Royal Commission into Victoria’s Mental Health System

Royal Commission into Victoria’s Mental Health System

Statement – Interim report

For too
long, Victorians have struggled to access the support they need from a mental
health system overwhelmed by demand and driven by crisis. On 28 November 2019, the Royal Commission into
Victoria’s Mental Health System delivered its interim report with nine recommendations responding to immediate needs.

This
report presents the early stages of the reform work and reflects ‘extensive
feedback about the magnitude of existing problems’. In reviewing the report, the Centre welcomes the
Commission’s important acknowledgement that ‘mental health is shaped by the
social, cultural, economic and physical environments in which people live’.

We welcome recommendations to build
the evidence for what works for Aboriginal children’s social and emotional
wellbeing and the development of an assertive outreach and follow-up care
service for children who have attempted suicide, have suicidal ideation or have
self-harmed. Attention to lived experience of people
with mental illness and the strong commitment to Aboriginal self-determination
in this report are highly commendable.

Infants,
children and families living in poverty, experiencing family violence or in
contact with the child protection system have often missed out on critical
opportunities to improve mental wellbeing and break cycles of disadvantage. We
need a mental health system that builds the foundations for good mental health,
recognises the importance of the first thousand days and prioritises support
for infants, children and families with complex needs.

The Centre is concerned that infant mental health and
the relationship between mental health outcomes and the first thousand days of
a child’s life have been understated in this report despite
being emphasised in several submissions including the Centre’s.

We particularly note the absence of any early recommendations focused
on prevention and early intervention for children and families, particularly
those experiencing disadvantage. Preventative action is urgently needed to
begin easing the pressure on the system that propels it toward crisis
responses.

The Commission estimates that child protection sees an additional
$41.8 million in costs due to poor mental health. CEO of the Centre Deb Tsorbaris in responding to the
interim report said, “We have a responsibility to those in care and we must
ensure that they’re not left out of the picture. We
look forward to a strong set of recommendations that directly address the
challenges faced by children, young people, carers and families in contact with
child protection”.

The Centre will be urging the Commission to prioritise
infants and children in their final report and recommendations. We must not
miss this critical opportunity to secure investment in prevention and ensure
quality supports for infants, children and families.

The
interim report and a summary can be downloaded here:

You can read our full analysis here and the Centre’s submission to the Commission here.