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

1. MENTAL HEALTH
Mental Health Services Conference
SYDNEY – 15 September 2010
Professor Jim Bishop AO
Chief Medical Officer
Australian Government Department of Health and Ageing

2. OECD Health Data 2010
How Does AUSTRALIA Compare
Health Expenditure per capita, public and private expenditure, OECD countries, 2008 ($US PPP)
8,000
7538
7,000
6,000
5004
5,000 4627
4210
4079 4063
3970
4,000 3793 3737
3696 3677
3540 3470
3359 3353
3129 3060
3008
2902 2870
3,000 2729 2687 2683
2151
2,000 1801 1781 1737
1437
1213
999
852
1,000 767
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. Australia’s ranking among
OECD countries 1987-2006
Source: AIHW Australia’s Health 2010

4. Self- assessed Physical
& Mental Health, 2007
Source: AIHW Australia’s Health 2010

5. MAJOR DISEASE
BURDEN in
AUSTRALIA

6. Projected burden of
major disease groups, 2010
Source: AIHW Australia’s Health 2010

7. Total Cancer Cases & Deaths
per year (1972 to 2036)
Source: Cancer Institute NSW

8. Trends in leading causes
of Disease Burden 2003-2023
Source: AIHW Australia’s Health 2010

9. CHALLENGES IN
MENTAL HEALTH

10. Prevalence of Mental
Illness

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. Distribution of disability status
for persons with mental disorders in
previous 12 months, 2007
Source: ABS 2008

13. Government Funding for
Mental Health
Percentage growth in government recurrent health expenditure and mental health expenditure, 1992-93 to 2007-08

14. Australian Government
Costs

15. Distribution of mental health
spending - 2007-08
Source: Unpublished data, Department of Health and Ageing

16. WHO PROVIDES MENTAL
HEALTH SERVICES
GP 54 %
SPECIALIST 16 %
STATE MH SERVICES 16 %
OTHER SERVICES 14 %

17. 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

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. Antidepressant
Consumption
2000 2006

20. PSYCHIATRIC BEDS –
WESTERN EUROPE
Source: WHO

21. 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

22. Percentage of Public Mental Health System collecting & reporting
consumer outcome measures
SOURCES: June 2001 to June 2003, National Mental Health Report 2007; June 2004-2010, Report on Government Services 2010

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

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 Strategy
Statement Strategy Evaluation 3rd Mental
Evaluation Health
2nd Mental Strategy
Health Evaluation
Strategy
Evaluation
(Mid-term)

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