National mental health report 2013

Investment in service mix reform

Page last updated: 2013

Information collected through the annual National Minimum Data Set - Mental Health Establishments collection (and its predecessor, the National Survey of Mental Health Services) provides the basis for assessing changes in the structure of the mental health service systems administered by state and territory governments.

Figure 17 shows the relative proportions of the total state and territory mental health budgets that were spent on various types of services between 1992-93 and 2010-11. Annual spending on stand-alone psychiatric hospitals decreased by 35% ($289 million), taking their share of total spending on services from 47% to 13%. Annual spending on services provided in general hospitals and in the community grew by 283%, equivalent to $2.6 billion in real terms.

The impact has been to reduce Australia's reliance on institutional care and strengthen community alternatives that address the inadequacies of service systems that were the focus of the original National Mental Health Policy.

Figure 17: Distribution of total state and territory expenditure on mental health services, 1992-93 to 2010-11a

Refer to the following table for a text equivalent of Figure 17: Distribution of total state and territory expenditure on mental health services, 1992-93 to 2010-11

a NGO managed residential services are included in the 'Residential' category.

Text version of figure 17

1992-93 Baseline year (%)1997-98 End 1st plan (%)2002-03 End 2nd plan (%)2007-08 End 3rd plan (%)2010-11 Mid 4th plan (%)
Psych hospitals
47
28
18
14
13
General hospitals
22
24
29
32
32
Ambulatory
24
36
40
41
41
Residential
5
6
7
6
6
NGO
2
5
5
7
8