Mental Health Policy Unit, Centre for Mental Health Research, Australian National University, Australia.
Brain and Mind Centre, University of Sydney, Australia.
Australas Psychiatry. 2020 Jun;28(3):297-299. doi: 10.1177/1039856220905300. Epub 2020 Feb 24.
To consider the changing profile of Australia's mental health workforce and the implications, particularly for specialist psychiatry services.
We analyse data from a national collection that describes changes in the workforce over a decade, to 2017-2018.
While single practitioner-based psychological services flourish, other areas of more complex and team-based care are struggling to remain relevant. Psychiatry and mental health nursing, two areas that previously led Australia's response to complex mental illness, are under enormous pressure.
The shifting balance of specialised mental health workforces is affecting the mental healthcare available in each region of Australia. Questions arise regarding the desired or optimal mix of professionals we wish to deploy. What roles should each professional group play and how should they work together? What does this mean for how various groups should be trained and paid? These data challenge the role specialist psychiatry wishes to play in leading reform. Current mental health reforms risk foundering should psychiatrists fail to take up the challenge of leadership.
探讨澳大利亚精神卫生工作队伍的变化情况及其影响，特别是对精神科专科服务的影响。
我们分析了一项全国性数据收集的结果，该结果描述了过去十年间劳动力的变化情况，截止至 2017-2018 年。
虽然以单一从业者为基础的心理服务蓬勃发展，但其他更复杂、以团队为基础的护理领域却难以保持相关性。精神病学和精神健康护理这两个曾引领澳大利亚应对复杂精神疾病的领域正面临巨大压力。
专门的精神卫生工作队伍的平衡转移正在影响澳大利亚每个地区可获得的精神卫生保健服务。关于我们希望部署的理想或最佳专业人员组合存在疑问。每个专业群体应发挥什么作用，他们应如何共同合作？这对各类群体的培训和薪酬意味着什么？这些数据对精神科专家希望在领导改革中发挥的作用提出了挑战。如果精神科医生未能接受领导挑战，当前的精神卫生改革可能会失败。
