mental health services conference - sydney
DESCRIPTION
A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO, Mental Health Services Conference - SydneyTRANSCRIPT
MENTAL HEALTH
Mental Health Services Conference
SYDNEY –
15 September 2010
Professor Jim Bishop AOChief Medical Officer
Australian Government Department of Health and Ageing
Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)
7538
5004
4627
42104079 4063 3970
3793 3737 3696 36773540 3470
3359 33533129 3060 3008 2902 2870
2729 2687 2683
2151
1801 1781 1737
14371213
999852 767
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
1. Refers to insured population rather than resident population. 2. Current expenditure. 3. 2006. 4. 2007. Source: OECD, OECD Health Data, June 2010
Public expenditure on health Private expenditure on health
OECD Health Data 2010How Does AUSTRALIA Compare
Australia’s ranking amongOECD countries 1987-2006
Source: AIHW Australia’s Health 2010
Self-
assessed Physical & Mental Health, 2007
Source: AIHW Australia’s Health 2010
MAJOR DISEASE BURDEN in AUSTRALIA
Projected burden of major disease groups, 2010
Source: AIHW Australia’s Health 2010
Total Cancer Cases & Deaths per year (1972 to 2036)
Source: Cancer Institute NSW
Trends in leading causesof Disease Burden 2003-2023
Source: AIHW Australia’s Health 2010
CHALLENGES IN MENTAL HEALTH
Prevalence of Mental Illness
Schizophrenia14.3%
Bipolar14.6%
Anxiety and Depression
40.5%
Personality disorder2.0%
Anorexia and Bulimia2.5%
ADHD2.9%
Disorders of childhood
10.4%
Autism with mental illness0.4%
Dementia with mental illness4.8%
Intellectual disability with mental illness
3.3%
Substance use with mental illness
4.3%
Severe Mental Illness(3%:680,000)
Source: DOHA analysis of NSW MH-CCP estimates
Source: ABS 2008
Distribution of disability statusfor persons with mental disorders in
previous 12 months, 2007
Government Funding for Mental Health
Percentage growth in government recurrent health expenditure and
mental health expenditure, 1992-93 to 2007-08
Australian Government Costs
Distribution of mental health spending -
2007-08
Source: Unpublished data, Department of Health and Ageing
WHO PROVIDES MENTAL
HEALTH SERVICES
GP
54 %
SPECIALIST
16 %
STATE MH SERVICES
16 %
OTHER SERVICES
14 %
WHAT MENTAL HEALTH SERVICES
Number Annual(Million) Increase (%)
MEDICARE CLAIMS 4.6m 17.4
GP ENCOUNTERS 13.2m 5.7
PRESCRIPTIONS 21.4m n/a
Mental disorders: Treatment Rates
0
20
40
60
80
100
ITA JPN DEU ESP BEL MEX NLD FRA AUS NZ USA AverageOECD10
Serious Moderate Mild None Total (LHS)
International Comparison%
RE
CE
IVIN
G T
REA
TME
NT
Antidepressant Consumption
20062000
Source: WHO
PSYCHIATRIC BEDS –WESTERN EUROPE
OECD PSYCHIATRIC BEDS (Per 1000 Population)
1996 2006
CANADA 0.4 0.3
USA 0.4 0.3
AUSTRALIA 0.4 0.4
GERMANY 0.5 0.5
SWEDEN 0.6 0.5
UK - 0.7
FINLAND 1.2 0.9
JAPAN 2.9 2.8
SOURCES: June 2001 to June 2003, National Mental Health Report 2007; June 2004-2010, Report on Government Services 2010
Percentage of Public Mental Health System collecting & reportingconsumer outcome measures
Clinical Outcomes
Clinical outcomes of people receiving various types of mental health care 2006-07
Milestones in MentalHealth Strategy
1991 1992 1994 1997 1998 2001 2003 2006 2008 2009 2010
AHMCStatement
AHMCPolicy
1st
MentalHealth
Strategy
1st
MentalHealth
StrategyEvaluation
2nd MentalHealth
Strategy
2nd MentalHealth
StrategyEvaluation(Mid-term)
3rd MentalHealth Plan
2nd MentalHealth
StrategyEvaluation
COAGMentalHealthPlan
3rd MentalHealth
StrategyEvaluation
Mental HealthPolicy
4TH
NationalMental Health
Strategy
FederalElection
SUMMARY
Mental Health a major burden of disease manifest as disability
Australia compares well in OECD as a platform for further improvements
Opportunities now exist to work constructively with the new Government’s commitments in its second term