Mental Health Services Conference - Sydney

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A presentation by Australia's Chief Medical Officer, Professor Jim Bishop AO, Mental Health Services Conference - Sydney

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Mental Health Services Conference - Sydney

  1. 1. MENTAL HEALTH Mental Health Services Conference SYDNEY – 15 September 2010 Professor Jim Bishop AO Chief Medical OfficerAustralian Government Department of Health and Ageing
  2. 2. OECD Health Data 2010 How Does AUSTRALIA Compare Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)8,000 75387,0006,000 50045,000 4627 4210 4079 4063 39704,000 3793 3737 3696 3677 3540 3470 3359 3353 3129 3060 3008 2902 28703,000 2729 2687 2683 21512,000 1801 1781 1737 1437 1213 999 8521,000 767 0 1 Refers to insured po pulatio n rather than resident po pulatio n. 2. Current expenditure. 3. 2006. 4. 2007. So urce: OECD, OECD Health Data, June 201 . 0 Public expenditure on health Private expenditure on health
  3. 3. Australia’s ranking amongOECD countries 1987-2006 Source: AIHW Australia’s Health 2010
  4. 4. Self- assessed Physical& Mental Health, 2007 Source: AIHW Australia’s Health 2010
  5. 5. MAJOR DISEASE BURDEN in AUSTRALIA
  6. 6. Projected burden of major disease groups, 2010Source: AIHW Australia’s Health 2010
  7. 7. Total Cancer Cases & Deaths per year (1972 to 2036) Source: Cancer Institute NSW
  8. 8. Trends in leading causesof Disease Burden 2003-2023 Source: AIHW Australia’s Health 2010
  9. 9. CHALLENGES INMENTAL HEALTH
  10. 10. Prevalence of Mental Illness
  11. 11. Severe Mental Illness (3%:680,000) Disorders of Autism with mental childhood illness Dementia with mental ADHD 10.4% 0.4% Anorexia and Bulimia illness 2.9% 4.8% 2.5% Intellectual disability Personality disorder with mental illness 2.0% 3.3% Substance use with mental illness 4.3% Schizophrenia 14.3% Anxiety and Depression 40.5% Bipolar 14.6%Source: DOHA analysis of NSW MH-CCP estimates
  12. 12. Distribution of disability statusfor persons with mental disorders in previous 12 months, 2007 Source: ABS 2008
  13. 13. Government Funding for Mental HealthPercentage growth in government recurrent health expenditure and mental health expenditure, 1992-93 to 2007-08
  14. 14. Australian Government Costs
  15. 15. Distribution of mental health spending - 2007-08Source: Unpublished data, Department of Health and Ageing
  16. 16. WHO PROVIDES MENTAL HEALTH SERVICESGP 54 %SPECIALIST 16 %STATE MH SERVICES 16 %OTHER SERVICES 14 %
  17. 17. WHAT MENTAL HEALTH SERVICES Number Annual (Million) Increase (%)MEDICARE CLAIMS 4.6m 17.4GP ENCOUNTERS 13.2m 5.7PRESCRIPTIONS 21.4m n/a
  18. 18. International Comparison Mental disorders: Treatment Rates 100% RECEIVING TREATMENT 80 60 40 20 0 ITA JPN DEU ESP BEL MEX NLD FRA AUS NZ USA Average OECD10 Serious Moderate Mild None Total (LHS)
  19. 19. Antidepressant Consumption2000 2006
  20. 20. PSYCHIATRIC BEDS – WESTERN EUROPE Source: WHO
  21. 21. OECD PSYCHIATRIC BEDS (Per 1000 Population) 1996 2006CANADA 0.4 0.3USA 0.4 0.3AUSTRALIA 0.4 0.4GERMANY 0.5 0.5SWEDEN 0.6 0.5UK - 0.7FINLAND 1.2 0.9JAPAN 2.9 2.8
  22. 22. Percentage of Public Mental Health System collecting & reporting consumer outcome measuresSOURCES: June 2001 to June 2003, National Mental Health Report 2007; June 2004-2010, Report on Government Services 2010
  23. 23. Clinical OutcomesClinical outcomes of people receiving various types of mental health care 2006-07
  24. 24. Milestones in Mental Health Strategy 1st Mental Mental Health Federal Health 2nd Mental 3rd Mental Policy Health Health Plan Election Strategy Strategy AHMC COAG 4TH National Policy Mental Mental Health Health Strategy Plan 1991 1992 1994 1997 1998 2001 2003 2006 2008 2009 2010 2nd Mental 1st Mental Health AHMC Health StrategyStatement Strategy Evaluation 3rd Mental Evaluation Health 2nd Mental Strategy Health Evaluation Strategy Evaluation (Mid-term)
  25. 25. SUMMARY Mental Health a major burden of disease manifest as disability Australia compares well in OECD as a platform for further improvements Opportunities now exist to work constructively with the new Government’s commitments in its second term

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