This essay discusses the political and socio-economic factors driving the reform agenda of mental health and alcohol and other drug services in Australia.
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Running head: POLICY POLITICS AND LAW POLICY POLITICS AND LAW Name of the Student: Name of the University: Author note:
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1POLICY POLITICS AND LAW Introduction Since the last two decades mental health reform in Australia has received substantial level of government attention. However some stakeholders have claimed that this attention has been overshadowed by a failure to successfully implement the anticipated reforms of mental health and ADH (Meurk et al., 2018). Australia mainly operates federated system of government with multifaceted division of responsibilities between Federal and state or territory governments underarangeofintergovernmentalagreementsandnegotiationsFederalgovernmentis accountable for the maintenance and funding of health services in which the states and territories execute major responsibilities for service delivery and management (Suetani, Whiteford & McGrath, 2015). Moreover improving mental health the social and economic participation and contribution to the other community requires essential consideration of services. The following essay will discuss political and social economic factors which have been implementing the reform agenda ofmental health and alcohol and other drugservices. Discussion In mental health sector public in patient along with associated community health services are primarily managed are delivered by State auditory governments with mutual financial responsibilities between the Federal Government and States or territories. Comprehensive studies of Ducharme, Chandler and Harris (2016) have revealed that primary health care public health along with aged care programs do not constitute under the state or territories portfolios. Moreover they are mainly delivered and regulated by general practitioners associated health and otherserviceproviders.Ontheotherhand,Saundersetal.(2018)havementionedthe introduction of national mental health strategy NMHS along with the initial Five Year National Mental Health Plan in the year 1992 has served as a central point for mental health services in
2POLICY POLITICS AND LAW Australia. The next 20 years of mental health reform have witnessed the publication of additional five yearly government plans in which each of the government plans have been highlighted priority areas for investment financial aid and reform. The four important National Mental Health Plans have been primarily promoted at the level of Federal Health Minister where as the Five Year National Action Plan on mental health have been endorsed by the Council of Australian government at the level of the Prime Minister state premiers as well as territory Chief Ministers (Grace et al., 2015). Meanwhile reports of Saunders et al. (2018) have revealed that the recent major of Central Government investment of around 3.5 billion of financial resource for mental health has received a lot of attention in the mental health sector. Moreover Le Boutillier et al. (2015) have mentioned that policy entrepreneurs have been serving highly crucial role in regards to the particular areas of mental health for example human rights as well as community behavioral patterns and responsive towards community demands and requirements. These dynamics however do not tend to undermine the value of removing the political processes to efficiently highlight the categorization and implementation of various policy mechanism and regulations in providing a schema for future evaluation. According to Ducharme, Chandler and Harris (2016) the five important policy levers in the World Bank institute typology have been essentially applied in order to obtain reform under the NMHS. Suetani, Whiteford and McGrath (2015) have claimed that typically two or three rivers have been applied at the same time in order to efficiently execute a particular program or strategy. As a result the emphasis giving to various kinds of levers have shown significant differentiation over the time in relation to the shifting political procedures in the country. Meanwhile Ducharme, Chandler and Harris (2016) have opened that in recent years, service non-governmental organisations such as Beyond Blue have emerged as highly accountable and liable entity for successfully implementing community
3POLICY POLITICS AND LAW educational services and other developing research as well asmental health awareness among people. Such a sudden shift and development has beensupported by simultaneous decrease in the government's direct use of community education. Such a significant development has indicated and increasing awareness within Government and political procedures which highlighted the fact that NGO services can proficientlyaccomplish the essential needs of mental health consumers (Suetani, Whiteford & McGrath, 2015). OntheotherhandMeurketal.(2018)haveidentifiedcertainsocioeconomic contributing components which have been successfully driving the reform agenda of mental health and well being of people. The financial resources provided by Government and Non Government organisations have been successfully delivering several essential services which for the facilitate individual mental health conditions as well as their accommodation social services and services which primary intention to increase the level of social participation and inclusion of individuals suffering from any kind of mental health disorders (Suetani, Whiteford & McGrath, 2015). At this point in discussion Grace et al. (2015) have claimed that a major proportion of healthcare services offered by practitioners working in private practice even though state and territory governments are liable for healthcare services through publicly funded hospitals and communities. Moreover reports of Saunders et al. (2018) have shed light on no significant decline in the death rate from suicide of individuals suffering from mental illness over the last few years regardless of continual initiatives of introducing service we said prevention policies. However drawing relevance to this area, governments have recently planned a suicide prevention plan with a focus for cross jurisdiction coordination and National mental health and suicide prevention plan which includes a dedication to establish and national implementation approach which is expected to be introduced in the next 3 years. In addition to this the role of informal
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4POLICY POLITICS AND LAW carers has also been taken into consideration that has been proficiently supporting the reform region of mental healthcare services (Heiman & Artiga, 2015). Le Boutillier et al. (2015) have noted that informal carers have been relentlessly supporting family members and friends with mental illness by coordinating their healthcare status and providing mental and emotional support by helping them with their daily activities. Conclusion Hence to conclude there is an extensive range of health as well as non health services provided to people experiencing several mental illnesses. This substantial level of support from government as well as non government organisations have been deliver to do them at a sub- national level. Additionally, state and territory governments have been doing a highly critical role for supervising publicly funded services for supporting the reform administration ofmental health.