Workforce deployment: reconciling demands and resources.
OBJECTIVE
The purpose of the study was to review the information in a Consultancy prepared for the National Mental Health Policy which suggested that half of the people with serious mental illnesses were untreated, while persons with "mental problems" were being overserviced by the specialist mental health services. The fate of the large group of persons with mental disorders of mid-range severity was not addressed.


METHODS
Epidemiological data was reconciled with the service patterns of the clinical workforce and the extent of the unmet need estimated.


RESULTS
It was estimated that 25-30% of the Australian population meet criteria for a mental disorder in any year, yet less than one third will receive treatment. Of those that are treated, three quarters will receive their treatment from general practitioners and the remaining quarter will be treated by either the public mental health services, the addition services, or private psychiatrists. The problem is that less than one half of those with serious mental disorders and only two thirds of those with chronic and disabling disorders appear to be being treated by anyone. Even if there were no slippage of services away from these serious and chronic groups of patients, there would still be a workforce shortfall, especially in rural and remote areas.


CONCLUSIONS
Strategies to remedy this shortfall that involve psychiatrists, clinical psychologists and general practitioners are noted, and the need for a National Mental Health Survey to provide accurate data is stressed.
Andrews
G
G
University of New South Wales, St Vincent's Hospital, Anxiety Disorders Unit, Sydney, New South Wales.
D001315:Australia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005544:Forecasting; D006295:Health Resources / Q000639:trends*; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D015994:Incidence; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D010348:Patient Care Team / Q000639:trends*; D012423:Rural Health / Q000639:trends