frank quinlan - mental health council of australia - examining the future provision of mental health...
DESCRIPTION
Frank Quinlan delivered the presentation at the 2014 Future of Medicare Conference. The Future of Medicare Conference was a timely event as the Abbott government debates a full over haul of the Australian healthcare system. This conference presented a chance for government representatives, regulators, health care providers in the public and private sector, educators and private investors to come together and debate the proposed changes to Medicare as well as discuss the best practice methods of implementing new measures and frameworks. For more information about the event, please visit: http://bit.ly/FutureofMedicare2014TRANSCRIPT
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
