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Parliamentary Questions


Question Without Notice No. 122 asked in the Legislative Assembly on 16 March 2022 by Dr J. Krishnan

Parliament: 41 Session: 1

MINISTERIAL TASKFORCE INTO PUBLIC MENTAL HEALTH SERVICES FOR INFANTS, CHILDRENAND ADOLESCENTS AGED 0–18 YEARS IN WESTERN AUSTRALIA — FINAL REPORT

122. Dr J. KRISHNAN to the Minister for Mental Health:

I refer to the final report of the ministerial task force into public mental health services for infants, children and adolescents. Can the minister outline to the house how the report will shape Western Australia's mental health services into the future and ensure that children receive the treatment and care they need; and can the minister update the house on the work underway by the government in response to the report's recommendations?

Ms A. SANDERSON replied:

I thank the member for Riverton for his question. I know, as a general practitioner, he has a very keen interest in mental health. GPs are at the front line of our mental health services and are an important part of primary care provision.

I was very pleased yesterday to deliver the final report from the ministerial task force into public mental health services for infants, children and adolescents. This was work started under the former Ministers for Health and Mental Health. The task force was charged with investigating the pressures and demands on our system and delivering a final report to government that will help shape the treatment that children receive in the public mental health space. This has been a process of true and genuine collaboration, and what has been very heartening in this process is the alignment between clinicians, families and children on what needs to happen. There are no real differences of opinion here; everyone is agreed on the pathway forward, and that makes the pathway forward so much easier.

The findings and recommendations were shaped by research and analysis, but also extensive consultation and engagement with children, families, carers and people with lived experience in Western Australia. Literally hundreds and hundreds of people were consulted in the development of this report. The findings show that there are still significant challenges that are not unique to Western Australia, but Western Australia has unique challenges, given the vast geography of our state. Governments across the world and in Australia are battling a significant increase in demand, with younger children presenting with more acuity and more complexity. Demand is outstripping capacity. Every state and territory has experienced a significant increase in the number of children who are presenting to emergency departments experiencing severe mental health conditions. In fact, in WA, that number increased by 64 per cent in 2020.

Key among the task force findings is that services need to work very differently, and that new services are required. The final report has eight key strategies and 32 very clear recommendations to set that pathway forward for implementation. The government is fully committed to implementing all 32 of those recommendations. That will ensure that our children and adolescents in the public system do not have to turn up to emergency to get help. It will help ensure that those kids and families are supported at home, in their community and at school, where they are best helped. This is an enormous undertaking and an enormous reform. It will be done in stages. It is a five-year reform. The most immediate challenges will progress through the budget process this year. It is important to note that a lot of work has already started under the former Minister for Mental Health, Hon Stephen Dawson, with an immediate 10 per cent uplift to the child and adolescent mental health service budget for frontline clinicians. Filling those roles is challenging. There is a worldwide shortage of people to fill those roles. Our biggest challenge in implementing this reform is having the workforce to care for and support our children. We have a workforce strategy. We know that we need to attract and retain staff. We will be launching a new campaign to attract staff and also upskilling a lot of the staff that we already have in our system. That will be the big challenge. I am heartened by the unity of purpose across the sector for families and children. This will not be easy, but we are fully committed to implementing all those recommendations.