{"title":"重新分配澳大利亚稀缺的精神卫生资源","authors":"Ruth F. Williams, D. Doessel","doi":"10.22459/AG.23.01.2016.03","DOIUrl":null,"url":null,"abstract":"This paper applies some simple analytical tools from the economists' toolbox to shed some light on a sleeper issue in Australia's mental health sector. The problem is that there are large numbers of people with no diagnosed mental health condition who consume mental health services. Simultaneously, there are large numbers of people who have very serious mental health problems who receive no mental health services. This untreated group is often referred to as those with ?unmet need?, a much-heard term. We refer to the first group as people with 'met non-need', a term hardly ever heard. Although the solution to the unmet-need problem is the oft-heard call for increased government expenditure, no attention is directed to the wasted expenditure associated with the 'met non-need' group: the met non-need issue is 'the elephant in the room'. We point to an alternative policy response; that is, a reallocation of resources from the met non-need group to the unmet need group. To achieve this, we direct focus upon a structural reform in the processes of supplying mental health services.","PeriodicalId":41700,"journal":{"name":"Agenda-A Journal of Policy Analysis and Reform","volume":"109 1","pages":"47-72"},"PeriodicalIF":0.1000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reallocating Australia's Scarce Mental Health Resources\",\"authors\":\"Ruth F. Williams, D. Doessel\",\"doi\":\"10.22459/AG.23.01.2016.03\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This paper applies some simple analytical tools from the economists' toolbox to shed some light on a sleeper issue in Australia's mental health sector. The problem is that there are large numbers of people with no diagnosed mental health condition who consume mental health services. Simultaneously, there are large numbers of people who have very serious mental health problems who receive no mental health services. This untreated group is often referred to as those with ?unmet need?, a much-heard term. We refer to the first group as people with 'met non-need', a term hardly ever heard. Although the solution to the unmet-need problem is the oft-heard call for increased government expenditure, no attention is directed to the wasted expenditure associated with the 'met non-need' group: the met non-need issue is 'the elephant in the room'. We point to an alternative policy response; that is, a reallocation of resources from the met non-need group to the unmet need group. To achieve this, we direct focus upon a structural reform in the processes of supplying mental health services.\",\"PeriodicalId\":41700,\"journal\":{\"name\":\"Agenda-A Journal of Policy Analysis and Reform\",\"volume\":\"109 1\",\"pages\":\"47-72\"},\"PeriodicalIF\":0.1000,\"publicationDate\":\"2016-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Agenda-A Journal of Policy Analysis and Reform\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22459/AG.23.01.2016.03\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Agenda-A Journal of Policy Analysis and Reform","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22459/AG.23.01.2016.03","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Reallocating Australia's Scarce Mental Health Resources
This paper applies some simple analytical tools from the economists' toolbox to shed some light on a sleeper issue in Australia's mental health sector. The problem is that there are large numbers of people with no diagnosed mental health condition who consume mental health services. Simultaneously, there are large numbers of people who have very serious mental health problems who receive no mental health services. This untreated group is often referred to as those with ?unmet need?, a much-heard term. We refer to the first group as people with 'met non-need', a term hardly ever heard. Although the solution to the unmet-need problem is the oft-heard call for increased government expenditure, no attention is directed to the wasted expenditure associated with the 'met non-need' group: the met non-need issue is 'the elephant in the room'. We point to an alternative policy response; that is, a reallocation of resources from the met non-need group to the unmet need group. To achieve this, we direct focus upon a structural reform in the processes of supplying mental health services.