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  • A central dilemma in the mental health sector: Structural imbalance

    Author(s)
    P. Doessel, Darrel
    F. G. Williams, Ruth
    Nolan, Patricia
    Griffith University Author(s)
    Doessel, Darrel P.
    Year published
    2008
    Metadata
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    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 ...
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    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.
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    Journal Title
    Clinical Psychologist
    Volume
    12
    Issue
    2
    DOI
    https://doi.org/10.1080/13284200802282844
    Subject
    Psychology
    Cognitive Sciences
    Publication URI
    http://hdl.handle.net/10072/27306
    Collection
    • Journal articles

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