Online version of the 2013-14 Department of Health Annual Report

Outcome 11: Mental Health

Improved mental health and suicide prevention, including through targeted prevention, identification, early intervention and health care services

Page last updated: 17 July 2019

Major Achievements

  • Commenced a review of mental health services and programmes across the Government, private and non-government sectors, through the National Mental Health Commission.
  • Funded Young and Well Cooperative Research Centre to deliver better integrated and linked up online mental health services to young people.
  • Developed and launched the Accessible mental health services for people with intellectual disability: a guide for providers to support frontline mental health providers to improve service accessibility and delivery.
  • Continued to encourage credentialed mental health nurses to provide coordinated clinical care for people with severe and persistent mental illness through incentive payments under the Mental Health Nurse Incentive Programme.
  • Continued roll out of headspace centres across Australia, with 66 of the 85 announced centres now operational.

Challenges

  • While there has been significant progress through mental health reform, challenges still exist in terms of access to appropriate services, patient-centred care, and outcome measurement.

Looking Ahead

In 2014-15, the Department will work to support the Government’s consideration of the National Mental Health Commission review of mental health programmes. The Department will also support a range of existing mental health and suicide prevention services in 2014-15 while the Government considers the outcomes of the review.

Programme Contributing to Outcome 11

  • Programme 11.1: Mental health

Division Contributing to Outcome 11

In 2013-14, Outcome 11 was the responsibility of Primary and Mental Health Care Division.

Outcome Strategy

Outcome 11 aims to improve services and support for people with mental illness, their families and carers. In 2013-14, the Department worked to achieve this Outcome by managing initiatives under the programme outlined below.

Programme 11.1: Mental health

Programme 11.1 aims to strengthen leadership in mental health, invest in more and better coordinated services for people with mental illness and expand suicide prevention activities.

Strengthen leadership in mental health

In 2013-14, the Department established the national review of mental health services. The review, being undertaken by the National Mental Health Commission, focuses on assessing the effectiveness of all existing mental health programmes across the Government, non-government and private sectors. The Department provided significant input to the review, and contributed resources to support the process. The Commission’s deliberations and its final report will inform the Government’s future decisions on mental health, including funding arrangements. The final report is due to be provided to Government at the end of November 2014.

People with intellectual disability and mental illness

The need to support frontline mental health providers to improve service accessibility and delivery, to achieve better health and wellbeing outcomes for people with intellectual disability, was central to the Department’s contribution to the development of the Accessible mental health services for people with intellectual disability: a guide for providers (the Guide) released in May 2014.

Mental Health Nurse Incentive Programme

In 2013-14, funding continued to approximately 400 organisations to maintain existing Mental Health Nurse Incentive Programme (MHNIP) services.

MHNIP services provide patients with support during periods of significant disability and assist in maintaining long-term health and longevity. Mental health nurses work in collaboration with psychiatrists and GPs to provide services such as monitoring a patient’s mental state, medication management and improving patient pathways to other service providers, both clinical and non-clinical.

Invest in more and better coordinated services for people with mental illness

The Department remains focused on delivering better coordinated mental health services. It is delivering initiatives that provide treatment and care, such as the Access to Allied Psychological Services (ATAPS) programme. The Department is also providing programmes which recognise mental illness as being more than just about the provision of clinical services and which improve economic and social participation for people with a mental illness. There is also a particular focus on improving service delivery to priority groups, such as those who traditionally have lower uptake of services.

Qualitative KPI
Improve uptake of primary mental health care by groups with lower usage such as young people, men and people living in rural and remote areas
2013-14 Reference Point
Primary mental health care services are increasingly used by groups with lower uptake, such as young people, men and people living in rural and remote areas
Result
Met
Access to psychological support has continued to increase through the Better Access to Psychiatrists, Psychologists and GPs through the MBS initiative. Additional support is being provided to those who have difficulty accessing MBS services under both the ATAPS programme, which has been delivered through Medicare Locals, and online through the Mindspot virtual clinic.
Access to Allied Psychological Services (ATAPS)

During 2013-14, people with mental disorders of mild to moderate severity who have difficulty accessing Medicare-subsidised mental health services continue to access such services under ATAPS. This included children and their families, and Aboriginal and Torres Strait Islander people.

Qualitative Deliverable
Deliver additional new services for children and young people with mental health and behavioural issues
2013-14 Reference Point
Increase in services provided for children and young people with mental health and behavioural issues and their families
Result
Met
The number of services delivered for children and young people with mental health and behavioural issues through the Access To Allied Psychological Services programme: 2010-11 3,622 services, 2011-12 10,484 services, 2012-13 24,481 services. Available data indicates that in 2013-14, 35,764 services were delivered through ATAPS to children and their families. Additional support is provided through headspace.
Quantitative Deliverable
Number of people assisted under the ATAPS programme
2013-14 Target
78,150 (39,150 additional clients on 2010-11 base)
2013-14 Actual
68,700
Result
Substantially Met
The number of people assisted under the Access To Allied Psychological Services programme: 2010-11 39,000 people, 2011-12 48,200 people, 2012-13 61,000 people. Available data indicates that in 2013-14, 68,700 people were assisted under ATAPS and 393,000 services were provided.
Quantitative KPI
Percentage of Medicare Locals with the capacity to provide services through the ATAPS initiative to people in hard to reach groups such as children, Aboriginal and Torres Strait Islander communities and socio-economically disadvantaged communities
2013-14 Target
100%
2013-14 Actual
100%
Result
Met
Partners in Recovery

The Partners in Recovery initiative aims to better support people with severe and persistent mental illness, their carers and families.

Qualitative Deliverable
Support funded organisations to enable care for people with severe and persistent mental illness and complex needs to be better coordinated
2013-14 Reference Point
Funded organisations supported to increase the level of support available to better coordinate care for people with severe and persistent mental illness and complex needs
Result
Met
Quantitative KPI
Percentage of Medicare Local regions in which coordinated care and support for people with severe and persistent mental illness and complex needs is being provided
2013-14 Target
100%
2013-14 Actual
79%
Result
Substantially Met
A total of 48 Partners in Recovery Organisations, across the 61 Medicare Locals regions, have been funded to improve the way services are delivered to people with a severe and persistent mental illness with complex, multi-agency support needs. Future investment in mental health will be informed by the outcomes of the National Mental Health Commission’s review of mental health programmes.
headspace

headspace centres provide early intervention services to young people aged between 12 and 25. The headspace model provides holistic care in four areas – mental health, related physical health, alcohol and other drug use, and social and vocational support.

Quantitative Deliverable
Total number of headspace youth-friendly service sites funded
2013-14 Target
85
2013-14 Actual
85
Result
Met
The total number of headspace youth-friendly service sites funded: 2010-11 40 sites, 2011-12 55 sites, 2012-13 70 sites.The Department continued to expand the network of youth-friendly mental health centres under the headspace programme. In 2013-14, the total number of sites increased to 90 with 85 locations announced to date. Of the 85 announced locations 66 centres are operational across Australia. The remaining 19 centres will be operational from late 2014. The 2014-15 Budget confirmed an additional 10 sites will be funded, bringing the expanded headspace network to 100 sites. Nine of the existing headspace centres are also being expanded to offer enhanced services for early psychosis prevention and intervention.
KidsMatter

KidsMatter aims to support mental health promotion, prevention and early intervention for all children through evidence-based primary school and early childhood programmes and web-based material.

Quantitative KPI
Number of schools participating in the KidsMatter Primary Initiative
2013-14 Target
2,000
2013-14 Actual
2,020
Result
Met

Expand suicide prevention activities

Services to individuals and communities at higher risk of suicide continue to be delivered through existing programmes.

Qualitative Deliverable
Implement projects focused on suicide prevention under the NSPP and the Taking Action to Tackle Suicide package
2013-14 Reference Point
Projects implemented in a timely manner
Result
Met
In 2013-14, activities included the continued implementation of projects such as the Wesley Lifeforce Suicide Prevention Networks programme, which saw the formation of additional suicide prevention networks in communities of need.
Quantitative Deliverable
Number of funded initiatives focusing on suicide prevention in identified high risk groups
2013-14 Target
80
2013-14 Actual
79
Result
Substantially met
The number of funded initiatives focussing on suicide prevention in identified high risk groups: 2011-12 71 initiatives, 2012-13 79 initiatives.The Department delivered projects to support activity at national and local levels providing services to communities and individuals identified as being at high risk of suicide.

Outcome 11 – Financial Resource Summary

(A) Budget Estimate 1
2013-14
$’000
(B) Actual 2013-14
$’000
Variation (Column B minus Column A)
$’000
Programme 11.1: Mental Health 2
Administered Expenses
Ordinary Annual Services (Annual Appropriation Bill 1)
529,282
469,375
( 59,907)
Departmental Expenses
Departmental Appropriation 3
18,909
19,500
591
Expenses not requiring appropriation in the current year 4
931
952
21
Total for Programme 11.1
549,122
489,827
( 59,295)
Outcome 11 Totals by appropriation type
Administered Expenses
Ordinary Annual Services (Annual Appropriation Bill 1)
529,282
469,375
( 59,907)
Departmental Expenses
Departmental Appropriation 3
18,909
19,500
591
Expenses not requiring appropriation in the current year 4
931
952
21
Total Expenses for Outcome 11
549,122
489,827
( 59,295)
Average Staffing Level (Number)
120
123
3

1 Budgeted appropriations taken from the 2014-15 Health Portfolio Budget Statements and re-aligned to the 2013-14 programme group structure.

2 This programme includes National Partnerships paid to state and territory governments by the Treasury as part of the Federal Financial Relations (FFR) Framework. National Partnerships are listed in this chapter under each programme.

3 Departmental appropriation combines ‘Ordinary annual services (Appropriation Bill 1)’ and ‘Revenue from independent sources (s31)’.

4 ‘Expenses not requiring appropriation in the budget year’ is made up of depreciation expense, amortisation, make good expense and audit fees. This estimate also includes approved operating losses – please refer to the departmental financial statements for further information. Some reclassifications have been made to the Budget estimates to more accurately reflect the allocation of departmental depreciation by outcome.

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