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A national approach to mental
health from crisis to community
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View the report as a single document - (PDF 2452KB)
View the report as separate downloadable parts:
| Committee membership | (PDF 161KB) |
| Acronyms | (PDF 129KB) |
| Foreword to the Senate Select Committee on Mental Health's First Report | (PDF 89KB) |
| Chapter 1 - The challenge of mental health | (PDF 195KB) |
| Introduction Terms of Reference Conduct of the inquiry An inquiry in a time of rapid change The committee's approach to this report |
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| Chapter 2 - Mental health - The case for change | (PDF 195KB) |
| Issues central to the inquiry Recent initiatives around the country |
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| Chapter 3 - Mental health and human rights | (PDF 237KB) |
| Introduction Consumers' rights Conclusion |
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| Chapter 4 - Resourcing | (PDF 298KB) |
| The Costs of Mental Illness Not enough is spent on mental health Inappropriate targeting of spending on mental health What more is needed? Conclusion |
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| Chapter 5 - Addressing the diversity of mental illness and treaments | (PDF 320KB) |
| Introduction Diversity of Mental Illness The diversity of need Diversity of treatments Conclusion |
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| Chapter 6 - Access to mental health services | (PDF 299KB) |
| Workforce issues Initiatives that can improve access to better mental health care What is the best model for increasing access to cost-supported psychologists? Concluding remarks |
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| Chapter 7 - Promotion, prevention and early intervention | (PDF 290KB) |
| Introduction Setting the context of prevention, promotion and early intervention in mental health care Promoting a healthier attitude to mental illness in the community Minimising the impact of mental illness through prevention and early intervention Delivering promotion, prevention and early intervention programs to the community The challenges of delivering promotion, prevention and early intervention programs Concluding remarks |
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| Chapter 8 - Inpatient and crisis services | (PDF 307KB) |
| Mental health care in an age of deinstitutionalisation Inpatient services Emergency departments Discharge processes Crisis services Contrasting experiences Concluding remarks |
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| Chapter 9 - Mental health services in the community | (PDF 252KB) |
| Introduction What are community mental health services? Inadequate funding Areas of need - a continuum of care Coordination of services The NGO sector Maintaining the focus on community care: the Italian experience Concluding remarks |
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| Chapter 10 - Support services for people facing mental health problems | (PDF 307KB) |
| Introduction Accessing mainstream services Accommodation Employment and training Income support Community involvement Concluding remarks |
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| Chapter 11 - Families and carers | (PDF 259KB) |
| Introduction Supporting the roles of families and carers Pressures on the family and the impact on mental health Concluding remarks |
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| Chapter 12 - Paying for mental health care | (PDF 295KB) |
| Private health insurance in Australia Mental health service entitlements within private health insurance Portability Concluding remarks |
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| Chapter 13 - Mental health and the criminal justice system | (PDF 301KB) |
| Introduction Over-representation of people with mental illness in the criminal justice system Access to the legal system Role of the Police Management and treatment of people with a mental disorder in the criminal justice system Release policies and practices Recidivism Dual diagnosis Mental illness and the criminal justice system: the role of the Commonwealth |
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| Chapter 14 - Dual diagnosis 'The expectation not the exception' | (PDF 348KB) |
| 'Peter's' story: from submission Introduction The nature of the problem The extent of the dual diagnosis problem Service delivery response—'service silos' Service integration—the state of play The building blocks of service integration—'top-down' Capacity building in the community Leading by example —funding existing strengths Concluding remarks |
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| Chapter 15 - Services for children and youth, older people and cald communities | (PDF 312KB) |
| Introduction Children and youth Older people with mental illness CALD communities and refugees |
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| Chapter 16 - Services for rural, remote and indigenous Australians | (PDF 282KB) |
| Introduction Rural and remote services Indigenous Australians |
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| Chapter 17 - Recommendations | (PDF 200KB) |
| Seeking CoAG agreement on more community care Developing mental health strategies Advocacy, monitoring and research Other joint government initiatives Recommendations for specific governments |
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| Appendix 1 - Definitions of mental health and mental illness | (PDF 188KB) |
| Mental health Mental illness |
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| Appendix 2 - Mental health expenditure | (PDF 207KB) |
| Preliminary Government spending |
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| Appendix 3 - Report of mental health services observed in Trieste, Italy - January 2006 | (PDF 150KB) |
| A brief history Community-based mental health services, Trieste style National Government initiatives in mental health |
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| Appendix 4 - Submissions, responses to adverse comment and answers to questions on notice | (PDF 219KB) |
| Submissions Responses to adverse comment Additional information received with answers to questions on notice |
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| Appendix 5 - Witnesses who appeared before the committee at public hearings | (PDF 160KB) |
| Appendix 6 - Additional information authorised for publication by the committee | (PDF 106KB) |
| Appendix 7 - List of tabled documents | (PDF 210KB) |
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