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This paper highlights some key actions social workers can take to help improve the physical health of people living with mental illness. Despite an 80% comorbidity rate, many people living with mental illness still do not receive a physical health check-up. For this and other reasons, people living with mental illness die, on average, 10–20 years prematurely. This early death is usually preceded by years or decades of poor health. Using a collective impact approach, this paper discusses actions to increase autonomy, advocate for better access to quality physical health care, and minimise iatrogenic harm for people living with mental illness. IMPLICATIONS This paper highlights the key opportunities for social workers to improve the physical health of people living with mental illness. Using a collective impact approach, it highlights the vital role social workers can play in enacting the essential elements of the Equally Well national consensus statement, such as advocating equity of access to physical health care services, supporting quality care, and reducing stigma and discrimination for people living with mental illness. [ABSTRACT FROM AUTHOR]

Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Scheme initiative (Better Access), is an Australian Federal Government scheme aiming to improve access to mental health services. Accredited mental health social workers have been involved in the delivery of services under Better Access for more than a decade. In this time, there have been significant changes in the field of mental health services, with consequent increases in size and costs for Better Access. Better Access now represents public spending of more than one billion dollars per annum, yet there is no ongoing account of its impact. In this paper we consider the policy chronology and evaluation of the program, using current available data to question the impact of Better Access on both the service system and the nature of mental health social work practice. This case highlights the importance of a clear articulation of the scope of mental health social work, and ongoing monitoring of the impact of policy in a policy environment increasingly characterised by individualised funding and service delivery structured according to the principles of New Public Management. IMPLICATIONS Social workers' increasing involvement with Better Access has reshaped the scope of mental health social work practice. The impact of Better Access on outcomes for service users and mental health social work is not currently a focus of research attention. Better Access is a case study illustrating the potential of the policy context to directly shape social work practice, therefore critical engagement with the impact of Better Access is an essential professional imperative. [ABSTRACT FROM AUTHOR]

An available and effective rural mental health workforce is critical to the provision of contemporary mental health care. During the last 5 years new mental health plans and strategies have been released every state and territory of Australia. This policy analysis examines the extent to which workforce, and particularly rural workforce issues are considered in these policies. The analysis revealed that rural workforce issues receive scant attention in state and territory mental health plans. Rural Australians comprise 28% of the total population, yet rural workforce issues are canvased, on average only 6% of the time general workforce issues are addressed. National mental health workforce plans do focus on the rural workforce, but these are not referenced in the state or territory strategies or workforce plans. Given the rural mental health workforce shortages, and consumer challenges in accessing rural mental health services, more planning and consideration to supporting and developing a rural workforce appears warranted. [ABSTRACT FROM AUTHOR]

Independent mental health advocacy (IMHA) has been proposed as a way of maintaining peoples' rights in involuntary settings, but little is known about the challenges and opportunities associated with the provision of independent mental health advocacy to those on compulsory treatment orders in the community. In Victoria, Australia, an IMHA service is available to people who are at risk of or subject to compulsory treatment, including those who are subject to Community Treatment Orders. The IMHA service is based on the independent advocacy model developed in the United Kingdom. This paper details the benefits and challenges of providing independent non-legal advocacy to those in the community, drawing on a 15-month independent co-produced evaluation of the IMHA service. With limited publicly available sector level data, the evaluation employed qualitative approaches. Issues raised include the need to better target limited resources in the most effective way and the problem of ensuring timely and adequate access. While advocacy was well received by consumers, tensions specific to the community setting were influenced by the attitudes of clinicians to need, risk and recovery as opposed to a coherent understanding of consumer preference and choice. [ABSTRACT FROM AUTHOR]