Entrepreneur and philanthropist Simon McKeon succeeded Professor Patrick McGorry as Australian of the Year yesterday. Yet in the year of Professor McGorry’s reign, the Federal Labor Government has largely remained silent on the very issue McGorry was recognised for; mental health.

Illustration: Sturt Krygsman

According to the most recent figures, 2,191 Australians took their own lives in 2008.

Statistics tell us at least ten times that - another 20,000 - were hospitalised for self harm or an attempt. And this is a conservative figure, with ongoing debate about discrepancies between ABS figures, and coroner and police reports.

In late 2010, the Parliament debated amendments to the Mental Health Reform motion tabled by Abbott’s Liberals. The Greens put forward amendments. The Liberals demanded their pre-election policy of $1.5 Billion in reforms be acceded intact. Gillard’s Government played a masterful game of letting the minorities fight it out amongst themselves, all the while attending photo opportunities with McGorry.

McGorry’s colleagues have supported him in his calls for systematic reform and a greater investment in upstream prevention. Universally, experts agree that around one in five adults, and one in four young Australians have mental ill health.

These figures represent the greatest contributors to lost productivity in this country, and supersede the impact of breast cancer and prostate cancer combined. Put simply, mental ill health is the greatest calamity affecting Australians; yet currently receives less gross Government funding since Labor came to power.

Now, I’m not aligned to any Federal political party anymore. And I’m not a mental health expert.

What I do know, however, is what it is like to have a loved one with a mental illness struggle to navigate this broken system of ‘care’.

And this experience has demonstrated the time for debate is over.

The system doesn’t work. It works if you find yourself with cancer. You’re treated with compassion, dignity and are provided with a clear road to getting better. Mental ill health in the public health system is truly the road less travelled by both patient and family.

For the last two years, we have desperately sought help for a young man on the edge.

A mental health plan is the first step for getting into the public system. Yet GPs, like most other public health services, are desperately under-resourced and under-equipped to properly provide support. The stigma and constant ‘it’s just typical teenage emotions’ were hard to take when you are witnessing a beautiful boy implode.

Next step; the public mental health counsellor. Assessment after assessment, with appointments taking three months to get on the books, and a staff turnover rate rivalling that of an ad agency.

The constant phone calls pleading with receptionists and CAT workers that your loved one needs to be seen. After a while of battling the system, you find yourself turning into someone you didn’t think existed. Someone who can make a rational argument that this kid has greater potential for society than a complete stranger who is higher up on the waiting list than your family.

And then comes the acute road. Suicide ideation should be a trigger to being afforded immediate care. Yet sitting in counselling sessions listening to this kid communicate ideation, and pleading for help didn’t result in admission. The family is told to keep a wider eye on the kid. The family is told to remove dangerous items from the home. The family is told it’s not serious enough for admission.

The next week the kid was saved from hanging himself in the family home.

Even then, admission was a battle. Pleading with ER doctors to admit the kid to an adolescent ward rather than the adult psychiatric hospital. Listening to ER nurses talk about the broken system, and how this was the tenth such admission that week.

Six weeks in the public adult psychiatric hospital and the kid is unrecognisable. Two sessions with a psychiatrist, mostly to increase medication administered by a merry-go-round of dispassionate and tired registrars.

Recreational drug taking and violence among the long-term habitants of the ward is a lasting memory. So too is the handballing of treatment accountability from a system that is stretched to beyond breaking point. Staff who obviously want to help are tired and despondent. There is no capacity for taking the time to walk a family through the journey. Just be happy the kid is so medicated he can’t recognise nor remember who you are.

2010 was the year our arguably greatest mental health pioneer, Professor Pat McGorry, was recognised as being the most outstanding contributor to Australia. It was also the year the only salvation for one person’s mental health journey was to mortgage our lives for private treatment in a specialist clinic an hour and a half drive from the family home.

This experience is not unique, nor is it the minority.

All over this country, families and friends of the mentally ill are pleading for help and hitting the brick wall of a system that is broken.

What the mental health system needs is money. By the time the Mental Health Reform Act passes through Parliament, we are looking at hundreds of Australians taking their own lives and thousands of Australian families left wondering how to navigate the system.

Change, indeed systematic reform, takes time. But while our Government is still arguing about what type of reform is needed, we need to take heed of Professor McGorry’s mission and demand action. We need to apply pressure to our elected representatives that mental health and suicide prevention deserves more than community forums and bandaid measures.

It needs money on the ground right here, right now.

If you need help right now, contact Lifeline, Sane, or BeyondBlue.

74 comments

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    • rodney allsworth says:

      05:22am | 27/01/11

      one wonders if mr mcgorry would contemplate working to get tony abbotts policy into law even if it means getting the coalition elected, or is he so stuck in the sociallist ideals of labor to sacrifice his politicial preferances for the sake and lives of those he professes to be/and obviously is concerned about, one wonders one does.

      rod   qld

    • Against the Man says:

      05:57am | 27/01/11

      Karalee, mental health like healthcare in general is only going to get worse under a Gillard government. The reasons are…

      1) Gillard doesn’t care. So far nothing has been sorted out, refugee issues, environmental issues, gay marriage, the correction of the home insulation debacle etc. Why would she bother with mental health unless it is sure to keep her in power?

      2) She has Roxon has her fed health minister. Roxon is one of the most incompetent politicians of our times. Just like Gillard is controlled by the Greens/Independents, Roxon is under tight control by the nursing unions. Australians will have to wait a long time before all her wrongs can be corrected. Enjoy poor healthcare and no mental health care under roxon.

      3) They have no money. Yes, I can’t believe a ALP government has run out of money (sarcasm).

      I feel sorry that mental health care will be destroyed under this ALP government but you get the government and its non existing policies that you didn’t vote for.

    • TChong says:

      06:46am | 27/01/11

      AtM - Roxons under “the tight control of nursing unions” Really ? other than the nurse practioner and the involvement of Medicare rebates, the nursing profession - its awrds and conditions are state based.
      Repeat, for your benefit- awards and conditions are state based, not federally
      The varios “nurses unions having Roxon under “tight control"is therefore a waste of time , and not true,  but it is another example of your tireless union bashing.
      BTW AtM - still cant accept the Labor govt “you didnt vote for”?
      Guess what ? Even fewer voted for Abbott.

    • KH says:

      06:55am | 27/01/11

      Oh, but Howard did so much in 10 years, didn’t he?  I’m sick of all this Gillard bashing for the sake of it.  The current government is hamstrung by the so-called independents.  The immediate previous government had some other issues to deal with (remember the GFC?).  Howard had 10 years of relative stability - no serious financial crises and a majority so he could have done pretty much anything - instead he spent most of the time sucking up to George Bush and big noting himself at every opportunity, and yesterday, his treasurer received an award for bringing surplusses.  What exactly did they do for all that time, apart from funding wars in other countries, for someone else?  Where is all the infrastructure that should have been built or improved in that time?  Where are the shortened waiting lists?  The health services that are needed? Oh, but we had surplusses.  Its one of the things that prevented me from voting against Gillard, as much as I’m not a fan - the memory that during a long period of stability, “our” government did pretty much nothing for the people of this country.  Who cares if you have money under the mattress when people who desperately need medical care can’t get it? 

      These things don’t happen overnight.  The system didn’t break down in the last 3 years.

    • Vaunted says:

      08:12am | 27/01/11

      Chong, have you no shame? Half of Australia voted for Abbott, and barely 30% voted for Gillard. She and Roxon are in place only at the behest of two unscrupulous independents who betrayed their own constituencies for personal gain. Barely an endorsement, much less a landslide.

    • TChong says:

      09:03am | 27/01/11

      Well Vaunted , the electorate doesnt agree. If Mr 31% is so popular , how do explain him sitting on the Opposition benches . Again.

    • Michael says:

      09:20am | 27/01/11

      You know the funny thing TChong? You blow the very little credibility your assertion (there’s not enough substance to call it an argument) re: nurse unions and state-based awards not having any bearing on a federal politician by coming out with your vote “analysis”. I can only assume in union/labor world, up is down and left is right - and when labor gets less primary votes than Liberal, obviously labor got more votes!? That would explain why gillard had to rely on paying off a few crackpot crazy independents to form government…

      Meanwhile, back here in reality, roxon is utterly ineffective, labor are useless and wasteful, with no policies, no idea, no care factor and no money left (can you say “flood levy”).

      TChong, as thin on fact and logic as you are, I’m not surprised labor impress you - no confusing facts or details to confound your simple little mind or disturb your world-view!

    • Aitch B says:

      09:21am | 27/01/11

      @KH

      And I’m tired of the Howard/Costello bashing too. You say:

      1. “No serious financial crises…”. Well, the Aisian meltdown wasn’t exactly a trifle.

      2. “Where is all the infrastructure they should have built or improved….”. Oddly enough the federal government gave the states billions every year for infrastructure, so perhaps you’d better ask them.

      3. Where are the shortened waiting lists?” Um…health was and still is a state responsibility and again the federal government gave the states billions every year specifically for health, so again you’d better ask them. Also, in the 3 years since 2007 the waiting lists have lengthened so you’ve shot yourself in the foot right there.

      Sure the system hasn’t broken down in the last 3 years… it’s just broken down more. Absolutely nothing the Rudd and Gillard governments have done has improved any of the things you bring up.

      And think how handy the 20 odd billion ‘under the mattress’ would be right now!

    • TChong says:

      09:42am | 27/01/11

      Micheal- are you saying that nurses awards arent state based, and controlled federally? I cant work out what you are saying.
      Why hasnt Roxon supported the nsw nurses campaign of staff to patient ratio , if she is so beholden?
      “up is down, left is right” “meanwhile back in reality..,“yarda yarda yarda..,
      Anything specific, or just the old Liberal hack attempt of a word salad because you have no valid argument?  Thought so.

    • Barry says:

      10:30am | 27/01/11

      TChong, “the nsw nurses campaign of staff to patient ratio ” as you described is a sick joke. The nurses union funded Iemma’s unexpected victory on the back of $50 million of their members funds. The Director-General NSW Health is a nurses union stooge put in there by a grateful Iemma.

      Nurses have usurped nearly all the top administrative positions in NSW Health and built up huge wasteful, corrupt empires of “clip-board nurses” while nurses in the wards have remained understaffed and burnt out.

      NSW Health does not even know which of its staff genuinely treat patients. They don’t want to know either. If anyone found out the true extent of this feather bedding and self seeking rorts, there would be a royal commission.

      The solution is simpler than it looks. Get “clip-board nurses” off their lazy, fat behinds and into the wards.

    • JulesG says:

      10:40am | 27/01/11

      ATM: The standard of debate and discussion on these threads are becoming very mediocre to say the least. They have degenerated into a labour/ Gillard bash fest with the subject matter of the discussion lost in the malaise of this constant right wing loonacy and hypocracy. Howard was a disaster for this country in his cuts to social programs, lack of training and infrastructure across the board and in that respect, remains the most short sighted leader we’ve had in 200 years!

      KH: Well said and amen to that!

      Vaunted: The fact is that the ALP has more seats, end of story. The libs and nationals are a coalition against one discreet party; 2 onto 1 if you like. As a single party the ALP polled the most votes.

    • Lyn says:

      10:40am | 27/01/11

      You expect quite a lot from a prime minister who has been in office for such a short period of time.  As I recall, the health care system as a whole lapsed into a state of almost disrepair under the Howard government.  I’ve seen improvements under the ALP.  I have a son with a mental health disorder so I am speaking from experience.  Give the woman a chance at least

    • TChong says:

      11:29am | 27/01/11

      Agree Barry - too many bosses getting around with clipboards looking to find faults with the “coal face”- ward nurses.
      Far too many.
      I dont know if that is attributable to Roxon , or even state Labor- more the demands by the public ( justifiably so ) that patients recieve optimal care.
      How do you do so , when trying to measure something as nebulous as good “outcomes” for the patient, as opposed to manufacturing X number of widgets ?
      You have senior staff walking around with clipboards checking up on everything.
      Do you know of a better way.?

    • Toparity says:

      12:24pm | 27/01/11

      @TChong - Thanks for the relevant input. The reaction you’ve received here seems to reflect partisanship but also a massive lack of understanding many have of the health care disaster. As a MH professional who saw the ‘deinstitutionalisation’ of the 1990’s replaced with little more than a few community centres, I am aware that it is about time front-line nurses were seen AND heard. They truly know how sick the system is.

    • Ben C says:

      12:35pm | 27/01/11

      @ Lyn

      Which woman are we giving a chance, Gillard or Roxon? If it’s Gillard, OK, she’s had less than a year in charge of the country. Roxon - she’s had three years in charge of health, and I’m yet to see any policy announced by her. Well out of her depth in the health portfolio.

      @ KH

      Not here to defend Howard’s record, even though I supported him, he had his good and bad policies in equal measure, but like Aitch B said - no major financial crises? If you’re comparing 1997 to the Great Depression or the GFC, maybe not, but it was no small matter as you dismiss it to be.

      Also, as much as I hate Bush, sucking up to him was ever-so-slightly more productive than sucking up to Oprah, as our current PM did.

      @ Jules G

      The Coalition are officially recognised by the electorate as one. The Liberals don’t put candidates in seats that the Nationals are contesting, and vice versa. Therefore, they are effectively working as a unit. The ALP has candidates in pretty much every seat in Parliament. In the 2010 election, the Coalition won 73 seats, while the ALP won 72. Which means the Coalition in fact won more seats than the ALP.

      Your argument would hold more weight if the Coalition were not an official Coalition, and both the Liberals and Nationals had candidates contesting every seat.

      End of the day, Roxon is incompetent as a Minister of any sort, Gillard should find someone who has political clout and some sort of idea of what their portfolio entails. Otherwise, expect a failure of health overall.

    • Barry says:

      12:53pm | 27/01/11

      @TChong, agree measurable outcomes are pretty hard.

      However, the thrust of the nurses union nurse to patient ratio is that we need more nurses treating patients. Underlying this is an assumption that more nurses in the wards would deliver better outcomes, measurable or not. I reckon it is a fair assumption.

      The key is the deals occuring between clinicians and politicians whereby every whacko academic or clinician on health management gets indulged through funds which would otherwise go to wards. This is great if you are in the inner circle. You are rewarded with a battalion of “clipboards”. Unfortunately, it is bad for the patients. Such is the cost of nepotism.

      I thought my last statement indicated a better way? However, if you want a little more, the whole incestuous arrangement is like the “Gaudian Knot” and needs a sword to untie it.

    • Concerned health Proff says:

      11:57am | 28/01/11

      As a frustrated health professional who really cares about and recognises the great problem out in society where people can not get help from a almost non existant mental health systen, I agree with you “agains’t the man” I am disgusted with the complete lack of interest by Labour/Union pollies who not only do not understand, but do not care.
      They appear to be more interested in themselves, furthering their ideology, and feathering the nest of their union mates.God help the poor people needing urgent help and who are suffering needlessly.
      There has to be an answer out there.

    • Neilly G says:

      07:12am | 27/01/11

      What needs to be worked on is a change in the culture into which our children are thrown. This cannot be done by simply increasing funding to mental health facilities. We support financial organizations - liquor outlets that have the sole function of supplying a lethal drug - alcohol - to our youths and young adults 24 hours a day 7 days a week. Young people are exposed to this culture and its associated drug culture with our support under the guise of free enterprise. When will we wake p to the fact that it is anything but “free”.

    • Gregg says:

      07:58am | 27/01/11

      The Man with the hat, Bob Katter the sensible one of the three amigos has often spoken of farmer suicides in his electorate, the drought, cost of farming, huge loans and little income combining to create a load great enough to break many strong men and no doubt it is not only Bob’s electorate.
      I do not know that money in the health system nor medication is going to be a too positive impact in those situations.

      The trouble with any health program is that money alone is going to do very little and it is as much attitude and commitments by not just the medical profession alone in attempting to treat the worse cases.
      Farming issues are understandable but just how much research goes into what is the extent of change over the years and what are the causes, why are young otherwise healthy people being driven to consider suicide.
      No doubt there are many issues, abuse [ even on facebook ] , but all manner of it, peer pressure or just pressure to perform, but whatever it is and if it is the general direction society at times seems to be heading, how do you change that?

      I do not know that much more money to treat the outcomes will change it when you do not have the people trained anyway and will it not be far better for more recognition of the causes and considering personal changes rather than being in combat with the system.

    • BK says:

      01:02pm | 27/01/11

      The farmers face this pressure to stoically battle on. Some of them need another sort of courage; the courage to accept that some farms are no longer viable. Change takes more courage than battling on.

    • James1 says:

      02:04pm | 27/01/11

      Indeed BK.  I wonder if Gregg would feel sympathy for a public servant who found themselves out of work, and facing the pain of changing careers.

    • AdamC says:

      08:19am | 27/01/11

      There is no doubt that mental health is a topic that has gained a great deal of attention in recent times. There no doubt will be changes to the system as a result of this public focus. However, of course, these things do not happen overnight.

      There is also the problem of competing priorities in a constrained budget position. Of course, everyone wants more money.

    • Flexo says:

      08:41am | 27/01/11

      I for one am sick of people blaming he Howard government. They did lots and achieved lots. What has the current ALP government done to improve the system? Have they spent our money well? What will be their legacy?

      The current government has not improved the system inspite of boasting about how much money they have provided for x, y and z.
      If you don’t think about how you spend the money, it is the same as not spending and in fact wasting tax payer dollars.

    • Michael says:

      09:06am | 27/01/11

      Could not agree more, Flexo. If not for the Howard govt., we would have been drowning in debt. Howard payed off our debts and stbilised this country. He put us in a position to start dealing with some of our long standing issues… labor on the other hand have squandered all of our savings, wasted our massive income from our mines and here we all are 4 years later, back in debt and with nothing to show for it. We even need a special tax to help pay for flood damage! Sure, we can find unlimited billions for talk fests, million $ carports in our school yards, insulation debacles, green loan stuff ups and a freaking big waste of money so we can have pay tv over IP (NBN). But hell no, we cannot have hospital care - that takes more than a pen-stroke and a grand announcement. You need real understanding and care for that!!

      In a few years, the libs will be back and will have to play the bad guys again by paying for years of squandered opportunity and wealth by labor. Meanwhile, the people of Australia suffer - unless you’re a labor mate picking up fat contracts for SFA!

    • Cloud Strife says:

      09:19am | 27/01/11

      Flexo, name one thing the Howard Government did for mental health?

    • Flexo says:

      09:40am | 27/01/11

      @ Cloud strife

      1) Howard Government’s Better Access to Mental Health Care scheme, which Rudd/Gillard try to dump but didn’t did to a massive wave of public protest.

      2) The leadership model for mental health previously advanced by John Howard and Morris Iemma (through their 2006-2011 COAG deal). Currently this is what mental health advocates are trying to get the myopic Gillard to adopt.

    • Jenna says:

      09:30am | 27/01/11

      This is our story!! We did this exact same thing, road the public health merry-go-round until we were told to take my sister home and let her kill herself!! $15000 later we have her back! We have a huge debt but we have her alive no thanks to the system! Please take away the “too hard basket” and FIX something!! I’m not training in mental health/psychology (will be a few years yet) & I can tell you that what it is the text books, what is in the so called policies & procedures is NOT what is done! Instead of treatment we throw drugs! Someone please come up with anything to start to help, I feel like we are still back in the dark ages when it comes to mental health, where it was seen as your own fault that you were sick! I feel so much for those who have had to bury their loved ones because the system did not get them!

    • TChong says:

      10:07am | 27/01/11

      jenna-
      You were actually told to take your sister home and “let her kill herself”?
      (not just some stupid, insensitive remark, by someone having a bad day, but as the official discharge directive from the public hospital) ?
      You sure thats what you were told ? Exact words ? or just a bit of hyperbole from you?
      Sounds like complete BS, that any hospital or treating team would ever ( officially) say such a thing. Did you complain to the HCCC ?
      As a would- be health psychology student ( ‘will be in a few years”), you might have to do a bit more reading, and you might just realise that in some cases drugs are needed, ( specially during acute psychotic episodes)  and the psychologist intervention of talking isnt always suitable.
      In order to prevent self harm, do you believe more people should be hospitalised, against their will ( Scheduling) ?
      That would drop many adverse results for many patients, but the number of dedicated beds would have to be greatly expanded, in order to detain all possible self harm presentations.
      Whats your view?

    • Your name:Ryder says:

      10:39am | 27/01/11

      @TChong
      Here is a riddle for you.

      Who is more arrogant and conceited than a practicing psychology professional?

      A would be health psychology student.

      You are basing your medical opinion on the clinical treatment of people suffering acute psychological problems on your as yet unfulfilled desire to be a psychologist?

      My dreams were far simpler.
      I always wanted to be a banker…

    • fairsfair says:

      10:53am | 27/01/11

      TChong, I am sure it was more along the lines of “there is nothing more that we can do” or “perhaps you should take [her] home where [she] is more comfortable”. As Jenna indicates, the subtext of that is - the drugs aren’t helping so carry on the way you were.

      It is not just mental health that is supremely lacking. We need to look at the entire system. My brother has occular albanism and when he was diagnosed the opthamologist told my mother “take your son home and prepare your home for a blind child” (exact words). They took him to Sydney at great expense and he can still see. My father had a stroke and when he was bed ridden they said “we will discharge you as there is nothing more we can do for you”. The subtext of that was for my mother again to take a loved one home and prepare her home for whatever will happen. Great expense later and several visits to Victoria my father can walk and has basic function and quality of life.

      Don’t insult someone with first hand experience by questioning their story in trying to protect your precious little bubble of belief. Could you be any more insensitive if you tried?

    • TChong says:

      11:16am | 27/01/11

      Ryder, ? If I’m saying something wrong, or you disagree with, say plainly what it is.
      No, I’m not studying to be a psychologist but Jenna states she is.
      i have twenty plus years in the area of “mental health”, and you?
      Thought as much.
      So, Ryder. please tell what the real story is, and what ideas you have.
      Want to be a banker, ?( Did you spell that correctly ?)  Good for you.

    • TChong says:

      11:39am | 27/01/11

      fairsfair - why not try at being fair?
      Jenna clearely states that a public hospital was so heartless and uncaring that such a terrible thing could be said about her sister.
      The remark is definitely a slur against public health.
      I question the validity of such a damaging statement being said about the Health system.
      Again , I will claim that no such dismissive statemant would ever be given by the hospital.
      Jenna, take your claim to the HCCC- any such statement , if proven , is completely unacceptable. Act on it for the sake of all people with Mental Health problems.

    • fairsfair says:

      01:21pm | 27/01/11

      Well I am claiming that such dismissive statements are made. I have seen them first hand. Incompetence brought about by funding, fatigue, staff shortages, whatever - happens. My great aunt was hospitalised with sciatica pain. The next morning we received a call to say her dementia had progressed to the extent where we had to go and say goodbye. Prior to her admission the day before she was regailing war stories and living in her own home on her own at age 85. She had been overdosed on some sort of medication and was no longer coherent. She never recovered. One doctor took my mother aside and told her to persue it. All of a sudded there is a five week wait for a post mortem. Who wants to put their family through that? It was not pursued but we have always felt something untoward went on there. You cant sit back and honestly believe that bad stuff does not happen in our system. I am in no way denying the good stuff and the fantastic people who give their everything for the wellbeing of others. Again, how dare you imply that Jenna is lying. You may not have seen it and you may very well be a fantastic member of the profession - but you have to acknowledge that there are idiots that walk among you that do and say inappropriate things be it intentional or what.

    • Barry says:

      01:23pm | 27/01/11

      @TChong, fully agree.

      I have a problem with people having vexatious, defamatory free kicks at health staff. I have a lot of trouble believing that health staff at any point would have said such a thing. If expressing such a point of view is insensitive, fairsfair, then count me in.

      @Ryder, a “banker” eh? Well, at least you got close.

    • doctor's wife says:

      08:22pm | 27/01/11

      Sorry to hear that Jenna. The mental health system is hugely inadequate in Australia. My husband (a country GP) was sworn at (don’t you f*** ever dare f**( phone me after f*** hours) by the local psychiatrist for daring to phone him after hours in an attempt to prevent a suicide because the mental health team knocks off at 5 and turns the answering machine on.
      The patient ‘not thanks to the psychiatrist’ lived.

      In another case my cousin was told to keep upping his dose when he repeatedly tried to book himself in during an episode, the hospital wouldn’t admit him and he took his own life the next day.

      I’ve taken one of my own family members on the merry go round of psychologist/psychiatrists/mental health team etc and it has been a big fat waste of time and money with a person spinning out of control with no help or assistance whatsoever.

      Australian mental health care is H U G E L Y inadequate.

      A little info from a radio series on depression and mental health issues http://www.pressonaustralia.com/

    • Grumpy says:

      10:07am | 27/01/11

      I don’t believe there is anything health care professionals or the government can do to effectively treat people with mental illness in the long term except making everyone poorer, particularly the patient.  You could put a million more people into jobs as mental health professionals, but they wont help anyone. there is no treatment that works in the long term. Anyone who says there is has never suffered a mental illness.

    • Karalee says:

      10:34am | 27/01/11

      Longitudinal studies have shown there is a good success rate for the treatment of mental ill health, if treated early via early intervention.

      Currently, our early intervention services - namely headspace (headspace.org.au) - only cover a very small percentage of our population. I categorically believe if you were to put a million more people into mental health jobs, we would see systematic change in prevalence and economic impact.

      I’m saddened you believe there is no hope, Grumpy. There is always hope.

    • TChong says:

      10:51am | 27/01/11

      Grumpy - You are right ( partially) . Often the underlying cause of the mental illness may not , or cant be eliminated, but its how the patient reacts to the challenges is what matters.
      Some times cognitive therapies will work, sometmes pharmaceutical interventions - particularly during acute psychotic presentations, when the pt may hurt themselves or others.
      Not all anti psychotic medications leave all pts in a drug induced torpor -the reactions , like the causes, are often as unique as the pt.
      Not all plans will work, but nor is “mental illness”  a label that should automatically see the sufferer as beyond “cure”.

    • Grumpy says:

      11:31am | 27/01/11

      Rubbish,...My point is, that once the patient has left a treatment with a psychologist or whoever, and on medication and they are feeling better which would be recorded as a successful treatment. 6 months - 12months later, they’re at square one again and will probably not go back because it doesn’t help in the long term. I can find you stats that say that the majority of people entered into treatment became worse, and i know from people i have spoken with and personal experience, that an hour a week and sometimes not even that regularly in most cases, with a psychologist did nothing except make the psych another $150. there is no way 1 or even 5 million more people in the mental health would solve anything, they would just further agitate the problems people have because they will be forced into another system that will never be designed in a way that will help actually help anyone. Its a 4 step system, GP, meds, Counselling, hospitalise.
      People will always kill themselves, because as sad as it is for some to believe (i find it hard to understand why myself) but life will never be a 6 figure income, marriage and children and a nice place in the burbs. It will always be molestation, post trauma, unforgiving, being weird to others, having to “cope” with yourself, police harrassment, lower intelligence and living in a poor social demographic. Once you can counter all these problems, put people into a box and design a one size fits all treatment, then maybe just maybe there will be a solution. i dont know about you but I cant pay my bills with hope.

    • Grumpy says:

      11:40am | 27/01/11

      People with these problems need discretion. not everyone yelling from the roof tops that they not like everyone else and there is something wrong with them.

    • Renee says:

      01:05pm | 27/01/11

      Hey Grumpy. I can completely agree with you. I myself went through the mental health system and found it just a complete let down. I said in my post that it only made me externalise my inner anger and really didn’t resolve the problems and life I’ve had for my entire 27 years on this planet.

      One hour per week gets you nowhere. It’s no wonder people are drugged up on medication because talking about things sometimes does nothing for the pain. Once the hour is up - “Yeah hold that thought. Time to go. Remember to pay at the door”

      An hour a week and $150.00 doesn’t go very far when you’re dealing with a lifetime of pain.

    • Maria says:

      08:47pm | 27/01/11

      I know people with a history of mental health problems who experience ongoing poverty, housing problems, violence etc - despite treatment, or even partly because of it. I also know people with mental illness and/or a history of psych treatment who have well-paying jobs, a partner, children and a nice place in the burbs. I fall somewhere in between. You just can’t generalise.

    • Renee says:

      11:26am | 27/01/11

      One last year I started getting professional counselling because both my psychologist and GP diagnosed me as suffering from severe depression. The medicare report you need to do to get funding for it was huge, then don’t expect your health insurance to help pay the gap if you start receiving Medicare funding. I started self harming again around Christmas time but after just having a good talk with my husband has helped. Plus renewing my relationship with God has helped and trying to think of others and their real problems instead of my minor issues.
      Mental illness is just not taken very seriously in our society. I still get stigmatised by my husband when my OCD flares up from time to time. But I think we’ve lost sight of reality sometimes and getting caught up in our own issues only makes things worse.

    • Anna says:

      01:53pm | 27/01/11

      Renee - so you needed to fill out a “huge” form to receive a Medicare subsidy for the cost of your counselling? Interesting. I filled the same form in in conjunction with my GP last week for my daughter to receive pyschological counselling. It was three pages and took less than 15 minutes. I don’t consider that a “huge” imposition to receive a fairly generous government rebate for the cost of her care.

    • Karen says:

      11:38am | 27/01/11

      First response to suicide is EVERYONE’S business and not restricted to just health and related services!  Thank god for people like Donald Ritchie who made it his business to offer a “a cup of tea at my place, some kind words and a chance to talk” .  This does not cost money, its about caring enough for the people around us, to ask “are you ok?”  Its about making time in your life.  That does’nt cost money either.  Thank you Karalee Evans, I join with you in your experience as I too have first hand had the horror of negotiating the worn down, totally inadequate mental health system.  This system actually contributes to a further demise for the already struggling person and their family who often remain locked out from the decision making concerning their loved one.  It is a chaotic, frightening journey with very few good endings.  I would never have believed what I have seen and heard had I not had the experience myself.  More people are dying by suicide than by wars.  Wake up Australia!!

    • frominsidethesystem says:

      01:38pm | 27/01/11

      How interesting - more people banging on about which Government is responsible and yelling at each other and so few posts actually focussed on what is the sadness of the lives of those lost to suicide and the families that remain to try to work out what happened.

      It’s a hard system to navigate for someone who is not suffering - have a go at trying to work out who can provide the services that might help - those that could hurt and then how on earth to try to work through getting the services coordinated and dealing with the depression, suicidal feelings, episodes of whatever.

      It’s not that there are so many useless people within the system - just that not everyone has the means of connecting with all people with mental health issues -  educated and qualified doesn’t mean that they can necessarily do the job needed.  Much of the energy and effort and the capacity to change comes from the individual who is already battling, is well aware of the stigma of mental health in our community.  We are either treated like freaks or as if we have been lobotomised - or like animals. 

      I am not sure the answer is found in the Government funding, or is within the capacity of the very insular profession to develop a better system.  We talk about early intervention but the best intervention might be to look at the issues of child abuse, sexual abuse, violence at home, school and workplaces, bullying and harassment which continues in all areas of life, - heck we could even look at the way that some people talk to other here and wonder how we reduce ourselves to such a low point that we rage at strangers and get engaged in anti social behaviour rather than doing something positive.

      It’s horrible to exist feeling the only way out of pain is to end our own life.  Certainly it is the worst position to be in and try to get some kind of support or means of learning to cope differently. 

      In the end, there are some days where just eye contact or a smile from a stranger can make a day seem almost worthwhile.  It’s a rare day that someone reaches out and listens without judging or deciding they know how to fix you before they know why we might be feeling as we do.

      Could any of this be caused by the isolation of people who live in great big communities and don’t know anyone they could talk to?

      There are days when I feel strong enough to say to those here who are having so much fun raging at each other about the politics of mental health rather than being particularly interested in the mental health of the community, that I wish you would find another cause that you think you have the answers to. 

      It’s hard enough to be heard as a mental health client in the system but it is worse here for all of the shouting and raging about those things which don’t actually make a difference to how those at the end of their tether feel.

      Some of the best hearts I have ever met are within the bodies of some of the most distressed and troubled people - at least they understand and don’t preach down about the stuff that doesn’t really matter.  There is no Government that can claim an excellent record on mental health in Australia - please stop being precious about your party politics in spaces like these.

      To Jenna, I am sorry but I can imagine that such a thing was said to you about your sister.  The sad truth is that no one can stop someone else who is determined to take their own life.  Actually, as horrible as it sounds it was probably the only thing left to say - it’s not about the system giving up on any of us - it’s about us giving up on ourselves and once in that space it can be a point of no return for many.  The same thing said to me clarified that it was down to my own choice - I either decided to have another go and live or give up.  No one can fix us because we aren’t really broken and no one can save us.  Support us - yes, listen to us - yes, but our want to have a different life takes enormous courage to change and a long time.  Sometimes what we need most is a fellow traveller, a guide, and continuity of support - these are the people who seem the hardest to find.  And, even then we still need a damned good reason to stay around.

      This doesn’t mean that there are not ways for people with mental health illnesses or who are troubled to find support to feel better and lead a productive and stable life.  It’s just not a guarantee or a lifetime warranty.

    • Against the Man says:

      01:33pm | 27/01/11

      I’m beginning to realise that the ALP zombies just go their default setting of ‘blame the Howard government’ when they can’t except their ALP overlords have been around since ‘07 and have done squat. So I’ll just assume everytime that refer to the Howard government in the blame game it is their way of saying Gillard is a twit of a fake PM therefore we have to find a fake scape goat to deflect the truth - which is the ALP is destroying Australia.

    • Ryder says:

      01:39pm | 27/01/11

      If people want to kill themselves because they think life is meaningless what business is it of ours to stop them.

      Have you considered that they may well be right and life is indeed meaningless and pointless. You will all be dead soon anyway so what difference does a few short years make. If life is unlivable for them and does not appear to ever be likely to change suicide is just a way of solving the issue.

      It is a shame men of the type typified by Jeff Kennet did not have the moral courage to save everyone a lot of trouble and end their lives. Pevert judges are at least old school enough to know when it is time to sit in the garage with the exhaust running.

      I say to all the suicides, you have more courage than most and possibly more intelligence too.

      After all you are only going to be here, if your lucky, for 70-80 years and many for far less.

      Yes, queue the normal blather about how your loved ones will miss you etc but keep in mind no one else will miss you. They will not have even known you ever existed.

      For many, not only will you not be missed but your death will be cause for some relief or even possibly celebration.

      What does it matter if some bully of a boss, a pedo or a wife basher etc takes their own life.

      We pride ourselves on our humanity and compassion but that is all just hypocrisy.

      I say no matter how loud the “cry for help” may be, we just turn away and let them die alone, which is how I imagine most of us live anyway.

      My only advice to would be suicides would to be consider the person closest to you and how they will grieve for you, at least for a while anyway.

      I am sick to death of seeing that beyond blue rubbish everywhere. Many of the people I have met that say I suffered from the black dog and didn’t know it and couldn’t admit it, were real nasty pieces of work who treated people around them horribly. That is your depression, guilt and pain as they age over what utter nasty pieces of work they are or were.

    • OchreBunyip says:

      08:19am | 28/01/11

      When a loved one hears voices of people that are not there, telling them to kill themselves then you have a choice; you can help your loved one or, as you suggest, abandon them. Mental illness is hard to understand for the mentally healthy, there is no obvious wound such as say a broken leg or a bleeding laceration. For some people if you cannot see it then it isn’t real. Not all would-be suicides seek death because of guilt over their behaviour; those who kill themselves because they have been caught committing crimes they know to be wrong are not the same as the mentally ill.

    • baal says:

      02:24pm | 29/01/11

      i am disturbed by your comments. I tried to kill myself when I was 16 due to guilt over being abused as a child. I was a damaged victim who needed help and eventually got it and I am now a medium happy adult.
      You are heartless or confused if you think we should let children kill themselves.

    • Amanda says:

      02:39pm | 27/01/11

      Karalee, I started following your twitter because I heard about your ‘skirt’ campaign on mumbrella and I am in the Media and Pr industry… now I will follow you because of this…. I am also one who has a loved one constantly battling ill health, and have seen first hand the issues of our mental health system…the battle to get admission, the handballing once admitted, the waiting lists for counsellors, disillusioned doctors and nurses, the same old lines, and the throwing medication at the problem approach…. while we still battle, thankfully a look to the private system has helped us also and we hope to make 2011 the year without a hospital admission…. I can only hope that your loved one is also making progress, and that one day the mental health system of Australia gets what it deserves….some serious help.

    • Alexander says:

      03:02pm | 27/01/11

      The state of the Mental Health system in this country is not a party political problem.  All of them have done what most of society wants and simply ignored it becasue it’s too embaressing to admit.  We have created a society where people are so disconnected from each other, that they have so little time for each other that we are being driven to suicide.
      Yes the system is broken in ways that are impossible to describe.  A good friend managed to commit suicide a few years ago after taking himself to the CAT team offices and asking for help after two failed OD attempts, they turned him away.  Two weeks later he was successful.
      The most important thing we need to do is to start to take seriously 8/8/8 and make it so that this is viable for a family.  So we can have time to talk to our families and friends and listen to them.  So that we can create community again.

    • James Milton says:

      03:03pm | 27/01/11

      If you want to be shocked, look at the statistics of male suicides vs female suicides. The difference is absolutely astounding, and puts to rest any notion that ‘women have a more difficult life than men’.

      Men have nowhere to turn to, they can’t cry, they can’t be a sook, there aren’t 50 helplines and shelters devoted to them. So what do they do?

    • Mik says:

      06:36pm | 27/01/11

      Doesn’t mean that women are less affected as they attempt at greater rates but tend to use different methods eg drugs which have a higher chance of rescue.
      There is a great helpline for men “Mensline” http://www.menslineaus.org.au 1300 78 99 78 Available 24/7

      Also a good service for those feeling suicidal or those trying to get help for someone suicidal Suicide Call Back Service http://www.suicidecallbackservice.org.au 1300 659 467

    • Tony of Poorakistan says:

      03:04pm | 27/01/11

      I just don’t like the fact that various state governments have adopted a policy of sending these sick people back out into society with a prescription and an expectation that the patient will follow it. 

      It puts incredible stress on family and frankly, some of them are so damaged that the public should not have to deal with them. 

      The Rann Government in SA is busy selling off half the land used by the Glenside Hospital and shoving mentally ill patients out into the community with little or no supervision. Sure, they claim they are ‘redeveloping it, but at the end of the day, it will be smaller and half the land has been given to Rann’s developer buddies

    • James Hunter says:

      03:29pm | 27/01/11

      How oh how. How can we expect health results when the real nutters are running the country. Most of the profesional vote catchers are only vaguely aware of reality especially as it impinges on the mentally needy. Knee jerk reactions and treat the squeeky wheel while ignoring real or long term needs.
      Enough to make one sick. Both to ones stomach and to drive one to therapy.
      The people are sick but the polititians are the disease.

    • Sally says:

      04:33pm | 27/01/11

      I’m a mental health clinician and I work for 2 G.P divisions and provide FREE on-going mental health counselling for as long as an “Episode of Care” lasts under the Shared Care Program.

      Clients need only to be referred from their GP.  This is because it’s “Shared Care” with a focus on Physical and Mental Health (and also because our funding comes from the GPS.)

      I can’t speak for every area but for my divisions the waiting list is rarely over a few weeks. Clients will be contacted by a duty worker during that time. I had 2 free appts today that I couldn’t fill.

      I also have a serious, low-prevalence mental health issue.

      There are some room for improvements- no doubt. Promoting the service is hard because we mainly can only promote to GP’s, as they are the only ones who can refer. I honestly believe my places of work provide a pretty cool service. Most of the knocking of the system that I know of is by people who have limited information on how it works.

    • Thommo says:

      04:52pm | 27/01/11

      I know no one wants to hear from me - i’m one of these people considering suicide - but it could so easily be rectified. Just make drugs legal and freely available. I know what most of you think - you think, better off dead than being a drug addict. Well i’m an FDA. A Functioning Drug Addict. I am no harm to anyone. But i’m still criminalised by the system - I often contemplate suicide whenever supply is short. This is the truth and I bet there’s a lot of other people out there like me.

    • frominsidethesystem says:

      12:22am | 28/01/11

      Hey Thommo - I don’t mind hearing from you - and I agree that there are lots of people who are like you - many people are highly functioning drug addicts.  I don’t know why there is such resistance about regulating drugs - for one it would get rid of those who make money out of the black marketing of drugs and it would free up lots of policing also.  Stay safe

    • MarK says:

      04:58pm | 27/01/11

      Sigh.

      What a disgraceful title to this rant.

      “Thousands of suicides show the system’s broken” - this is completely without basis, disingenuous, emotive to the nth degree and wrong. Plain wrong.

      Let us get the easy part out of the way first. Mentally ill people are at enormously increased chance f committing suicide than a healthy happy individual. To suggest that somehow the mental health system failed these people is so biased it is scary.

      It is like saying that people that are genetically predisposed to heart disease whether racially, customary or hereditary that are overweight, that do not exercise, that smoke and drink to excess are failed by the system when the have a heart attack.

      Well duh.

      frominsidethesystem made excellent points and I encourage all to read what was written.

      i also want to point out that having been put into hospitals on numerous occasions for mental health issues including prevention for suicide saying the system is broken is just wrong.

      I am really sorry the author has had such a tough time with her experiences of the system but really that is not typical. It is like the ridiculous articles we have showing an Iranian doctor that came over on a boat and using that as the norm for all irregular maritime arrivals - just as using the local drug dealer that is an immigrant means all are.

      You get some good experiences as I have found and some bad ones. I have had numerous therapists. Some have been atrocious some have been good. Par for the course I reckon. My GP is fantastic - took me a few to find a good one.

      frominsidethesystem also made this excellent point

      “It’s not that there are so many useless people within the system - just that not everyone has the means of connecting with all people with mental health issues -  educated and qualified doesn’t mean that they can necessarily do the job needed.”

      It is not a one size fits all like a GP that can treat the cold/flu and stitch up the cut and advise on diet etc etc etc. It takes time and luck to find what works for you. No amount of funding or money will solve that.

      My personal experience was that the numerous alcohol abuse experts that I saw were useless. It took this wonderful guy that dealt with chronic marijuana users to set me on a better path. I nearly wasn’t allowed to see him because I had the unfortunate bad luck to not smoke dope or do hard drugs. He was in the public system. I was referred to him from my public system psychologist.

      Unequivocally say it saved my life. Still stops me form going down the may as well kill myself today path.

      No amount of money or system redesign would make that possible.

      Just as an aside I suggest the author of this misguided rant go to here http://www.responseability.org/site/index.cfm?display=134569

      it may help you to understand a bit more of the issues and report on them more responsibly before you go wailing about with a axe trying to cut down a very good system that does enormously good work because you didn’t instant gratification.

      Pro tip. We are mentally ill. We cannot be cured by a course of antibiotics or a day in bed. You touched briefly on prevention. take that to the next step. Start examining the ridiculous cultural expectations placed on Australians to get pissed at every opportunity. That would help.

      In the meantime good luck with your patient.

    • The Badger says:

      07:03pm | 27/01/11

      Take your meds mark, you know you have to keep an even keel.

    • MarK says:

      08:44pm | 27/01/11

      Thanks Badger. It is always a pleasure to take personal insults from you concerning my mental condition.

      It adds so much to the discussion.

      Of course as a person that requires medication and lots of it to function on a day to day basis to stop doing things like , oh I don’t know attempting suicide again, self harm and little things like that it is refreshing to see you are so concerned you pop a note with the best intentions at heart.

      Well done.

    • The Badger says:

      11:30am | 28/01/11

      just saying mark

      you display the symptoms of someone who “thinks” he is alright and goes off his meds and then needs someone to step up and say get back on the meds.

      Look at your excessive and ridiculous posts throughout The Punch.  Do you really have to say the same thing a dozen slightly different ways through an article?

      You are angry, your writing is erratic and often borders on bizarre as if you are arguing with devilish voices in your own head. Way over the top.

      Calm down, take the meds and don’t let yourself be subjected to the extreme highs and lows you experience when you are off the meds.

      I see the change in you from week to week. Smarten up and stay on the meds.

    • Mark says:

      06:55pm | 27/01/11

      Universally, experts agree that around one in five adults, and one in four young Australians have mental ill health…..

      Tell me if something is not wrong with the water: fluoride and heavy metals…


      Marco

    • Mark says:

      07:13pm | 27/01/11

      Look at how deceptive is the Feds’ approach to mental health: let’s eventually cure the desperation when we see it but do nothing to prevent it from occurring despite we know why it will occur….

      If someone reads carefully the international statistics, the incidence of mental illnesses in Australia is shocking as well as the incidence of several cancers and to find data consistent with the Australian data we must fly to other fluoridated countries or cities that have been devastated by fluoride compounds and heavy metals pollution.

      Hundreds of independent scientists -included a few winners of Nobel prize in Medicine- stated that fluoridation was linked to cancer and mental illnesses.

      In 2010, SCHER, the maximum scientific commission of the EU stated that fluoridation is an ineffective mean to prevent tooth cavities and it may also damage the health of children under 12yo.

      So…why do not we we fix public health starting from one of the major root causes of social illnesses, that is fluoridation?

    • Mary Smith says:

      09:14pm | 27/01/11

      Over 50 international studies prove that the average incidence of mental illnesses in children is 8% at planetary level. In Australia the experts say 25%.

      Looking again at international studies we see that the incidence of mental illnesses we have in Australia is statistically consistent with the data of industrialised countries (air, water and food particularly polluted by heavy metals and fluorides) and developing countries (wild environmental pollution by fluorides and heavy metals again).

      Fluoridation…quite a criminal practice….

    • acotrel says:

      09:24pm | 27/01/11

      Jeff Kennett seized on the recomendations of the Richmond report, as an opportunity tro close our mental hospitals, and sell off the public assets. This happened at a time when drug usafe was becoming rampant in the community, and Kennett well knew that!

    • Greg says:

      11:13pm | 27/01/11

      Why is it assumed that all or even most suicides are the result of mental illness?

      I personally know of three suicides myself over the past 8 years. Three men, who lost the will to live after being separated from their children by vindictive ex-wives and the family court.

      It shouldn’t be a surprise that over 75% of suicides are male.

      Suicide rates would be reduced by more money spent on family court reform, not on more mental heath funding.

    • KarlineTheGreat says:

      07:37am | 28/01/11

      Also the person has to want to get better. some people are offered all the care they could possibly want. I’m pretty sure some people likes their mental illness. Seems to me that there are many genuinely mentally ill people and they deserve the best in care, however there are others that depression is just an excuse for lazy. Can’t blame the system for that.

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