If you are seeing this message, you may be experiencing temporary network problems. Please wait a few minutes and refresh the page. If the problem persists, you may wish to report it to your local Network Manager.
It is also possible that your web browser is not configured or not able to display style sheets. In this case, although the visual presentation will be degraded, the site should continue to be functional. We recommend using the latest version of Microsoft or Mozilla web browser to help minimise these problems.
Wiley InterScience | ||
  Australasian PsychiatryVolume 13 Issue 1, Pages 3 - 15 Published Online: 18 Mar 2005 2006 Royal Australian and New Zealand College of Psychiatrists
Abstract | References | Full Text: HTML, PDF (Size: 247K) | Related Articles | Citation Tracking  BEATTIE SMITH LECTURE
Editor's note: The following paper by Professor McGorry was the 70th Beattie Smith Lecture, delivered in 2004. This series of lectures was made possible by an endowment from William Beattie Smith (1853–1921), a psychiatrist, lecturer at the University of Melbourne and medical superintendent of Kew Asylum. The first Beattie Smith Lecture was given by Victorian Lunacy Department Pathologist, Dr William Lind, in 1925. 'Every me and every you': responding to the hidden challenge of mental illness in Australia Copyright 2005 Blackwell Science Asia Pty Ltd KEYWORDS
advocacy
•
mental health reform
•
reinstitutionalization
•
stigma
ABSTRACTObjective: To show that mental illness affects everyone in society, describe some of the main obstacles to better outcomes, and build confidence that they can be overcome. Methods: A review and analysis of relevant evidence and experience combined with personal advocacy. Results: Mental illnesses are common and seriously under-treated, reform of the system of care has completely stalled, and insidious reinstitutionalization of the modernized system is occurring. A number of contributing factors and possible solutions are identified, including mental health literacy and advocacy campaigns, a focus on young people and early intervention, and functional reintegration of the treatment of mental and substance use disorders. Conclusions: A new wave of reform and major financial investment in the treatment of mental and substance use disorders is overdue. This can be best achieved by combining the evidence-based health care (EBHC) paradigm with a direct appeal to the self-interest of members of the general community. A National Institute of Mental Health and Addiction should be a key element of such reform, which must be a continuing process with substantially increased federal and State funding. |  |
