Footnotes

Chapter 1 - Introduction

[1]        For example, Natalie McCall, Submission 24, p. 1.

[2]        Senate Community Affairs References Committee, Commonwealth Funding and Administration of Mental Health Services: Submissions received by the Committee, https://www.aph.gov.au/senate/committee/clac_ctte/comm_fund_men_hlth/submissions.htm (accessed 16 October 2011)

[3]        All Terms of Reference have some link to the 2011–12 budget changes except for items (i) and (ii) of 'mental health workforce issues'. These issues are addressed in Chapter 4.

[4]        National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 3.

[5]        Several of these priority groups were identified as traditionally underserved by Medicare. National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, pp 10–14.

[6]        Department of Health and Ageing, Better Access to Psychiatrists, Psychologists & General Practitioners through the Medical Benefits Schedule Initiative, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/better-access-through-mbs-1 (accessed 5 August 2011).

[7]        Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program– February 2010, p. 3.

[8]        Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Sixteenth Interim Evaluation Report, July 2010, p 3.  

[9]        Mental Health Council of Australia, Submission 198, p. 2.

[10]      Consumers Health Forum of Australia, Submission 179, p. 1.

[11]      Public Health Association of Australia, Submission 195, p. 4.

[12]      Australian College of Mental Health Nurses, Submission 447, p. 2.

[13]      Australian Nursing Federation, Submission 542, p. 1.

[14]      Australian Medical Association, Submission 185, p. 1.

[15]      Australian Psychological Society, Submission 159, p. 3.  

[16]      Royal Australian College of General Practitioners, Submission 172, p. 3.

[17]      Department of Health and Ageing, National Advisory Council on Mental Health, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/National+Advisory+Council+on+Mental+Health (accessed 7 October 2011).

[18]      Adjunct Professor John Mendoza tendered his resignation from the Council on 18 June 2010.

[19]      Department of Health and Ageing, National Advisory Council on Mental Health, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/National+Advisory+Council+on+Mental+Health (accessed 7 October 2011).

[20]      Ms Jane Halton, Secretary, Department of Health and Ageing, Estimates Hansard, 30 May 2011, p. 71.

[21]      Department of Health and Ageing, Answer to a question on notice, 30 May 2011, received 26 July 2011. The answer to question E11- 219 has not been quoted in full; see Senate webpage https://www.aph.gov.au/Senate/committee/clac_ctte/estimates/bud_1112/DoHA/index.htm for the answers to eight written questions on notice in relation to the Mental Health Expert Working Group.

[22]      Department of Health and Ageing, Answer to a question on notice, 30 May 2011, received 25 July 2011.

[23]      Name Withheld, Submission 483, pp 24–25.

[24]      Ms Jane Halton, Secretary, Department of Health and Ageing, Estimates Hansard, 30 May 2011, p. 72.

Chapter 2 - Better Access Initiative

[1]        Department of Health and Ageing, Better Access to Psychiatrists, Psychologists & General Practitioners through the Medical Benefits Schedule Initiative, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/better-access-through-mbs-1 (accessed 5 August 2011).

[2]        Department of Health and Ageing, Better Access to Psychiatrists, Psychologists & General Practitioners through the Medical Benefits Schedule Initiative, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/better-access-through-mbs-1 (accessed 5 August 2011).

[3]        Department of Health and Ageing, Better Access to Psychiatrists, Psychologists and General Practitioners through the MBS (Better Access) Initiative—Overview, http://www.health.gov.au/internet/main/publishing.nsf/content/mental-ba-over (accessed 5 August 2011).

[4]        Department of Health and Ageing, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule initiative: questions and answers, http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-ba-eval-ques#15 (accessed 5 August 2011).

[5]        Department of Health and Ageing, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule initiative: questions and answers, http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-ba-eval-ques#15 (accessed 5 August 2011).

[6]        Dr Jane Pirkis, Dr Meredith Harris, Dr Wayne Hall and Dr Maria Ftanou, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, p. 2.

[7]        Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, p. 44.

[8]        Department of Health and Ageing, Key findings from the program evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Fact Sheet, http://www.health.gov.au/internet/main/publishing.nsf/content/mental-ba-eval-fact#key (accessed 5 August 2011).

[9]        Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, for example, p. 6.

[10]      Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, pp 14,16–20.

[11]      For example, see Mrs Katrina Frost, Submission 60, p. 2.; Mental Health Council of Australia, Submission 198, p. 6.

[12]      Nicholas Allen, Henry Jackson, Eoin Killackey and Raymond Rudd, Submission 657, p. 2.

[13]      While acknowledging the limitations of the available data in their evaluation, two of its authors subsequently reflected favourably on the government's budgetary reform to Better Access. Dr Jane Pirkis and Dr Meredith Harris, Were the budgetary reforms to the Better Access to Mental Health Care initiative appropriate? YES, Medical Journal of Australia, 12 May 2011, http://www.mja.com.au/public/issues/194_12_200611/pir10582_fm.html (accessed 11 October 2011).

[14]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 20.

[15]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 21.

[16]      Dr Lesley Russell, Mental health provisions in the 2011–12 budget, Menzies Centre for Health Policy, May 2011, p. 1.

[17]      Department of Health and Ageing, Fact Sheet: Rationalisation of Allied Mental Health Services Under Better Access: 2011–12 Budget Measure, May 2011.

[18]      MBS Online, Medicare Benefits Schedule—Note A5: Attendances by General Practitioners http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=A5&qt=noteID&criteria=standard%20consultation (accessed 7 September 2011).

[19]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 22; Department of Health and Ageing, Changes to Rebates For GP Plans, http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2011-factsheet02.htm (accessed 2 September 2011).

[20]      Department of Health and Ageing, Medicare Benefits Schedule Book, Operating from 1 July 2011, http://www.health.gov.au/mbsonline (accessed 7 September 2011).

[21]      Department of Health and Ageing, Submission 199, p. 6; Department of Health and Ageing, Changes to Rebates For GP Plans, http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2011-factsheet02.htm (accessed 1 September 2011).

[22]      Department of Health and Ageing, Submission 199, p. 6; Department of Health and Ageing, Changes to Rebates For GP Plans, http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2011-factsheet02.htm (accessed 1 September 2011).

[23]      Department of Health and Ageing, Changes to Rebates For GP Plans, http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2011-factsheet02.htm (accessed 1 September 2011).

[24]      Department of Health and Ageing, Changes to Rebates For GP Plans, http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2011-factsheet02.htm (accessed 1 September 2011).

[25]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 22.

[26]      The AMA quote the head of the BEACH program, Associate Professor Helena Britt, in an interview in the Medical Observer, where she suggests that the '28 minute' average refers only to face-to-face time. Australian Medical Association, Submission 185, p. 11.

[27]      Professor Claire Jackson, President, Royal Australian College of General Practitioners, Committee Hansard, 19 August 2011, pp 2–5; Dr Steve Hambleton, Federal President, AMA, Committee Hansard, 5 September 2011, p. 76.

[28]      Essential research (2011) MBS changes—GP Survey: An Assessment of the Impact of 2011-12 Budget Cuts to Medicare Funding for GP Mental Health Services, Australian Medical Association, 2011; Australian Medical Association, Submission 185, p. 11.

[29]      Department of Health and Ageing, Proof Committee Hansard, 5 September 2011, p. 7.

[30]      headspace, Submission 169, p. 3.

[31]      Rural Doctors Association of Australia, Submission 182, pp 4–5.

[32]      Rural Doctors Association of Australia, Submission 182, p. 6.

[33]      Beyond Blue, Submission 171, p. 4.

[34]      See for example, Mental Health Community Coalition ACT, Submission 204, p. 4; Office of the Commissioner for Social Inclusion SA, Submission 153, p. 2.

[35]      Department of Health and Ageing, Medicare Benefits Schedule Book, Operating from 1 July 2011, http://www.health.gov.au/mbsonline (accessed 7 September 2011).

[36]      Department of Health and Ageing, Medicare Benefits Schedule Book, Operating from 1 July 2011, http://www.health.gov.au/mbsonline (accessed 7 September 2011).

[37]      Department of Health and Ageing, Medicare Benefits Schedule Book, Operating from 1 July 2011, http://www.health.gov.au/mbsonline (accessed 7 September 2011).

[38]      Department of Health and Ageing, Proof Committee Hansard, 5 September 2011, p. 11.

[39]      Ms Georgie Harman, First Assistant Secretary, Department of Health and Ageing, Committee Hansard, 5 September 2011, p. 12.

[40]      Ms Rosemary Huxtable, Deputy Secretary, Department of Health and Ageing, Committee Hansard, 5 September 2011, p. 8.

[41]      Department of Health and Ageing, Fact Sheet: Rationalisation of Allied Mental Health Services Under Better Access: 2011–12 Budget Measure, May 2011.

[42]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 22.

[43]      For example, the APS provided figures which states that 13% or 87 000 of Better Access consumers have moderate to severe, or severe mental health disorders. APS, Proof Committee Hansard, 19 August 2011, p. 9.

[44]      Amanda Burlock, Clinical Psychologist, Submission 432, p. 1 and Submission 519, p. 1.

[45]      Mr Paul Stevenson, President, Australian Association of Psychologists inc, Committee Hansard, p. 51.

[46]      Mental Health Council of Australia, Mental Health Carers Report 2010, Canberra, 2010, cited in: Carers NSW, Submission 176, p. 4.

[47]      Carers NSW, Submission 176, p. 3.

[48]      Carers NSW, Submission 176, p. 3.

[49]      Federation of Ethnic Communities Councils of Australia (FECCA), Submission 187, pp 9–10.

[50]      ACON, Submission 175, p. 5.

[51]      Australian Counselling Association, Submission 173, p. 8.

[52]      Name withheld, Submission 166, pp 1–2.

[53]      Royal Australian College of General Practitioners, Answer to a question on notice from public hearing 19 August 2011, received 29 August 2011, p. 2.

[54]      Australian Medical Association, Proof Committee Hansard, 5 September 2011, p. 73.

[55]      Department of Health and Ageing, Proof Committee Hansard, 5 September 2011, p. 9.

[56]      Department of Health and Ageing, Committee Hansard, 5 September 2011, p. 8.

[57]      Department of Health and Ageing, What is the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medical Benefits Schedule Initiative? http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/better-access-through-mbs-1 (accessed 9 September 2011).

[58]      Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, p. 2.

[59]      Council of Australian Governments, National Action Plan on Mental Health 2006 – 2011, July 2006, p. 9.

[60]      2006–07 Federal Budget, Budget Paper 2, http://www.budget.gov.au/2006-07/bp2/html/bp2_expense-11.htm (accessed 27 October 2011).

[61]      Professor Ian Hickie, Committee Hansard, 5 September 2011, p. 71.

[62]      DoHA, Answer to question on notice, received 27 October 2011.

[63]      DoHA, Proof Committee Hansard, 5 September 2011, p. 18.

[64]      Mental Health Council of Tasmania, Submission 377, p. 3; Consumers Health Forum of Australia, Submission 179, pp 3–4.

[65]      Consumers Health Forum of Australia, Submission 179, p. 4.

[66]      Mrs Christine Morgan, Chief Executive Officer, Butterfly Foundation, Committee Hansard, 5 September 2011, p. 1.

[67]      Private Mental Health Consumer Carer Network, Submission 189, p. 4.

[68]      Private Mental Health Consumer Carer Network, Submission 189, pp 4–5.

[69]      Australian Psychological Society, Submission X, p. 4.

Chapter 3 - Access to Allied Psychological Services program

[1]        Ministerial Statement— National Mental Health Reform 2010–12, 10 May 2011, p. 1.

[2]        Ministerial Statement— National Mental Health Reform 2010–12, 10 May 2011, p. 1.

[3]        Department of Health and Ageing, Review of the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program– February 2010, p. 3.

[4]        Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Sixteenth Interim Evaluation Report, July 2010, p 3.  

[5]        Department of Health and Ageing, Review of the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program– February 2010, p. 2.

[6]        Department of Health and Ageing, Review of the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, Appendix A.

[7]        Department of Health and Ageing, Review of the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.3.

[8]        Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Sixteenth Interim Evaluation Report, July 2010, p. 5.

[9]        National Health and Hospital Reform Commission Report,  A Healthier Future for All Australians, June 2009, p. 19.

[10]      Department of Health and Ageing, Building a 21^st Century Primary Care System—National Primary Health Care Strategy, 2010, p. 18.

[11]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.7.

[12]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p. 8.

[13]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.7.

[14]      Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Fourteenth Interim Evaluation Report, June 2009, p 3.

[15]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.10.

[16]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.3.

[17]      Department of Health and Ageing—Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.10.

[18]      Department of Health and Ageing—Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Sixteenth Interim Evaluation Report, June 2009, p 12.

[19]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, pp. 5-6.

[20]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, pp. 15-16.

[21]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, p. 15.

[22]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, p. 15.

[23]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, pp. 15-16.

[24]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, pp. 21-22.

[25]      Department of Health and Ageing—Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, pp.4-5.

[26]      Delivering National Mental Health Reform—Media Release—May 2011, pp. 2-3.

 

 

[27]      AGPN, Proof Committee Hansard, Monday 5 September 2011, p.32.

[28]      AGPN, Proof Committee Hansard, Monday 5 September 2011, p.32.

[29]      AGPN, Proof Committee Hansard, Monday 5 September 2011, p.32.

[30]      Australian Association of Psychologists inc., Proof Committee Hansard, Friday 19 August 2011, pp. 47-48.

[31]      Public Health Association of Australia (PHAA), Submission 195, p. 6.

[32]      Northeast Health Wangaratta, Proof Committee Hansard, Friday 19 August 2011, p. 33.

[33]      Australian College of Mental Health Nurses, Submission 447, p. 4.

[34]      AGPN, Proof Committee Hansard, Monday 5 September 2011, p.33.

[35]      Australian Counselling Association, Proof Committee Hansard, Friday 19 August 2011, p. 37.

[36]      Australian Psychological Society, Proof Committee Hansard, Friday 19 August 2011, p. 18.

[37]      AMA, Submission 195, p. 12.

[38]      AMA, Submission 195, p. 12.

[39]      AGPN, Proof Committee Hansard, 5 September 2011, p. 34.

[40]      APS, Proof Committee Hansard, 19 August 2011, p. 17.

[41]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, p. 54.

[42]      The APS gave evidence that said ATAPS costs from two to 10 times more per session than Better Access. APS, Proof Committee Hansard, 19 August 2011, p. 9.

[43]      Australian Government, 2011–12 Federal Budget, Part 2: Expense measures, http://www.budget.gov.au/2011-12/content/bp2/html/bp2_expense-12.htm (accessed 31 October 2011).

[44]      APS, Proof Committee Hansard, 19 August 2011, p. 9.

[45]      RACGP, Proof Committee Hansard, 19 August 2011, p. 3.

[46]      RACGP, Proof Committee Hansard, 19 August 2011, p. 7.

[47]      Northeast Health Wangaratta, Proof Committee Hansard, 19 August 2011, p. 34.

[48]      Northeast Health Wangaratta, Proof Committee Hansard, 19 August 2011, p. 30.        

[49]      Professor McGorry, Proof Committee Hansard, 5 September 2011, p. 65.

[50]      National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 18; Department of Health and Ageing, Improving outcomes for people with severe and debilitating mental illness, http://www.health.gov.au/internet/publications/publishing.nsf/Content/nmhr11-12~nmhr11-12-priorities~outcomes (accessed 13 October 2011).         

[51]      Department of Health and Ageing, Flexible Care Packages For People with Severe Mental Illness, Discussion Paper, January 2011, p. 4.

[52]      Chapter 2, para 2.49.

Chapter 4 - Youth mental health

[1]        National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 1.

[2]        The mental health treatment rate for young people is 25 per cent. National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 1.

[3]        National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, pp 24-27.

[4]        headspace centres are also known as Communities of Youth Services (CYS). headspace, Submission 169, p. 3.

[5]        headspace, Strategic Plan 2010–2012, p. 3., http://www.headspace.org.au/media/55063/headspace_strategicplan.pdf (accessed 1 October 2011).

[6]        headspace, Submission 169, p. 3.

[7]        headspace, What we do, http://www.headspace.org.au/about-headspace/about-us/what-we-do, (accessed 1 October 2011).

[8]        headspace's board membership comprises: Wendy McCarthy AO (Chair), Professor Ian Hickie AM, Barbara Hingston, Professor Lyn Littlefield OAM, Ian Marshman, Peter Mason AM, Professor Patrick McGorry AO, John McGrath AM, Professor Helen Milroy, Sheree Vertigan, Dr Rob Walters and Chris Tanti (CEO). headspace, web prospectus, http://www.headspace.org.au/media/75806/prospectus­_web.pdf (accessed 1 October 2011).

[9]        Kristy Muir et al, Headspace Evaluation Report, Independent Evaluation of headspace: the National Youth Mental Health Foundation, Social Policy Research Centre, University of New South Wales, November 2009, p. 2., http://www.sprc.unsw.edu.au/.../Report19_09_headspace_EvalReport.pdf (accessed 1 October 2011).

[10]      headspace, Strategic Plan 2010–2012, p. 3., http://www.headspace.org.au/media/55063/headspace_strategicplan.pdf (accessed 1 October 2011).

[11]      Kristy Muir et al, Headspace Evaluation Report, Independent Evaluation of headspace: the National Youth Mental Health Foundation, Social Policy Research Centre, University of New South Wales, November 2009, p. 3., http://www.sprc.unsw.edu.au/.../Report19_09_headspace_EvalReport.pdf (accessed 1 October 2011).

[12]      Kristy Muir et al, Headspace Evaluation Report, Independent Evaluation of headspace: the National Youth Mental Health Foundation, Social Policy Research Centre, University of New South Wales, November 2009, p. xx., http://www.sprc.unsw.edu.au/.../Report19_09_headspace_EvalReport.pdf (accessed 1 October 2011).

[13]      Kristy Muir et al, Headspace Evaluation Report, Independent Evaluation of headspace: the National Youth Mental Health Foundation, Social Policy Research Centre, University of New South Wales, November 2009, pp. xvi–xix., http://www.sprc.unsw.edu.au/.../Report19_09_headspace_EvalReport.pdf (accessed 1 October 2011).

[14]      Department of Health and Ageing, answer to question on notice E11–239, Budget Estimates 2011–12, Community Affairs Legislation Committee, 30–31 May 2011.

[15]      Department of Health and Ageing, answer to question on notice E11–239, Budget Estimates 2011–12, Community Affairs Legislation Committee, 30–31 May 2011.

[16]      headspace, Submission 193, p. 4.

[17]      Mr Chris Tanti, Committee Hansard, 19 August 2011, pp 53–54.

[18]      headspace, Submission 193, p. 7.

[19]      headspace, Submission 169, p. 8.

[20]      headspace, Proof Committee Hansard, 19 August 2011, p. 55.

[21]      This issue of whether Better Access or ATAPS is a more effective program was discussed further in Chapters 2 and 3. See also Professor Ian Hickie, Committee Hansard, 5 September 2011, p. 72.

[22]      Australian Medical Association, Submission 185, p. 12.

[23]      Australian Clinical Psychology Association, Submission 327, p. 8.

[24]      Mr Quentin Black, Secretary, Psychologists Association (South Australian Branch), Committee Hansard, 5 September 2011, p. 40–41.

[25]      Mr Paul Stevenson, President, Australian Association of Psychologists inc. Committee Hansard, 19 August 2011, p. 49.

[26]      Professor Claire Jackson, President, Royal Australian College of General Practitioners, Committee Hansard, 19 August 2011, p. 2, Ms Leanne Wells, Chief Executive Officer, Australian General Practice Network, Committee Hansard, 5 September 2011, p. 35.

[27]      Professor Claire Jackson, Committee Hansard, 19 August 2011, p. 4.

[28]      FECCA, Submission 187, p. 5, Mental Health Council of Tasmania, Submission 377, p. 8.

[29]      National and NSW Councils for Intellectual Disability and Australian Association of Developmental Disability Medicine, Submission 196, p. 8.

[30]      Australian Counselling Association, Submission 173, p. 9.

[31]      Consumers Health Forum, Submission 179, p. 2.

[32]      Mission Australia, Submission 209, p. 4., Royal Australian and New Zealand College of Psychiatrists, Submission 389, p. 6., Australian Nursing Federation (Victoria Branch), Submission 466, p. 7.

[33]      EPPPIC, About Us, http://www.eppic.org.au/about-us (accessed 25 August 2011);

[34]      EPPPIC, About Us, http://www.eppic.org.au/about-us (accessed 25 August 2011); EPPIC, Acute Care, http://www.eppic.org.au/acute-care-1 (accessed 26 August 2011).

[35]      EPPPIC, About Us, http://www.eppic.org.au/about-us (accessed 25 August 2011); EPPIC, Acute Care, http://www.eppic.org.au/acute-care-1 (accessed 26 August 2011).

[36]      EPPIC, Our History, http://www.eppic.org.au/our-history (accessed 25 August 2011).

[37]      International Early Psychosis Association, About Us, http://www.iepa.org.au/ContentPage.aspx?pageID=40 (accessed 6 October 2011).

[38]      The Hon Julia Gillard MP, Prime Minister, the Hon Nicola Roxon MP, Minister for Health and Ageing, and the Hon Mark Butler MP, Minister for Mental Health and Ageing, 2011–12 Budget offers greater support for mental health patients, Media Release, 13 May 2011 http://www.pm.gov.au/press-office/2011-12-budget-offers-greater-support-fo-mental-health-patients (accessed 26 August 2011).

[39]      The Hon. Julia Gillard MP, Prime Minister, the Hon Nicola Roxon MP, Minister for Health and Ageing, and the Hon Mark Butler MP, Minister for Mental Health and Ageing, 2011–12 Budget offers greater support for mental health patients, Media Release, 13 May 2011 http://www.pm.gov.au/press-office/2011-12-budget-offers-greater-support-fo-mental-health-patients (accessed 26 August 2011).

[40]      Ms Georgie Harman, First Assistant Secretary, Mental Health and Chronic Disease Division, Department of Health and Ageing, Committee Hansard, Community Affairs Legislation Committee 2011–12 Budget Estimates, 30 May 2011, p. 55.

[41]      Ms Georgie Harman, Department of Health and Ageing, Committee Hansard, Community Affairs Legislation Committee 2011–12 Budget Estimates, 30 May 2011, p. 79.

[42]      Orygen Youth Health, Submission 507, p.         7.

[43]      Consumers Health Forum of Australia, Submission 179, p. 2.

[44]      Submission 135.

[45]      Submission 209.

[46]      Submission 389.

[47]      Submission 165, p. 9.

[48]      Catholic Social Services Australia, Submission 206, p. 3.

[49]      Melbourne Children's Psychology Clinic, Submission 543, p. 3.

[50]      Access Economics, The economic impact of youth mental illness and the cost effectiveness of early intervention, December 2009, Cited on the OYH website: http://www.eppic.org.au/epnews/cost-effectiveness-early-intervention-psychosis-report-access-economics (accessed 27 October 2011).

[51]      David Castle, head of psychiatry at Melbourne's St Vincent's Hospital, quoted in Jill Stark, 'McGorry accused of conflict of interest', The Age, 7 August 2011, http://www.theage.com.au/national/mcgorry-accused-of-conflict-of-interest-20110806-1igxd.html (accessed 16 October 2011)

[52]      Jill Stark, 'McGorry accused of conflict of interest', The Age, 7 August 2011, http://www.theage.com.au/national/mcgorry-accused-of-conflict-of-interest-20110806-1igxd.html (accessed 16 October 2011)

[53]      Allen Frances, 'Opening Pandora’s Box: The 19 Worst Suggestions For DSM5', Psychiatric Times, 11 February 2010, http://www.psychiatrictimes.com/dsm/content/article/10168/1522341 (accessed 16 October 2011). Also referred to as ''attenuated psychotic symptoms syndrome': see, for example, SW Woods, BC Walsh, JR Saksa and TH McGlashan, 'The case for including Attenuated Psychotic Symptoms Syndrome in DSM-5 as a psychosis risk syndrome', Schizophrenia Research, vol. 123, 2010, pp 199–207.

[54]      Allen Frances, 'Opening Pandora’s Box: The 19 Worst Suggestions For DSM5', Psychiatric Times, 11 February 2010, http://www.psychiatrictimes.com/dsm/content/article/10168/1522341 (accessed 16 October 2011)

[55]      James Phillips, 'The Leaders’ Report on DSM-5', Psychiatric Times, 23 August 2011, http://www.psychiatrictimes.com/blog/dsm-5/content/article/10168/1934043 (accessed 16 October 2011)

[56]      C. Correll, M. Hauser, A. Auther and B. Cornblatt, 'Research in people with psychosis risk syndrome: a review of the current evidence and future directions', Journal of Child Psychology and Psychiatry, 51(4):390–431, April 2010, p. 1.

[57]      Anthony Jorm, '"Prodomal diagnosis" of psychosis: an impartial commentary', Australian and New Zealand Journal of Psychiatry, vol. 45, pp 520–523.

[58]      Stephen Rosenman, Peter Anderson, 'Does prodromal diagnosis delay early intervention?', Australian and New Zealand Journal of Psychiatry, vol. 45, pp 509–514.

[59]      Patrick McGorry, 'Pre-emptive intervention in psychosis: agnostic rather than diagnostic', Australian and New Zealand Journal of Psychiatry, vol. 45, pp 515–519.

[60]      See, for example, Anthony Jorm, '"Prodomal diagnosis" of psychosis: an impartial commentary', Australian and New Zealand Journal of Psychiatry, vol. 45, pp 520–523.

[61]      Early Psychosis Prevention and Intervention Centre, Early Intervention: a Rationale, http://www.eppic.org.au/node/169 (accessed 19 October 2011).

Chapter 5 - National Mental Health Commission

[1]        Of the $32 million, $12 million is new funding while the remainder has been redirected from the 2009–10 budget measure, Leadership in mental health reform—continuation and further efficiency. Department of Treasury, Part 2: Expense Measures—Health and Ageing, Budget 2011–12, http://www.budget.gov.au/2011‑12/content/glossy/health/html/health_overview_11.htm (accessed 9 October 2011).

[2]        National Mental Health Commission Interim Office, Submission 527, p.1.

[3]        Department of Treasury, A new National Mental Health Commission, Budget Overview 2011–12, http://www.budget.gov.au/2011-12/content/glossy/health/html/health_overview_11.htm (accessed 9 October 2011).

[4]        National Mental Health Reform 2010–12—Ministerial Statement, 10 May 2011, p. 33.

[5]        Department of Prime Minister and Cabinet, Answer to a question on notice, Estimates 2011–12, Outcome 1.1.1., 8 July 2011.

[6]        See for example, Mr Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia, Committee Hansard, 5 September 2011, p. 82.; NSW Nurses Association, Submission 178, p. 6.; SANE Australia, Submission 654, p. 1.

[7]        National Mental Health Commission Interim Office, Submission 527, p. 2.

[8]        Aboriginal and Torres Strait Islander Healing Foundation, Submission 208, p. 14.

[9]        Dr Judy Hyde, President, Australian Clinical Psychology Association, Committee Hansard, 19 August 2011, p. 23.

[10]      Ms Janne McMahon, Independent Chair, Private Mental Health Consumer Carer Network, Committee Hansard, 5 September 2011, pp. 53–54.

[11]      Mr Keiran Booth, Carer Co-Chair, National Mental Health Consumer and Carer Forum, Committee Hansard, 5 September 2011, p. 46.

[12]      Department of Treasury, A new National Mental Health Commission, Budget Overview 2011–12, http://www.budget.gov.au/2011-12/content/glossy/health/html/health_overview_11.htm (accessed 9 October 2011).

[13]      New Zealand Mental Health Commission, Our Advisory Group, http://www.mhc.govt.nz/our-advisory-group (accessed 27 October 2011).

[14]      Western Australia Mental Health Commission, Consumer and carer involvement, http://www.mentalhealth.wa.gov.au/mentalhealth_changes/Consumer_carer.aspx (accessed 13 October 2011)

[15]      The Mental Welfare Commission for Scotland, Our Board, http://www.mwcscot.org.uk/web/FILES/Commissioners/BoardDetails2011.pdf (accessed 13 October 2011)

[16]      Mental Health Commission of Canada, Non-Government Directors, http://www.mentalhealthcommission.ca/English/Pages/MHCC_Non_Gov_Directors.aspx#Peter (accessed 13 October 2011)

[17]      New South Wales Health, Establishment of the NSW Mental Health Commission, http://www.health.nsw.gov.au/mhdao/mhcommission.asp (accessed 13 October 2011)

[18]      Australian Council on Healthcare Standards, Submission 110, p. 1.

[19]      Australian College of Mental Health Nurses, Submission 447, p. 8.

[20]      Public Health Association of Australia, Submission 195, p. 7.

[21]      Mental Health Council of Australia, Submission 198, pp 3–4.

[22]      Catholic Social Services Australia, Submission 206, p. 3.

[23]      Catholic Social Services Australia, Submission 206, p. 3.

[24]      Ms Rosemary Huxtable, Deputy Secretary, Department of Health and Ageing, Committee Hansard, 5 September 2011, p. 21.

[25]      Mr Keiran Booth, Carer Co-Chair, National Mental Health Consumer and Carer Forum, Committee Hansard, 5 September 2011, p. 48.

[26]      Mr Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia, Committee Hansard, 5 September 2011, pp 82–83.

[27]      Professor Ian Hickie, Committee Hansard, 5 September 2011, p. 69. See also, Ms Dawn O'Neil, (then) Chief Executive Officer, Beyondblue, Committee Hansard, 19 August 2011, p. 61.

[28]      Professor Patrick McGorry, Committee Hansard, 5 September 2011, p. 69.

[29]      Professor Lyn Littlefield, Executive Director, Australian Psychological Society, Committee Hansard, 19 August 2011, p. 17.

[30]      Dr Maria Tomasic, President, Royal Australian and New Zealand College of Psychiatrists, Committee Hansard, 5 September 2011, p. 25.

Chapter 6 - Two-tiered Medicare rebate system for psychologists

[1]        Department of Health and Ageing, Submission 199, p. 11.

[2]        Department of Health and Ageing, MBS Items – Psychologists and other allied mental health professionals, http://www.health.gov.au/internet/main/publishing.nsf/content/health-pcd-programs-amhpm-pdf-factsheet (accessed 16 August 2011).

[3]        Department of Health and Ageing, Group M6—Psychological Therapy Services and Group M7—Focussed Psychological Strategies, Medicare Benefits Schedule Online, http://www.health.gov.au/internet/mbsonline/publishing.nsf/Content/Downloads-201107 (accessed 16 August 2011).

[4]        Department of Health and Ageing, Allied Mental Health Professional Eligibility, http://www.health.gov.au/internet/main/publishing.nsf/content/health-pcd-programs-amhpm-pdf-explan (accessed 16 August 2011).

[5]        Psychology Board of Australia, General Registration, http://www.psychologyboard.gov.au/Registration/General.aspx (accessed 16 August 2011).

[6]        Psychology Board of Australia, 5+1 Internship Program, http://www.psychologyboard.gov.au/Registration/Provisional/5-1-Internship-Program.aspx (accessed 17 August 2011).

[7]        The scheme commenced on 18 October 2010 in WA. Psychology Board of Australia, General Registration, http://www.psychologyboard.gov.au/Registration/General.aspx (accessed 17 August 2011).

[8]        Psychology Board of Australia, Psychology Registration Renewal Fact Sheet, http://www.psychologyboard.gov.au/Registration/General.aspx (accessed 17 August 2011).

[9]        Psychology Board of Australia, Transition, http://www.psychologyboard.gov.au/Registration/Transition.aspx (accessed 17 August 2011).

[10]      Psychology Board of Australia, Continuing professional development registration standard, http://www.psychologyboard.gov.au/Registration/General.aspx (accessed 17 August 2011).

[11]      Department of Health and Ageing, Fact Sheet: Focussed Psychological Strategies Continuing Professional Development, http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-ba-focus#wan (accessed 16 August 2011).

[12]      Australian Psychological Society, APS College of Clinical Psychologists—About Us, http://www.groups.psychology.org.au/cclin/about_us/ (accessed 16 August 2011).

[13]      Psychology Board of Australia, Codes Guidelines Policies, http://www.psychologyboard.gov.au/Endorsement/Codes-Guidelines-Policies.aspx (accessed 17 August 2011).

[14]      Psychology Board of Australia, Codes Guidelines Policies, http://www.psychologyboard.gov.au/Endorsement/Codes-Guidelines-Policies.aspx (accessed 17 August 2011).

[15]      Psychology Board of Australia, Frequently Asked Questions, http://www.psychologyboard.gov.au/Endorsement/FAQ.aspx (accessed 17 August 2011).

[16]      See for example, Name Withheld, Submission 71, p. 2.

[17]      Name Withheld, Submission 58, p. 1.

[18]      Dr Darryl Monaglio, Submission 57, p. 8.

[19]      Mr Chris Wilcox, Submission 549, p. 3.

[20]      See for example, Australian Clinical Psychology Association, Submission 165, pp 4–5.

[21]      Australian Psychological Society (APS) College of Clinical Psychologists, Submission 161, p. 6.

[22]      Name Withheld, Submission 569, p. 1. See also, for example, Australian Psychological Society (APS) College of Counselling Psychologists, Submission 125, p. 3.

[23]      See for example, Name Withheld, Submission 225, p. 3.

[24]      Dr Carsten Schley, Submission 77, p. 2.

[25]      Australian Association of Psychologists inc., Submission 197, p. 3.

[26]      AAP, 'Money spent on psychologist rebate wasted: academic', 3 February 2009, http://www.medicalsearch.com.au/News/Money-spent-on-psychologist-rebate-wastedacademic-36680 (accessed 11 October 2011).

[27]      Mr Bob Montgomery, then Australian Psychological Society President, Attack on Medicare rebates for clinical psychology unfounded, http://www.psychology.org.au/news/media_releases/5feb09/ (accessed 17 August 2011).

[28]      Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, pp 28–32.

[29]      Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, p. 28.

[30]      Dr Jane Pirkis et al, Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule Initiative: Summative Evaluation Final Report, 22 February 2011, p. 27.

Dissenting Report by Coalition Senators

[1]        Council of Australian Government, National Action Plan for Mental Health 2006-2011, Second Progress Report covering implementation 20 2007-08, September 2009, Foreword, p. 1. Available at: http://www.coag.gov.au/coag_meeting.../2006.../nap_mental_health.pdfSimilar (accessed 31 October 2011).Similar

[2]        http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2006-hmedia2.htm

[3]        http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2006-hmedia2.htm

[4]        http://pandora.nla.gov.au/pan/10052/20060621-0000/www.pm.gov.au/news/media_releases/media_Release1858.html

[5]        Department of Health and Ageing, Better Access to Psychiatrists, Psychologists and General Practitioners through the MBS (Better Access) Initiative—Overview, http://www.health.gov.au/internet/main/publishing.nsf/content/mental-ba-over (accessed 5 August 2011).

[6]        Submission 161, p. 9.

[7]        Mental Health Council of Australia, Submission 198, p. 2.

[8]        Consumers Health Forum of Australia, Submission 179, p. 1.

[9]        Australian Medical Association, Submission 185, p. 1.

[10]      Australian Psychological Society, Submission 159, p. 3.  

[11]      Royal Australian College of General Practitioners, Submission 172, p. 3.

[12]      Department of Health and Ageing, National Advisory Council on Mental Health, http://www.health.gov.au/internet/mentalhealth/publishing.nsf/Content/National+Advisory+Council+on+Mental+Health (accessed 7 October 2011).

[13]       http://www.abc.net.au/pm/content/2010/s2932959.htm

[14]      Ms Jane Halton, Secretary, Department of Health and Ageing, Estimates Hansard, 30 May 2011, p. 71.

[15]      Department of Health and Ageing, Answer to a question on notice, 30 May 2011, received 26 July 2011. The answer to question E11- 219 has not been quoted in full; see Senate webpage https://www.aph.gov.au/Senate/committee/clac_ctte/estimates/bud_1112/DoHA/index.htm for the answers to eight written questions on notice in relation to the Mental Health Expert Working Group.

[16]      Name Withheld, Submission 483, pp 24–25.

[17]      Australian Clinical Psychology Association, Submission 165, p. 9.

[18]      Association of Counselling Psychologists, Submission 214, p. 3.

[19]      Professor Claire Jackson, President, Royal Australian College of General Practitioners, Committee Hansard, 19 August 2011, p. 8

[20]      Australian Government Department of Health and Ageing (DoHA), 2008. Report on the Audit of Health Workforce in Rural and Regional Australia, April 2008. Commonwealth of Australia, Canberra, p. 8. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/4F3A981914316A11CA257434008189EC/$File/rur2.pdf (Accessed on 1 November 2011).

[21]      Evaluation of Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative, Component F: Analysis of the Second National Survey of Mental Health and Wellbeing, December 2010, p. 17. Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/8D0647CB60F3EBCACA25784C00767E20/$File/F.pdf (accessed 31 October 2011).

[22]      Department of Health, Submission 199, p. 6.

[23]      Professor Claire Jackson, President, Royal Australian College of General Practitioners, Committee Hansard, 19 August 2011, pp 2–5; Dr Steve Hambleton, Federal President, AMA, Committee Hansard, 5 September 2011, p. 76.

[24]      Essential research (2011) MBS changes—GP Survey: An Assessment of the Impact of 2011-12 Budget Cuts to Medicare Funding for GP Mental Health Services, Australian Medical Association, 2011; Australian Medical Association, Submission 185, p. 11.

[25]      Committee Hansard, 19 August 2011, p. 1.

[26]      headspace, Submission 169, p. 3.

[27]      Rural Doctors Association of Australia, Submission 182, pp 4–6.

[28]      Royal Australian College of General Practitioners, Answer to a question on notice from public hearing 19 August 2011, received 29 August 2011, p. 2.

[29]      Australian Medical Association, Committee Hansard, 5 September 2011, p. 73.

[30]      Department of Health, Committee Hansard, 5 September 2011, p. 17.

[31]      Royal Australian College of General Practitioners, Proof Committee Hansard, 19 August 2011, p. 1.

[32]      Australian Psychological Society, Proof Committee Hansard, 19 August 2011, p. 9.

[33]      Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Sixteenth Interim Evaluation Report, July 2010, p. 5.

[34]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.7.

[35]      Department of Health and Ageing, Evaluating the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, Fourteenth Interim Evaluation Report, June 2009, p 3.

[36]      Department of Health and Ageing, Review of  the Access to Allied Psychological Services Component of the Better Outcomes in Mental Health Care Program, February 2010, p.10.

[37]      Australian National Audit Office (ANAO), Administration of the Access to Allied Psychological Services Program, ANAO Audit Report No. 51, June 2011, p. 15.

[38]      AGPN, Proof Committee Hansard, Monday 5 September 2011, p.32.

[39]      Submission 185, p. 12.

[40]      APS, Committee Hansard, 19 August 2011, p. 9.

[41]      Dr Elizabeth Marles, Committee Hansard, 19 August 2011, p. 3.

[42]      Professor Jackson, Committee Hansard, 19 August 2011, p. 7.

[43]      headspace, Submission 193, p. 4.

[44]      Mr Chris Tanti, Committee Hansard, 19 August 2011, pp 53–54.

[45]      Australian Medical Association, Submission 185, p. 12.

[46]      National Mental Health Commission Interim Office, Submission 527, p.1.

[47]      The Hon. Mark Butler, Minister for Ageing and Mental Health, 'Greater Accountability in Mental Health' Media Release, 1 June 2011.

[48]      The Hon. Mark Butler, Minister for Ageing and Mental Health, Media Release, 7 September 2011.

[49]      See for example, Mr Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia, Committee Hansard, 5 September 2011, p. 82.; NSW Nurses Association, Submission 178, p. 6.; SANE Australia, Submission 654, p. 1.

[50]      Beyondblue, Proof Committee Hansard, 19 August 2011, p. 59.

[51]      Professor McGorry, Proof Committee Hansard, 5 September 2011, p. 69.

[52]      Mental Health Council of Australia, Proof Committee Hansard, 5 September 2011, p. 82.