Daily Bulletin


News

  • Written by Anthony Jorm, Professor emeritus, University of Melbourne

The Productivity Commission’s report on mental health, released earlier this week, prompted headlines emphasising the huge economic cost of mental ill-health and suicide in Australia.

The commission estimated the direct economic costs at between A$43 billion and A$70 billion, with an additional A$151 billion due to the cost of disability and premature death.

While there have been many reports on mental health reform in the past, this one is different. The Productivity Commission looks at issues through an economic rather than a health lens. Its remit in producing the report was to examine “the effect of mental health on people’s ability to participate in and prosper in the community and workplace, and the effects it has more generally on our economy and productivity”.

This meant the report covered the impact of mental ill-health on the whole of Australian society and the role of all levels and sectors of government in helping to alleviate it.

The recommendations

While this economic lens inevitably involved an analysis of costs, the report’s real significance is in the more than 100 “actions” the commission recommended the federal, state and territory governments take.

Besides the health sector, these recommended actions involve families, schools, tertiary education, workplaces, income and employment support, insurance, criminal justice, police, housing and Indigenous communities. This breadth of coverage reflects the huge impact of mental ill-health right across Australian society, and acknowledges a whole-of-government, and indeed whole-of-society, response is needed.

Read more: Coronavirus has boosted telehealth care in mental health, so let's keep it up

This extraordinary breadth makes it hard to summarise the recommendations briefly, but there are some key themes that stand out:

  • the commission has recognised mental ill-health often has its origins early in life, and action for prevention and early intervention is needed in families, preschools and schools

  • telehealth and online services are likely to become increasingly important. This is an area where Australia is already a world leader, but the report recommends a major integration and expansion of these approaches

  • tertiary educational institutions are recommended to see mental health as central to their mission. This includes the need for better services for international students.

A girl looks out of a window. The Productivity Commission recognised mental ill-health often has its origins early in life. Shutterstock
  • mentally healthy workplaces are vital, with recommendations covering psychological health and safety, employers’ duty of care, workers’ compensation claims, and standards for employee assistance providers

  • the report recognises the higher risk of mental ill-health and suicide among Indigenous Australians, with recommendations on empowering Indigenous communities and including a role for traditional healers

  • there is recognition of the poor physical health and substantially reduced life expectancy of people with severe mental illnesses, with recommendations for improved physical health care

  • the importance of social factors in mental illness is reflected in recommendations on reforms in housing, justice and income support.

Read more: If Australia really wants to tackle mental health after coronavirus, we must take action on homelessness

An overarching theme behind all the recommendations is the need for better data and evaluation. In the past, large sums of public money have been spent on programs that have never been properly evaluated or, when they were evaluated, found not to deliver the expected benefits. The commission urges all innovations be rigorously evaluated before being rolled out.

Where to from here?

If the commission’s recommendations were fully implemented, Australia would be the undisputed world leader in mental health reform. The cost of implementation is inevitably a barrier, but the commission has done the hard-nosed economic analysis and concluded the benefits outweigh the costs.

The report estimates the recommended reforms would deliver up to A$18 billion in benefits per year, mainly from improvements to people’s quality of life, plus a further A$1.3 billion a year from increased economic participation and productivity. These benefits would require up to A$4.2 billion of expenditure per year.

A young man speaks with a psychologist. The Productivity Commission’s recommendations for mental health reform should be taken all together, rather than picking and choosing particular interventions such as subsidised psychological counselling. Shutterstock

Many of the recommended actions, such as giving Australians the right to choose their preferred mental health specialist and the recognition of mental health advance directives by state and territory governments, cost little or nothing, as they merely represent better ways of doing things we already do.

Read more: 3 in 4 people with a mental illness develop symptoms before age 25. We need a stronger focus on prevention

The danger is governments will see the recommended actions as a menu from which they choose a few items at budget time. Over the past 20 years, Australia has been through a piecemeal process of lobbyist-led reform, in which ministers fund particular programs that make good “announceables” when an election or budget rolls around.

This approach has failed to improve Australians’ mental health. What we need is unified support from the mental health sector, and the community more generally, for the commission’s recommendations as a total reform package.

If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.

Authors: Anthony Jorm, Professor emeritus, University of Melbourne

Read more https://theconversation.com/the-productivity-commission-says-mental-ill-health-costs-australia-billions-its-time-for-a-proper-investment-in-making-things-better-150184

Writers Wanted

Confused about which English subject to choose in year 11 and 12? Here's what you need to know

arrow_forward

We've heard of R numbers and moving averages. But what are k numbers? And how do they explain COVID superspreading?

arrow_forward

The Conversation
INTERWEBS DIGITAL AGENCY

Politics

Prime Minister Scott Morrison's interview with Ray Hadley, 2GB

RAY HADLEY: Prime Minister, good morning to you.   PRIME MINISTER: G’day, Ray.   HADLEY: Gee, you’ve had a week.   PRIME MINISTER: Well, there's been a lot of weeks like this. This time last...

Scott Morrison - avatar Scott Morrison

Ray Hadley's interview with Scott Morrison

RAY HADLEY: I'm going to go straight to the Prime Minister, Scott Morrison is on the line right now. Prime Minister, good morning to you.    PRIME MINISTER: Good morning, Ray.   HADLEY: Just d...

Ray Hadley - avatar Ray Hadley

Defence and Veterans suicide Royal Commission

Today the Government has formally established a Royal Commission into Defence and Veteran Suicide following approval by the Governor-General.   Prime Minister Scott Morrison said the Royal Commi...

Scott Morrison - avatar Scott Morrison

Business News

9 Smart Hacks for Your First Day at Work

No matter how much work experience you have, the first day with a new company can be very stressful. Even the biggest professionals find the change of location and work collective a little frighte...

Chloe Taylor - avatar Chloe Taylor

Record year of growth for Tweed based business The Electrical Co

While many businesses struggled to stay afloat during the COVID-19 affected 2021 financial year, Tweed Heads based The Electrical Co. completed more than 50,000 smart meter installations across Aust...

a contributor - avatar a contributor

The Most Common Reasons why Employees End Up Leaving a Company

It is important for businesses to make sure they find the right people for their open positions. That is why a lot of companies are relying on professional outplacement services. A lot of companie...

NewsServices.com - avatar NewsServices.com