Open AccessSocial work practice implications of upcoming mental health reforms
Author(s) -
Genevieve Smith,
Joanna Appleby
Publication year - 2021
Publication title -
aotearoa new zealand social work
Language(s) - English
Resource type - Journals
eISSN - 2463-4131
pISSN - 1178-5527
DOI - 10.11157/anzswj-vol33iss2id868
Subject(s) - aotearoa , mental health , social work , public sector , agency (philosophy) , public relations , health policy , equity (law) , government (linguistics) , public administration , health equity , public health , economic growth , business , political science , medicine , sociology , nursing , economics , psychiatry , social science , linguistics , philosophy , law
The Labour-led Government has recently announced new healthcare reforms in Aotearoa New Zealand. The four changes are:The current 20 District Health Boards (DHBs) across the country will be replaced by one national organisation, Health New Zealand.A new Māori Health Authority will have the power to commission health services, monitor the state of Māori health and develop policyNew Public Health Agency will be createdStrengthened Ministry of Health will monitor performance and advise governmentAs a teaser before the announcement, the country was informed that the reforms would be about equity and access. We, thewriters, are both Pākehā mental health social workers and we were eagerly awaiting news of the reforms. We have reflected on the current problems facing the mental health sector, speculated on how these may be addressed through system reform, and discussed our hopes for a better system.Based on our experience working within and alongside different DHB mental health services in the country we identified four major sector problems. These are the increasing demand and severity of presenting problems, the associated shifting goalposts of accessibility to manage demand, service variability between regions and issues of staff workload, and training and retention. As social workers, we have seen the impact of these issues upon multi-stressed families seeking support and we hope for reforms to address these equity issues.