TABLE OF CONTENTS

FOREWORD: Dr Sev Ozdowski OAM, Human Rights Commissioner and Acting Disability Discrimination Commissioner , Human Rights and Equal Opportunity Commission

FOREWORD: Keith Wilson, Chair, Mental Health Council of Australia

FOREWORD: Ian Hickie, Professor of Psychiatry and Executive Director, Brain & Mind Research Institute, University of Sydney

EXECUTIVE SUMMARY

RECOMMENDATIONS

STORIES OF INJUSTICE AND DESPAIR

PART ONE: METHODOLOGY

• 1.1 Overview
• 1.2 Community consultations
• 1.3 Call for submissions
• 1.4 Analysis of submissions and information presented at forums
• 1.5 Surveys

PART TWO: KEY SUMMARIES

• 2.1 Mental health and human rights in Australia
  • 2.1.1 International human rights and the right to mental health care in Australia
  • 2.1.2 A summary of changes in Australian policy and practice since the Burdekin Report
  • 2.1.3 Human rights and the National Standards for Mental Health Services
• 2.2 Key themes from nationals consultations and written submissions
  • 2.2.1 Themes relating to the national government, National Mental Health Strategy and national recommendations
  • 2.2.2 Key national themes that emerged from the review of service environments within each State/Territory
• 2.3 National survey of mental health priorities implementation
• 2.4 National survey of consumer and carer experiences
• 2.5 National Mental Health Report 2004
• 2.6 Australian progress against WHO recommendations
• 2.7 State / Territory reviews
  • 2.7.1 New South Wales
  • 2.7.2 Victoria
  • 2.7.3 Queensland
  • 2.7.4 South Australia
  • 2.7.5 Western Australia
  • 2.7.6 Australian Capital Territory
  • 2.7.7 Northern Territory
  • 2.7.8 Tasmania

PART THREE: RESULTS OF SURVEYS

• 3.1 Survey One: A review of implementation of community priorities in mental health
• 3.2 Survey Two: Consumer and carer experiences of care

PART FOUR: ANALYSIS OF ALL SUBMISSIONS AGAINST THE TOP TEN NATIONAL COMMUNITY PRIORITIES IN MENTAL HEALTH

• 4.1 Priority 1: Implementation of Early Intervention Strategies Nationally
• 4.2 Priority 2: Development of Innovative Services for Persons with Mental Health and Alcohol or Substance Abuse Disorders
• 4.3 Priority 3: Development of a Wider Spectrum of Acute and Community-Based Care Settings
• 4.4 Priority 4: Support for Service Development In Rural and Regional Areas
• 4.5 Priority 5: Implementation of National Standards for Mental Health Services
• 4.6 Priority 6: Support for Service Development in Poorly Resourced Areas
• 4.7 Priority 7: Support for Programs that Promote Attitudinal Change Among Mental Health Workers
• 4.8 Priority 8: Increased Support for Stigma Reduction Campaigns
• 4.9 Priority 9: Development of Specific Inter-Governmental Service Agreements (e.g. Between Health, Education, Housing, Employment and Social Security)
• 4.10 Priority 10: More Genuine Consumer Participation at Regional and Local Service Levels

PART FIVE: ANALYSIS OF ALL SUBMISSIONS AGAINST THE NATIONAL STANDARDS FOR MENTAL HEALTH SERVICES

• 5.1 Standard 1 Rights
• 5.2 Standard 2 Safety
• 5.3 Standard 3 Consumer and carer participation
• 5.4 Standard 4 Promoting community acceptance
• 5.5 Standard 5 Privacy and confidentiality
• 5.6 Standard 6 Prevention and mental health promotion
• 5.7 Standard 7 Cultural awareness
• 5.8 Standard 8 Integration
  • 5.8.1 Standard 8.1: Service Integration
  • 5.8.2 Standard 8.2: Integration with the Health System
  • 5.8.3 Standard 8.3: Integration with Other Sectors
• 5.9 Standard 9 Service development
• 5.10 Standard 10 Documentation
• 5.11 Standard 11 Delivery of care
  • 5.11.1 Standard 11.1: Access
  • 5.11.2 Standard 11.2: Entry
  • 5.11.3 Standard 11.3: Assessment and Review
  • 5.11.4 Standard 11.4: Treatment and Support
    • 5.11.4.A Standard 11.4.A: Community Living
    • 5.11.4.B Standard 11.4.B: Supported Accommodation
    • 5.11.4.C Standard 11.4.C: Medication and Other Technologies
    • 5.11.4.D Standard 11.4.D: Therapies
    • 5.11.4.E Standard 11.4.E: Inpatient Care
  • 5.11.5 Standard 11.5: Planning for Exit
  • 5.11.6 Standard 11.6: Exit and Re-entry

PART SIX: ANALYSIS OF SUBMISSIONS AND FORUMS AGAINST THE NATIONAL STANDARDS FOR MENTAL HEALTH SERVICES

• 6.1 New South Wales
  • 6.1.1 Standard 1: Rights
  • 6.1.2 Standard 2: Safety
  • 6.1.3 Standard 3: Consumer and Carer Participation
  • 6.1.4 Standard 4: Promoting Community Acceptance
  • 6.1.5 Standard 5: Privacy and Confidentiality
  • 6.1.6 Standard 6: Prevention and Mental Health Promotion
  • 6.1.7 Standard 7: Cultural Awareness
  • 6.1.8 Standard 8: Integration
  • 6.1.9 Standard 9: Service Development
  • 6.1.10 Standard 10: Documentation
  • 6.1.11 Standard 11: Delivery of Care
  • 6.1.12 Stories of Homicide and Sucide in NSW
• 6.2 Victoria
  • 6.2.1 Standard 1: Rights
  • 6.2.2 Standard 2: Safety
  • 6.2.3 Standard 3: Consumer and Carer Participation
  • 6.2.4 Standard 4: Promoting Community Acceptance
  • 6.2.5 Standard 5: Privacy and Confidentiality
  • 6.2.6 Standard 6: Prevention and Mental Health Promotion
  • 6.2.7 Standard 7: Cultural Awareness
  • 6.2.8 Standard 8: Integration
  • 6.2.9 Standard 9: Service Development
  • 6.2.10 Standard 10: Documentation
  • 6.2.11 Standard 11: Delivery of Care
  • 6.2.12 Stories of Homicide and Sucide in VIC
• 6.3 Queensland
  • 6.3.1 Standard 1: Rights
  • 6.3.2 Standard 2: Safety
  • 6.3.3 Standard 3: Consumer and Carer Participation
  • 6.3.4 Standard 4: Promoting Community Acceptance
  • 6.3.5 Standard 5: Privacy and Confidentiality
  • 6.3.6 Standard 6: Prevention and Mental Health Promotion
  • 6.3.7 Standard 7: Cultural Awareness
  • 6.3.8 Standard 8: Integration
  • 6.3.9 Standard 9: Service Development
  • 6.3.10 Standard 10: Documentation
  • 6.3.11 Standard 11: Delivery of Care
  • 6.3.12 Stories of Homicide and Sucide in QLD
• 6.4 South Australia
  • 6.4.1 Standard 1: Rights
  • 6.4.2 Standard 2: Safety
  • 6.4.3 Standard 3: Consumer and Carer Participation
  • 6.4.4 Standard 4: Promoting Community Acceptance
  • 6.4.5 Standard 5: Privacy and Confidentiality
  • 6.4.6 Standard 6: Prevention and Mental Health Promotion
  • 6.4.7 Standard 7: Cultural Awareness
  • 6.4.8 Standard 8: Integration
  • 6.4.9 Standard 9: Service Development
  • 6.4.10 Standard 10: Documentation
  • 6.4.11 Standard 11: Delivery of Care
  • 6.4.12 Stories of Homicide and Sucide in SA
• 6.5 Western Australia
  • 6.5.1 Standard 1: Rights
  • 6.5.2 Standard 2: Safety
  • 6.5.3 Standard 3: Consumer and Carer Participation
  • 6.5.4 Standard 4: Promoting Community Acceptance
  • 6.5.5 Standard 5: Privacy and Confidentiality
  • 6.5.6 Standard 6: Prevention and Mental Health Promotion
  • 6.5.7 Standard 7: Cultural Awareness
  • 6.5.8 Standard 8: Integration
  • 6.5.9 Standard 9: Service Development
  • 6.5.10 Standard 10: Documentation
  • 6.5.11 Standard 11: Delivery of Care
  • 6.5.12 Stories of Homicide and Sucide in WA
• 6.6 Australian Capital Territory
  • 6.6.1 Standard 1: Rights
  • 6.6.2 Standard 2: Safety
  • 6.6.3 Standard 3: Consumer and Carer Participation
  • 6.6.4 Standard 4: Promoting Community Acceptance
  • 6.6.5 Standard 5: Privacy and Confidentiality
  • 6.6.6 Standard 6: Prevention and Mental Health Promotion
  • 6.6.7 Standard 7: Cultural Awareness
  • 6.6.8 Standard 8: Integration
  • 6.6.9 Standard 9: Service Development
  • 6.6.10 Standard 10: Documentation
  • 6.6.11 Standard 11: Delivery of Care
  • 6.6.12 Stories of Homicide and Sucide in THE ACT
• 6.7 Northern Territory
  • 6.7.1 Standard 1: Rights
  • 6.7.2 Standard 2: Safety
  • 6.7.3 Standard 3: Consumer and Carer Participation
  • 6.7.4 Standard 4: Promoting Community Acceptance
  • 6.7.5 Standard 5: Privacy and Confidentiality
  • 6.7.6 Standard 6: Prevention and Mental Health Promotion
  • 6.7.7 Standard 7: Cultural Awareness
  • 6.7.8 Standard 8: Integration
  • 6.7.9 Standard 9: Service Development
  • 6.7.10 Standard 10: Documentation
  • 6.7.11 Standard 11: Delivery of Care
• 6.8 Tasmania
  • 6.8.1 Standard 1: Rights
  • 6.8.2 Standard 2: Safety
  • 6.8.3 Standard 3: Consumer and Carer Participation
  • 6.8.4 Standard 4: Promoting Community Acceptance
  • 6.8.5 Standard 5: Privacy and Confidentiality
  • 6.8.6 Standard 6: Prevention and Mental Health Promotion
  • 6.8.7 Standard 7: Cultural Awareness
  • 6.8.8 Standard 8: Integration
  • 6.8.9 Standard 9: Service Development
  • 6.8.10 Standard 10: Documentation
  • 6.8.11 Standard 11: Delivery of Care
• 6.9 National
  • 6.9.1 Standard 1: Rights
  • 6.9.2 Standard 2: Safety
  • 6.9.3 Standard 3: Consumer and Carer Participation
  • 6.9.4 Standard 4: Promoting Community Acceptance
  • 6.9.5 Standard 5: Privacy and Confidentiality
  • 6.9.6 Standard 6: Prevention and Mental Health Promotion
  • 6.9.7 Standard 7: Cultural Awareness
  • 6.9.8 Standard 8: Integration
  • 6.9.9 Standard 9: Service Development
  • 6.9.10 Standard 10: Documentation
  • 6.9.11 Standard 11: Delivery of Care
  • 6.9.12 Stories of Suicide

PART SEVEN: REFERENCES

PART EIGHT: APPENDICES

• 8.1 List of community consultations by State/Territory
• 8.2 Summary of submissions received by State/Territory
• 8.3 List of Submissions received by State/Territory
  • 8.3.1 List of submissions received - New South Wales
  • 8.3.2 List of submissions received - Victoria
  • 8.3.3 List of submissions received - Queensland
  • 8.3.4 List of submissions received - South Australia
  • 8.3.5 List of submissions received - Western Australia
  • 8.3.6 List of submissions received - Australian Capital Territory
  • 8.3.7 List of submissions received - Northern Territory
  • 8.3.8 List of submissions received - Tasmania
  • 8.3.9 List of submissions received - National
• 8.4 Responses from State, Territory and Federal Governments
  • 8.4.1 Response from New South Wales Government
  • 8.4.2 Response from Victoria Government
  • 8.4.3 Response from Queensland Government
  • 8.4.4 Response from South Australian Government
  • 8.4.5 Response from Western Australian Government
  • 8.4.6 Response from Australian Capital Territory Government
  • 8.4.7 Response from Northern Territory Government
  • 8.4.8 Response from Tasmanian Government
  • 8.4.9 Response from Federal Government
• 8.5 Survey - Implementation of community priorities in mental health
• 8.6 Survey - Consumer and carer experiences of care
• 8.7 National Standards for Mental Health Services
• 8.8 Snapshot of media reports regarding crisis in mental health care
• 8.9 State/Territory funding announcements

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You can also download the report in individual parts:

• FOREWORD
• EXECUTIVE SUMMARY
• RECOMMENDATIONS
• STORIES OF INJUSTICE AND DESPAIR
• PART ONE: METHODOLOGY
• PART TWO: KEY SUMMARIES
• PART THREE: RESULTS OF SURVEYS
• PART FOUR: ANALYSIS OF ALL SUBMISSIONS AGAINST THE TOP TEN NATIONAL COMMUNITY PRIORITIES IN MENTAL HEALTH
• PART FIVE: ANALYSIS OF ALL SUBMISSIONS AGAINST THE NATIONAL STANDARDS FOR MENTAL HEALTH SERVICES
• PART SIX: ANALYSIS OF SUBMISSIONS AND FORUMS AGAINST THE NATIONAL STANDARDS FOR MENTAL HEALTH SERVICES
• PART SEVEN: REFERENCES
• PART EIGHT: APPENDICES