Gerrand Valerie, Bloch Sidney, Smith Jenny, Goding Margaret, Castle David
St. Vincent's Health, Melbourne, Vic., Australia.
Australas Psychiatry. 2007 Jun;15(3):181-4. doi: 10.1080/10398560701310874.
From 1994, the Australian State of Victoria began a major transformation of its public mental health service system. In June 2006, St Vincent's Mental Health hosted a conference to reflect on the changes and identify steps to be taken over the next decade.
Participants came from Victoria's 21 adult mental health services, consumer and carer groups, and psychiatric disability rehabilitation and support organizations. They met in small groups, and discussed pre-set topics. Their observations were pooled in plenary sessions.
Participants agreed the changes had had many positive outcomes. People most affected by mental illness had priority for treatment. Services were better structured to meet their needs, and staff were more familiar with community-based care. Negatives included restricted service access for some groups, insufficient resourcing to meet increased service demand and clinical staff not maintaining specialist skills.
The conference enabled experiences to be shared and ideas exchanged about improvements.
自1994年起，澳大利亚维多利亚州开始对其公共心理健康服务体系进行重大改革。2006年6月，圣文森特心理健康中心主办了一次会议，以反思这些变化，并确定未来十年需要采取的措施。
参与者来自维多利亚州的21个成人心理健康服务机构、消费者和护理人员团体，以及精神残疾康复和支持组织。他们分成小组，讨论预先设定的话题。他们的观察结果在全体会议上汇总。
参与者一致认为这些变化带来了许多积极成果。受精神疾病影响最大的人群获得了治疗优先权。服务结构得到了更好的调整，以满足他们的需求，工作人员也更熟悉社区护理。负面因素包括一些群体获得服务的机会受限、资源不足难以满足不断增加的服务需求，以及临床工作人员未能保持专业技能。
这次会议使各方能够分享经验，并就改进措施交流想法。
