Kintsugi: Comprehensive repair of Australia’s fractured psychiatric care system

Author:

Looi Jeffrey CL1ORCID,Bastiampillai Tarun2ORCID,Allison Stephen3ORCID,Kisely Steve4ORCID

Affiliation:

1. Academic Unit of Psychiatry and Addiction Medicine, School of Medicine and Psychology, The Australian National University, Canberra Hospital, Canberra, ACT, Australia; and Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia

2. Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia; and Department of Psychiatry, Monash University, Clayton, VIC, Australia

3. Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; and College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia

4. Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia; School of Medicine, Princess Alexandra Hospital, The University of Queensland, Brisbane, QLD, Australia; and Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada

Abstract

Objective We provide an update of the current challenges facing public and private psychiatric care sector in Australia, contextualised by international and national information on factors affecting health system performance. Conclusions There are practical and sustainable repairs that may bridge the gaps between primary care, private psychiatrists, and the public psychiatric system. These are based upon foundations of better linkages, adequate infrastructure, improved social support, and reforming public and private sector workplaces to retain healthcare workers despite pandemic-related attrition. Professional organisations need to redouble their efforts as advocates to governments, in the media matrix, and the general public.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference17 articles.

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2. Modernise AMA. Medicare https://www.ama.com.au/modernise-medicare 2022, (accessed 19 December 2022).

3. Specialised psychiatric beds and 24-hour residential care in Australia 2018–2019 – Comparative analysis and commentary according to international benchmarking

4. AMA. Hospital exit block: a symptom of a sick system, 2023.https://www.ama.com.au/articles/hospital-exit-block-symptom-sick-system (accessed 13 February 2023).

5. BMA. BMA warns of social care crisis as current system is ‘deeply flawed’ and in need of ‘urgent reform’, 2022, https://www.bma.org.uk/bma-media-centre/bma-warns-of-social-care-crisis-as-current-system-is-deeply-flawed-and-in-need-of-urgent-reform (accessed 13 february 2023).

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