MENTAL HEALTH

Mental Health Services Conference

SYDNEY –

15 September 2010

Professor Jim Bishop AOChief Medical Officer

Australian Government Department of Health and Ageing

Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)

7538

5004

4627

42104079 4063 3970

3793 3737 3696 36773540 3470

3359 33533129 3060 3008 2902 2870

2729 2687 2683

2151

1801 1781 1737

14371213

999852 767

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

1. Refers to insured population rather than resident population. 2. Current expenditure. 3. 2006. 4. 2007. Source: OECD, OECD Health Data, June 2010

Public expenditure on health Private expenditure on health

OECD Health Data 2010How Does AUSTRALIA Compare

Australia’s ranking amongOECD countries 1987-2006

Source: AIHW Australia’s Health 2010

Self-

assessed Physical & Mental Health, 2007

Source: AIHW Australia’s Health 2010

MAJOR DISEASE BURDEN in AUSTRALIA

Projected burden of major disease groups, 2010

Source: AIHW Australia’s Health 2010

Total Cancer Cases & Deaths per year (1972 to 2036)

Source: Cancer Institute NSW

Trends in leading causesof Disease Burden 2003-2023

Source: AIHW Australia’s Health 2010

CHALLENGES IN MENTAL HEALTH

Prevalence of Mental Illness

Schizophrenia14.3%

Bipolar14.6%

Anxiety and Depression

40.5%

Personality disorder2.0%

Anorexia and Bulimia2.5%

ADHD2.9%

Disorders of childhood

10.4%

Autism with mental illness0.4%

Dementia with mental illness4.8%

Intellectual disability with mental illness

3.3%

Substance use with mental illness

4.3%

Severe Mental Illness(3%:680,000)

Source: DOHA analysis of NSW MH-CCP estimates

Source: ABS 2008

Distribution of disability statusfor persons with mental disorders in

previous 12 months, 2007

Government Funding for Mental Health

Percentage growth in government recurrent health expenditure and

mental health expenditure, 1992-93 to 2007-08

Australian Government Costs

Distribution of mental health spending -

2007-08

Source: Unpublished data, Department of Health and Ageing

WHO PROVIDES MENTAL

HEALTH SERVICES

GP

54 %

SPECIALIST

16 %

STATE MH SERVICES

16 %

OTHER SERVICES

14 %

WHAT MENTAL HEALTH SERVICES

Number Annual(Million) Increase (%)

MEDICARE CLAIMS 4.6m 17.4

GP ENCOUNTERS 13.2m 5.7

PRESCRIPTIONS 21.4m n/a

Mental disorders: Treatment Rates

0

20

40

60

80

100

ITA JPN DEU ESP BEL MEX NLD FRA AUS NZ USA AverageOECD10

Serious Moderate Mild None Total  (LHS)

International Comparison%

RE

CE

IVIN

G T

REA

TME

NT

Antidepressant Consumption

20062000

Source: WHO

PSYCHIATRIC BEDS –WESTERN EUROPE

OECD PSYCHIATRIC BEDS (Per 1000 Population)

1996 2006

CANADA 0.4 0.3

USA 0.4 0.3

AUSTRALIA 0.4 0.4

GERMANY 0.5 0.5

SWEDEN 0.6 0.5

UK - 0.7

FINLAND 1.2 0.9

JAPAN 2.9 2.8

SOURCES: June 2001 to June 2003, National Mental Health Report 2007; June 2004-2010, Report on Government Services 2010

Percentage of Public Mental Health System collecting & reportingconsumer outcome measures

Clinical Outcomes

Clinical outcomes of people receiving various types of mental health care 2006-07

Milestones in MentalHealth Strategy

1991 1992 1994 1997 1998 2001 2003 2006 2008 2009 2010

AHMCStatement

AHMCPolicy

1st

MentalHealth

Strategy

1st

MentalHealth

StrategyEvaluation

2nd MentalHealth

Strategy

2nd MentalHealth

StrategyEvaluation(Mid-term)

3rd MentalHealth Plan

2nd MentalHealth

StrategyEvaluation

COAGMentalHealthPlan

3rd MentalHealth

StrategyEvaluation

Mental HealthPolicy

4TH

NationalMental Health

Strategy

FederalElection

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