π’ Government Inquiry into Mental Health and Addiction
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Government Inquiry into Mental Health and Addiction website, https://mentalhealth.inquiry.govt.nz/ (accessed 1 March 2018, 3 August 2021).
-
Department of Internal Affairs Te Tari Taiwhenua website, https://www.dia.govt.nz/ (accessed 1 March 2018).
-
New Zealand Gazette, https://gazette.govt.nz/ (accessed 1 March 2018, 3 August 2021).
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The official website of the New Zealand Government, https://www.beehive.govt.nz/ (accessed 1 March 2018).
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[2] => Inquiries Act 2013
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Establishment
The Government Inquiry into Mental Health and Addiction was established on 31 January 2018 by the Minister of Health under section 6(3) of the Inquiries Act 2013.
The following persons were appointed to be members of the Inquiry:
- Professor Ron Paterson, ONZM (Chair);
- Dr Barbara Disley, ONZM;
- Sir Mason Durie, KNZM, CNZM;
- Dr Jemaima Tiatia-Seath;
- Josiah Tualamali’i; and
- Dean Rangihuna.
Purpose and Objectives
The purpose of this inquiry was to:
- hear the voices of the community, people with lived experience of mental health and addiction problems, people affected by suicide, and people involved in preventing and responding to mental health and addiction problems, on New Zealand’s current approach to mental health and addiction, and what needed to change;
- report on how New Zealand was preventing mental health and addiction problems and responding to the needs of people with those problems; and
- recommend specific changes to improve New Zealand’s approach to mental health, with a particular focus on equity of access, community confidence in the mental health system and better outcomes, particularly for Maori and other groups with disproportionally poorer outcomes.
To do this the inquiry was asked to:
- identify unmet needs in mental health and addiction (encompassing the full spectrum of mental health problems from mental distress to enduring psychiatric illness);
- identify those groups of people (including those not currently accessing services) for whom there was the greatest opportunity to prevent, or respond more effectively to, mental health and addiction problems;
- recommend specific changes to create an integrated approach to promoting mental well-being, preventing mental health and addiction problems, and identifying and responding to the needs of people experiencing mental health and addiction problems; and
- specify which entities should progress the inquiry’s recommendations, including relevant ministries and a re-established Mental Health Commission.
The recommendations of the inquiry were to inform the Government’s decisions on future arrangements for the mental health and addiction system, including:
- roles and responsibilities of agencies in the health sector, including a re-established Mental Health Commission;
- improved coordination between the health system and other systems such as education, welfare, housing, justice, disability support, accident compensation and emergency response;
- the design and delivery of services (for example, kaupapa Maori approaches to mental health) and effective engagement with all relevant stakeholders including mental health service providers, and consumers and their communities and whanau;
- governance, leadership and accountability levers to ensure access to an appropriate standard of mental health services across the country;
- fiscal approaches, models and funding arrangements;
- data collection, programme evaluation and information flows;
- the suite of relevant regulatory frameworks, including the Mental Health (Compulsory Assessment and Treatment) Act 1992 and the Substance Abuse (Compulsory Assessment and Treatment) Act 2017; and
- workforce planning, training, support and management.
Scope
In identifying the issues, opportunities, and recommendations the inquiry was required to consider the following:
- mental health problems across the full spectrum from mental distress to enduring psychiatric illness;
- mental health and addiction needs from the perspective of both: a.) identifying and responding to people with mental health and addiction problems; and b.) preventing mental health problems and promoting mental well-being;
- prevention of suicide;
- activities that directly related to mental health and addiction undertaken within the broader health and disability sector (in community, primary and secondary care), as well as the education, justice and social sectors and through the accident compensation and wider workplace relations and safety systems; and
- opportunities to build on the efforts of whanau, communities, employers, people working in mental health and others to promote mental health.
The inquiry was required to understand and acknowledge the wider social and economic determinants of mental health and addiction (for example poverty, inadequate housing, family violence or other trauma) and cultural factors, in particular the historical and contemporary differences in outcomes for Maori, and consider the implications of these determinants and factors for the design and delivery of mental health and addiction services. Commentary on these matters was welcome to help inform the Government’s work programmes in these areas.
The inquiry could signal changes to be considered in subsequent regulatory reviews. It was not to undertake these reviews itself.
The following matter was outside the scope of the inquiry:
- individual incidents or cases within current services. The inquiry panel referred these to the appropriate pathway, for example, the Health and Disability Commissioner or relevant authorities.
Principles
The inquiry took an approach that:
- enabled consumers, carers, family and whanau to be included and heard, and ensured acknowledgement and consideration of input from previous consultations and specific consultation with Maori communities and whanau/hapu/iwi;
- attempted to build consensus between consumers, potential consumers, carers, family, whanau and providers about what government needs to do to transform the mental health and addiction system;
- recognised the particular mental health and addiction inequalities for Maori, reflected the special relationship between Maori and the Crown under the Treaty of Waitangi, and the value of the work done by Maori experts and practitioners to design and deliver services that are more relevant and effective for Maori;
- recognised and respected the needs of people with disabilities, and took into account New Zealand’s obligations under the United Nations (UN) Convention on the Rights of Persons with Disabilities;
- recognised and respected the needs of different population groups, including Pacific people, refugees, migrants, LGBTIQ [Lesbian, Gay, Bi-sexual, Transgender, Inter-sex, Queer], prison inmates, youth, the elderly, and rural populations;
- was person-centred, appreciating the impact of changes on individuals;
- took account of the whole system, including all relevant sectors and services and how they could work better together to improve mental health and addiction outcomes;
- focused on opportunities for early intervention; and
- was based on the best research, ongoing evaluation and available evidence, in New Zealand and overseas.
Reporting
On establishment, the Government Inquiry into Mental Health and Addiction was required to report its finding and opinions to the Minister of Health in writing no later than 30 October 2018. This was amended on 18 October, with the report required no later than 30 November.
The Inquiry presented it report to the Minister on 28 November 2018.
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AGTI
2018
Central government
The Government Inquiry into Mental Health and Addiction was established by the New Zealand Government in response to widespread concern about mental health and addiction services in the mental health sector and the broader community.
Wellington
Show History
Establishment
The Government Inquiry into Mental Health and Addiction was established on 31 January 2018 by the Minister of Health under section 6(3) of the Inquiries Act 2013.
The following persons were appointed to be members of the Inquiry:
- Professor Ron Paterson, ONZM (Chair);
- Dr Barbara Disley, ONZM;
- Sir Mason Durie, KNZM, CNZM;
- Dr Jemaima Tiatia-Seath;
- Josiah Tualamali’i; and
- Dean Rangihuna.
Purpose and Objectives
The purpose of this inquiry was to:
- hear the voices of the community, people with lived experience of mental health and addiction problems, people affected by suicide, and people involved in preventing and responding to mental health and addiction problems, on New Zealand’s current approach to mental health and addiction, and what needed to change;
- report on how New Zealand was preventing mental health and addiction problems and responding to the needs of people with those problems; and
- recommend specific changes to improve New Zealand’s approach to mental health, with a particular focus on equity of access, community confidence in the mental health system and better outcomes, particularly for Maori and other groups with disproportionally poorer outcomes.
To do this the inquiry was asked to:
- identify unmet needs in mental health and addiction (encompassing the full spectrum of mental health problems from mental distress to enduring psychiatric illness);
- identify those groups of people (including those not currently accessing services) for whom there was the greatest opportunity to prevent, or respond more effectively to, mental health and addiction problems;
- recommend specific changes to create an integrated approach to promoting mental well-being, preventing mental health and addiction problems, and identifying and responding to the needs of people experiencing mental health and addiction problems; and
- specify which entities should progress the inquiry’s recommendations, including relevant ministries and a re-established Mental Health Commission.
The recommendations of the inquiry were to inform the Government’s decisions on future arrangements for the mental health and addiction system, including:
- roles and responsibilities of agencies in the health sector, including a re-established Mental Health Commission;
- improved coordination between the health system and other systems such as education, welfare, housing, justice, disability support, accident compensation and emergency response;
- the design and delivery of services (for example, kaupapa Maori approaches to mental health) and effective engagement with all relevant stakeholders including mental health service providers, and consumers and their communities and whanau;
- governance, leadership and accountability levers to ensure access to an appropriate standard of mental health services across the country;
- fiscal approaches, models and funding arrangements;
- data collection, programme evaluation and information flows;
- the suite of relevant regulatory frameworks, including the Mental Health (Compulsory Assessment and Treatment) Act 1992 and the Substance Abuse (Compulsory Assessment and Treatment) Act 2017; and
- workforce planning, training, support and management.
Scope
In identifying the issues, opportunities, and recommendations the inquiry was required to consider the following:
- mental health problems across the full spectrum from mental distress to enduring psychiatric illness;
- mental health and addiction needs from the perspective of both: a.) identifying and responding to people with mental health and addiction problems; and b.) preventing mental health problems and promoting mental well-being;
- prevention of suicide;
- activities that directly related to mental health and addiction undertaken within the broader health and disability sector (in community, primary and secondary care), as well as the education, justice and social sectors and through the accident compensation and wider workplace relations and safety systems; and
- opportunities to build on the efforts of whanau, communities, employers, people working in mental health and others to promote mental health.
The inquiry was required to understand and acknowledge the wider social and economic determinants of mental health and addiction (for example poverty, inadequate housing, family violence or other trauma) and cultural factors, in particular the historical and contemporary differences in outcomes for Maori, and consider the implications of these determinants and factors for the design and delivery of mental health and addiction services. Commentary on these matters was welcome to help inform the Government’s work programmes in these areas.
The inquiry could signal changes to be considered in subsequent regulatory reviews. It was not to undertake these reviews itself.
The following matter was outside the scope of the inquiry:
- individual incidents or cases within current services. The inquiry panel referred these to the appropriate pathway, for example, the Health and Disability Commissioner or relevant authorities.
Principles
The inquiry took an approach that:
- enabled consumers, carers, family and whanau to be included and heard, and ensured acknowledgement and consideration of input from previous consultations and specific consultation with Maori communities and whanau/hapu/iwi;
- attempted to build consensus between consumers, potential consumers, carers, family, whanau and providers about what government needs to do to transform the mental health and addiction system;
- recognised the particular mental health and addiction inequalities for Maori, reflected the special relationship between Maori and the Crown under the Treaty of Waitangi, and the value of the work done by Maori experts and practitioners to design and deliver services that are more relevant and effective for Maori;
- recognised and respected the needs of people with disabilities, and took into account New Zealand’s obligations under the United Nations (UN) Convention on the Rights of Persons with Disabilities;
- recognised and respected the needs of different population groups, including Pacific people, refugees, migrants, LGBTIQ [Lesbian, Gay, Bi-sexual, Transgender, Inter-sex, Queer], prison inmates, youth, the elderly, and rural populations;
- was person-centred, appreciating the impact of changes on individuals;
- took account of the whole system, including all relevant sectors and services and how they could work better together to improve mental health and addiction outcomes;
- focused on opportunities for early intervention; and
- was based on the best research, ongoing evaluation and available evidence, in New Zealand and overseas.
Reporting
On establishment, the Government Inquiry into Mental Health and Addiction was required to report its finding and opinions to the Minister of Health in writing no later than 30 October 2018. This was amended on 18 October, with the report required no later than 30 November.
The Inquiry presented it report to the Minister on 28 November 2018.
- Government Inquiry into Mental Health and Addiction website, https://mentalhealth.inquiry.govt.nz/ (accessed 1 March 2018, 3 August 2021).
- Department of Internal Affairs Te Tari Taiwhenua website, https://www.dia.govt.nz/ (accessed 1 March 2018).
- New Zealand Gazette, https://gazette.govt.nz/ (accessed 1 March 2018, 3 August 2021).
- The official website of the New Zealand Government, https://www.beehive.govt.nz/ (accessed 1 March 2018).
- Establishment of the Government Inquiry into Mental Health and Addiction (New Zealand Gazette, 30 January 2018, Notice Number 2018-go318)
- Amendment to the Notice for the Government Inquiry Into Mental Health and Addiction (New Zealand Gazette, 18 October 2018, Notice Number 2018-go5089)
- Inquiries Act 2013
- π Realm of New Zealand (2018)