Family mental health services EEPIC Headspace Kidsmatter Early childhood, men’s, school programs Mental health services Private, some government provided by support, health insurance psychologist and psychiatrists Mental health services Medicare, private (gap provided by GPs payments) Community mental State and territory/ health services Commonwealth Mental health services Emergency departments State and territory/ provided by public and Admitted Commonwealth, private, private hospitals Ambulatory equivalent health insurance Mental health NSW Aboriginal Mental Health Workforce State/ Commonwealth workforce training and Program development Services provided by, or SEWB Program Indigenous and Rural through, Aboriginal and Link-up Health Division of the Torres Strait Islander Alcohol and substance abuse services Commonwealth Primary Health Care Department of Health Services including Aboriginal Community Controlled Services Mental health services State and territory/ in prisons Commonwealth Research NHMRC, other Residential care Psychiatric hospitals State and territory, private, Homes health insurance As a necessary first step for the review, we recommend that an audit of spending on Aboriginal and Torres Strait Islander peoples across all of the above (and programs relevant to the review Terms of Reference) be carried out. This will provide a needed foundation for the review process. 3. Securing equitable funding is a challenge facing Aboriginal and Torres Strait Islander mental health As noted, the Terms of Reference ask the review to consider the challenges for ‘specific Aboriginal and Torres Strait Islander people’ as a part of its work. Of relevance here is the mental health gap we have described and lower access to services. Based on this, we identify equity as a further challenge facing Aboriginal and Torres Strait Islander peoples, and a question that must be addressed by the review. Achieving equitable outcomes and closing the mental health gap requires relative need to be accounted for: put simply, if has double the mental health needs of will likely “X” “Y”, “X” need twice the resources to enjoy an equitable mental health outcome to This is far from ‘Y”. a new funding model. Increased expenditure on those with increased need is an established feature of the health system: for example, older people, though a relatively small proportion of the population, but have a higher level of need and receive a large proportion of total health expenditure.
Family mental health services EEPIC Headspace Kidsmatter Early childhood, men’s, school programs Mental health services provided by psychologist and psychiatrists Private, some government support, health insurance Mental health services provided by GPs Medicare, private (gap payments) Community mental health services State and territory/ Commonwealth Mental health services provided by public and private hospitals Emergency departments Admitted Ambulatory equivalent State and territory/ Commonwealth, private, health insurance Mental health workforce training and development NSW Aboriginal Mental Health Workforce Program State/ Commonwealth Services provided by, or through, Aboriginal and Torres Strait Islander Primary Health Care Services including Aboriginal Community Controlled Services SEWB Program Link-up Alcohol and substance abuse services Indigenous and Rural Health Division of the Commonwealth Department of Health Mental health services in prisons State and territory/ Commonwealth Research NHMRC, other Residential care Psychiatric hospitals Homes State and territory, private, health insurance As a necessary first step for the review, we recommend that an audit of spending on Aboriginal and Torres Strait Islander peoples across all of the above (and programs relevant to the review Terms of Reference) be carried out. This will provide a needed foundation for the review process. 3. Securing equitable funding is a challenge facing Aboriginal and Torres Strait Islander mental health As noted, the Terms of Reference ask the review to consider the ‘specific challenges for Aboriginal and Torres Strait Islander people’ as a part of its work. Of relevance here is the mental health gap we have described and lower access to services. Based on this, we identify equity as a further challenge facing Aboriginal and Torres Strait Islander peoples, and a question that must be addressed by the review. Achieving equitable outcomes and closing the mental health gap requires relative need to be accounted for: put simply, if “X” has double the mental health needs of “Y”, “X” will likely need twice the resources to enjoy an equitable mental health outcome to ‘Y”. This is far from a new funding model. Increased expenditure on those with increased need is an established feature of the health system: for example, older people, though a relatively small proportion of the population, but have a higher level of need and receive a large proportion of total health expenditure.
NATSILMH%20National%20MHC%20Review%20Submission%20April%202014%20-%20no%20logos.docx