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.

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.
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