A “fair go” for everyone – equity cannot be overlooked in mental health reform The National Mental Health Commission’s latest National Report Card is a welcome and important pulse-check of our nation’s mental health, and the performance of the mental health system across the country. It reveals a steady rise in financial stress and the link between financial pressure and decisions to seek support: more than one-fifth of people are delaying or not seeing a health professional for their own mental health due to the cost of treatment. Unfortunately, the Commission’s findings are not surprising, given the mismatch between rising rates of mental health challenges and the lack of agreement between governments on future investment. Mental health and substance use conditions make up the second highest “burden of disease” in Australia, and yet only 8% of government health expenditure goes to mental health. While some progress has been made, the availability and affordability of mental health supports are not keeping pace with the level of need in the community. The report card comes at a time when governments are beginning to consider the next National Mental Health and Suicide Prevention Agreement, due for negotiation in the next year. Additionally, our members continue to report spikes in demand for crisis services related to financial distress – more than half (57%) of people in Australia report cost of living pressures have negatively impacted their mental health. I welcomed the Australian Government’s election commitment to increase free mental health supports for young people and adults, but the latest report card shows that we are now seeing increasing rates of people delaying access to care or putting it off altogether due to cost barriers. In addition, significant gaps persist in access for children and their families, and for those people seeking psychosocial supports, who cannot access the National Disability Insurance Scheme. As cost-of-living pressures continue, the issue of equity is proving more and more central to effective, meaningful mental health reform, and cannot be overlooked. Resolving this problem requires action from all governments to meaningfully lift investment in both prevention and mental health supports. What this report card further illuminates is the need to prioritise socio-economic equity and ensure that all barriers to service access – including financial – are being addressed at all levels of reform. On the 22nd of August, I am hosting a special member-only webinar conversation about the report card with the CEO of the National Mental Health Commission, David McGrath. I invite Mental Health Australia members to join me as we explore the data, themes and outcomes, and for insights into what the findings mean for Australia’s mental health system going forward. Learn more and register here. Carolyn Nikoloski CEO, Mental Health Australia |