mental-health-addiction-workforce-action-plan-2017-2021-2nd-edn-apr18.doc

Of the total number who accessed specialist mental

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Of the total number who accessed specialist mental health services in the year ending June 2016, 47,208 were children and youth (aged 0–19 years). For this age group, the rate of access to mental health services has gradually increased over the last 10 years, from 1.7 percent in 2005/06 to 3.8 percent in 2015/16. 8 Mental Health and Addiction Workforce Action Plan 2017–2021
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Specialist mental health services saw 14,296 older people in the year ending June 2016. This represents 2 percent of the population over 65 years. Most people access mental health services in the community. In 2015, almost 91 percent of specialist service users accessed only community mental health services. Less than 1 percent accessed only inpatient services and the remaining 9 percent accessed a mixture of inpatient and community services (see Figure 1 and for more information, see Ministry of Health 2016c). In addition to those using specialist mental health and addiction services, in the year ending June 2016 an estimated 106,000 adults and 15,800 of those aged 12– 19 years olds were seen by primary mental health services across New Zealand for mental health and addiction issues. This represents 3.1 percent of the adult population and 3.2 percent of the population aged 12–19 years. Figure 1: The number of people who accessed specialist and primary mental health services from 1 July 2015 to 30 June 2016 Sources: PRIMHD and Ministry of Health While this increase in access is a positive sign that more New Zealanders are seeking and receiving mental health care, it places more pressure on services and the workforce to meet the demand. We need to rebalance the demand pressures across the continuum. Critical to the success of this task is to develop the primary and community care workforce. Through the New Zealand Health Strategy, the Government has made a commitment to changing how the health sector works and to establishing a health sector that understands people’s needs and enables equitable outcomes. Mental health is an area that continues to see poorer outcomes and more than twice the mortality rate of the general population so efforts need to focus on improving this. Taking an outcomes approach is part of reshaping the health system to focus on improving health and wellbeing and achieving better outcomes for all. This reshaping links population health with high-quality service delivery and a life course approach. It also takes into account the impact of social determinants throughout our lives. Mental Health and Addiction Workforce Action Plan 2017–2021 9
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To improve mental health and wellbeing, the health and disability, justice, corrections and social services workforces will need to make a combined effort in a whole-of-government response, recognising the social determinants of health.
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Christopher Reinemann
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