Australia’s mental healthcare system is underfunded, fragmented, and failing to meet the needs of the most vulnerable, according to the Australian Medical Association (AMA). The organisation’s newly released position statement on mental health highlights critical workforce shortages, complex system navigation, and growing patient demand as key issues.

Dr Danielle McMullen, AMA President, described the current state as a “nightmare” for patients and their families, emphasising that mental illness touches almost every Australian either directly or through a loved one. “Navigating Australia’s mental health system and finding the right care at the right time is fraught with challenges,” Dr McMullen said.

The urgency of reform is underscored by regional statistics. In the Illawarra Shoalhaven region, 10.1% of residents reported long-term mental health conditions such as depression or anxiety in the 2021 Census, exceeding state and national averages. Environmental challenges, including bushfires, floods, and the lingering impacts of the COVID-19 pandemic, have exacerbated the demand for mental health services in this area. Local health services are stretched, with community and inpatient settings under strain to meet increasing needs.

The AMA has called for coordinated action from all levels of government to invest in a patient-centred and evidence-based mental healthcare system. They advocate for sustainable funding to support GPs, psychiatrists, and other mental health professionals, particularly in regional and remote areas where access to care is limited.

Dr McMullen stressed the importance of strengthening general practice, as mental health is now the leading reason for GP visits, according to successive Health of the Nation reports. She urged the government to invest in longer consultations, GP-led multidisciplinary care, and accessible referral pathways to address this growing demand.

Increased funding for training pathways tailored to rural and regional areas was also highlighted as a priority, aiming to improve the availability of care for those outside urban centres. “Mental illness is one of the most prevalent chronic diseases in Australia, and it deserves the same attention and resources as physical health challenges,” Dr McMullen added.

The Illawarra Shoalhaven Local Health District exemplifies the need for these reforms, offering specialist assessments and care through public and non-government sectors. Despite their efforts, rising demand highlights the critical need for a strengthened mental health framework.

The AMA’s position statement underscores the urgency of these reforms to alleviate strain on the system and ensure equitable access to care for all Australians.

For more information, visit AMA's mental health statement.