness. Unfortunately, this person is also in the process of trying to destroy other peoples reputations due to her mental illness and there is nothing we can do about it. We have tried for years to get her help but no one can do anything because she has rights and we have none. She needs to be committed and made to have treatment. Why is it her rights give her the power to destroy people but the people she is out to destroy have no rights when it comes to stopping her and getting her the help she needs. I'm over these mental health issues - nothing is ever done and it's all bullshit!
    buby
    11th Oct 2015
    10:52am
    Even though i don't know this person, but i'm sure she was brought up in a highly dysfunctional family, if thats what you think. How do you know she's not correct on some issues. When you lot don't even go out of your way to listen, and she was she's on about. Perhaps she just needs to be shown a lot of love, and needs attention that she's been lacking over the years and never had, and is still trying to get it, but going about it in the wrong way!!!!
    Lynzo
    13th Oct 2015
    4:58pm
    buby - You are being very judgmental when you know nothing about this person's family life. In fact this family member wasn't bought up in a dysfunctional family at all. Quite a normal family in fact. Unfortunately drugs and bad life choices didn't help - but that was her choice. Her family have been very supportive over the years and have tried to get her the help she has needed many times without any success. We have listened and tried to give her the love she needed. Nothing worked! All of us, including her children were given no choice but to walk way before we were destroyed by her. Unfortunately due to the way the system works, nothing will be done unless it can be absolutely proven that the sufferer has become a danger to themselves or others unless the person surrenders themselves for help - not an easy thing when they believe nothing is wrong with them. Having said that it just so happens that this person has very recently (since my previous post) put themselves in a position where it has been proven that they are a danger to themselves and others. They have been involuntarily admitted for help - finally. The sad thing is, is that the doctor has told us that because she never received the help she needed years ago (no fault of ours as we have been seeking it for years) she will probably never fully recover. It is the doctors hope as well as ours that she will recover enough to enable her to rejoin her family, stop trying to ruin other peoples lives and finally live the life that she has been denied for many years. I was posting because of my frustration with the system - not to be judged by you. We have had to fight all the way to get her help and have continued to fight even when she was recently involuntarily committed to ensure they didn't just walk away from her again. Hopefully, this time we will have some success.
    buby
    13th Oct 2015
    7:35pm
    i'm not here to Judge anybody Lynzo, really. It you who are taking it that way. I was just stating a different scenario. because i too have seen what they have done, in the system. Yes many do need help, and some don't want it. YOu can't do much, but some are forced and given drugs, when they just need a good ear to listen to them and their problems. but usually they prefer to drug you first, then listen later.
    My own poor mother went that way, until i was able to take her out of that situation.
    I do feel for you and your family i wish you well i won't say anymore, cause as i said i don't know her. I was just saying this as a generalization. Again I"M NOT here to judge you. gl
    niemakawa
    6th Oct 2015
    5:05pm
    They need to re-classify what "Mental" health means. The reason that the MHS is "stretched" is because too many people, are being encouraged to report as having a mental health problem for having a "bad" day, so to speak. Not liking your "cornflakes" is not a mental health problem. The MHS is just another attempt by Governments to control the masses.
    buby
    9th Oct 2015
    10:07am
    Yes neimakawa, i do believe you might be on the money with that idea.
    Once upon a time, they invented religion, to try to control the masses, and it worked.
    Now i myself have seen a person, in the MHS. and her only problem was, she just wanted to live her life as she seemed fit. but her family thought they knew better, and demanded she live her life according to them, and when she refused, she was committed......She was treated LIKE she had NO rights......To me thats B>S. Big time......
    but i'm sure there are many different stories in life that are similiar, and situations.
    Talk about domineering
    niemakawa
    9th Oct 2015
    5:52pm
    Yes buby, And once they have a record of a "perceived" illness, then that is the beginning of the end. It will stay with you for life. Of course there are people that have real mental health issues and I am not talking about them. Even today some doctors are prescribing anti-depressants to four and five year old's . They want to "catch" them early so they become dependent on Governments to look after them, but of course they would have no idea what it really means.
    buby
    11th Oct 2015
    10:39am
    Niemakawa, i think only that they are thinking ahead for the their jobs, and making sure it continues, by doing this. But also by taking advantage of naive parents, who would believe everything they say. It's another form OF abuse really!!
    niemakawa
    11th Oct 2015
    4:29pm
    Buby, possibly.
    buby
    13th Oct 2015
    8:43am
    Niemakawa, as many children when they are hyper active, all that has to be sorted out is their diet, Less sugar in everything, it will actually change a child? But some parents aren't even advised of this nor are some even smart enough to work it out. So they take on board what these psho's tell ya and follow through and wham bam goes that childs life forever to be in the mental system!!! Even for some adults its the same thing. But they not care really its all too hard to work out. They are not interested?
    gr82do
    7th Oct 2015
    2:36pm
    It is very frightening how many people, esp women and children, are hurt or killed by someone with a mental health problem. We need to identify those at risk of harming others!
    buby
    13th Oct 2015
    7:37pm
    and some ppl aren't even in the Mental Health system, but they still manage to kill and maim, women and children, and for life!!


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