Hope to despair despite $1.9b mental health boost
As part of New Zealand’s well-being budget in 2019, the Government announced an unprecedented $1.9 billion increase in funding for the mental health sector.
But almost two years on, there are no tangible signs of improvement and statistics show the number of New Zealanders seeking, but not receiving, mental health support is on the rise.
The funding boost came on the back of He Ara Oranga, a 2018 report of a year-long inquiry into mental health and addiction services in New Zealand, which called for an expansion of access and increased choice of services.
For the sector, it brought hope and expectation that mental health would finally be funded properly and services expanded to all who needed them, not just the most severe 3 per cent of the population. That hope has turned to despair.
Long waiting lists
The Covid-19 lockdowns brought a silent increase in the number of young people developing eating disorders, such as anorexia nervosa and bulimia nervosa, which are among the most serious and potentially lethal mental health problems a person can develop.
We need accurate assessments and skilled treatments to help sufferers overcome eating problems. Yet access is almost impossible, with waitlists of four months or more to see a psychologist.
Access to regionally funded mental health services for children and adolescents seems equally impossible. Unofficial figures released recently by the National Party show the wait time can be up to 72 days.
These services are set up to support only young people with the most severe and complex mental health needs. Imagine being a parent of a teen who is depressed and selfharming, yet being unable to access the expert support needed for over two months.
Lack of services
Unsurprisingly, those whose needs don’t meet the strict criteria of a District Health Board (DHB) mental health service are even worse off.
Although attention deficit hyperactivity disorder (ADHD) is one of the most common disorders, services for adults with ADHD are almost non-existent.
The same applies to mental health support for people who experience psychological trauma – such as those who witnessed the Christchurch mosque shootings. While the ACC system provides excellent support for people with physical injuries, it leaves those suffering solely psychological trauma out in the cold.
The number of people seeking psychological support is increasing, likely due in part to the groundbreaking and tireless efforts of mental health campaigners such as former rugby player Sir John Kirwan, former comedian Mike King and the 2021 Young New Zealander of the Year Jazz Thornton.
This increased public demand can be seen in a positive light, as it indicates people are more willing to acknowledge and seek help for their mental health.
But it has quickly outstripped supply.
Mental health services outside those funded by DHBS are either running long waitlists or no longer accept new referrals.
A 2018 survey by the NZ College of Clinical Psychologists showed New Zealand was short of almost 1000 psychologists at the time.
Government inaction
The Government has acknowledged the workforce shortage and that increasing the mental health workforce is a long game. Health Minister Andrew Little said the workforce shortfall was being addressed through programmes such as postgraduate training in cognitive behavioural therapy and child and adolescent mental health.
But government investments thus far are doing little more than shuffling deckchairs on the Titanic. Most of these programmes are simply upskilling or moving workers already employed in the mental health system, not increasing the total number of staff.
It takes several years to train psychologists, mental health nurses, psychiatrists and social workers to provide evidence-based, culturally appropriate assessment and treatment. An obvious answer would be to increase funding for mental health training programmes to allow them to expand the number of people who enter these professions.
Is the Government daunted by the scale of change required to bring about meaningful improvements in our mental health system? In response to calls to expand ACC funding to include psychological injury, Little said the Government had no intentions to make the necessary law change.
Surely, such systemic change is exactly what is needed if we are to implement the recommendations of the inquiry report.
The Government should at least tell the public if and how it plans to implement the recommendations the report made.
Laying out a roadmap for change would provide vision, show leadership and perhaps allow us to hope again. At the moment it feels like we’re in the dark on a road to nowhere. 1986 1988
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1 cup julienned capsicum
1⁄4 cup thinly sliced red onion 1 avocado, sliced
Pickled ginger
4 tsp soy sauce for sushi/sashimi Optional: Furikake seasoning or sesame seeds
Method
In a small bowl or jar, whisk the Best Foods Mayonnaise and wasabi paste until combined and set aside.
Place rice in a large bowl. Rinse rice in water and drain. Repeat rinse 2-3 times. Place rice into a rice cooker and add water to the 3 cup line and set to cook.
While the rice is cooking, place rice vinegar, sugar and salt in a small saucepan and bring to simmer. Whisk until sugar has dissolved. Set aside to cool. Once rice is cooked, remove from heat and stir with a rice paddle. Gently fold in the vinegar mixture until combined.
To assemble: Divide rice into 4 bowls and arrange the smoked salmon, cucumber, edamame beans, capsicum, red onion and avocado slices on top of the rice in a ring around the bowl.
Add a heaped spoonful of wasabi mayo to the centre of the bowl along with some pickled ginger.
Drizzle the vegetables with soy sauce and scatter all over with furikake seasoning or sesame seeds. Enjoy! – Serves 4