frank quinlan - mental health council of australia - examining the future provision of mental health...
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Mentally healthy people,
mentally healthy communitiesmhaustralia.org
The future of
mental health
services
The Future of Medicare Conference
Frank Quinlan, CEO, Sydney, August 2014
mhaustralia.org
Today’s conversation…
• Current reforms and processes impacting
mental health
• Key considerations for mental health
reform
• Some reasons to despair
• Some reasons to hope
mhaustralia.org
Current reforms impacting mental health…
• 2014 Budget
• National Mental Health Commission
Review of Mental Health Programs and
Services
• McClure review of welfare
• NDIS roll out
• Federation whitepaper
mhaustralia.org
2014 Budget…
• Mental health programs largely isolated
• Impacts on consumers
• Changes to DSP and NewStart
• Proposed co-payment
• Senate and policy “hair trigger”
• Ongoing fiscal constraint
mhaustralia.org
NMHC Review of programs and services…
• Scope
• Shared ownership
• Change management
• Fiscal constraint
mhaustralia.org
McClure review of welfare…
• Inadequate payments, poverty traps,
perverse incentives make the review
welcome
• Identified factors other than payments –
supports, capacity, opportunity
• Links to other reviews and processes are
unclear
mhaustralia.org
NDIS roll out…
• Early days of a staged rollout
• Captures many state and
Commonwealth programs in its net
• Bi-lateral agreements were negotiated
without input from NGO and other
relevant parties
• Continues to represent a fundamental
shift in our approach to services
mhaustralia.org
Federation whitepaper…
• Commonwealth state relations are at the
core of many service issues
• Mental health is a good example of
programs caught at the cusp
• Commonwealth state relations remain
unpredictable
• Commonwealth government will be
starting to build its pre-election platform
mhaustralia.org
Key considerations for mental health
reform…
• Full and meaningful participation by
people who experience mental illness
and their carers
• Health promotion, prevention and early
intervention
• Recovery orientation
• Integration
• Accountability
mhaustralia.org
Key considerations for mental health
reform…
• Matching consumer and carer need with
the right assistance
• Nationally agreed targets and indicators
• Long term agenda for mental health
reform
• Governance to support our objectives
• Financial incentives to support reform
mhaustralia.org
Some reasons to despair…
• Characterisation of mental illness as an
episodic disorder
• “Obsessive Hope Disorder”
• National leadership
• Commonwealth State relations
mhaustralia.org
Some reasons hope…
• Momentum for change
• Mental as…
mhaustralia.org
Some reasons hope…
mhaustralia.org
Some reasons hope…
• Momentum for change
• Mental as…
• Recognition of the greater importance of
prevention and early intervention
• Recognition of the value of integration
• Recognition of the economic impact of
mental illness
mhaustralia.org
mhaustralia.org
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