A central dilemma in the mental health sector: Structural imbalance

Doessel, Darrel, Wiliams, Ruth and Nolan, Patricia (2008) A central dilemma in the mental health sector: Structural imbalance. Clinical Psychologist, 12 2: 57-66. doi:10.1080/13284200802282844

Author Doessel, Darrel
Wiliams, Ruth
Nolan, Patricia
Title A central dilemma in the mental health sector: Structural imbalance
Journal name Clinical Psychologist   Check publisher's open access policy
ISSN 1328-4207
Publication date 2008-07
DOI 10.1080/13284200802282844
Volume 12
Issue 2
Start page 57
End page 66
Total pages 10
Editor Justin Kenardy
Place of publication Abingdon, England
Publisher Taylor & Francis
Collection year 2009
Language eng
Subject 321204 Mental Health
920209 Mental Health Services
111714 Mental Health
Abstract Mental health services provision is persistently criticised regarding resource inadequacy. Services are also subject to another dilemma, “structural imbalance”. This study demonstrates the dimensions of structural imbalance in Australia's mental health sector by recourse to the 1997 Australian Bureau of Statistics national survey of mental health and wellbeing. This study also examines the concept by reference to the Australian Government's announced COAG initiatives (April 2006), and State government responses (July 2006). The two dimensions of structural imbalance are, first, that some people with no clinical mental illness consume mental health services and, second, that other people have clinical manifestations of mental illness and (for various reasons) do not consume mental health services; the present study shows how the situations coexist. “Throwing more money” at the pre-existing structures may do nothing to address the structural imbalance problem. Remedies are discussed by reference to the reforms undertaken in the British National Health Service in recent years.
Keyword Australian mental health sector
Council of Australian Governments
Paramedical professions
Service provision
Structural imbalance
Q-Index Code C1
Q-Index Status Confirmed Code

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Created: Tue, 17 Mar 2009, 16:04:31 EST by Carmel Meir on behalf of School of Public Health