What Is Medicaid's Budget For Physical Injuries Versus Mental Health Services
This section reviews the available data on recurrent expenditure (running costs) for mental wellness-related services in Australia. Wellness expenditure (what was spent) and health funding (funding provided and who provided the funds) are distinct but related concepts essential to agreement the financial resources used by the health system. Data on expenditure and funding, calculated in both electric current and constant prices, are derived from a variety of sources, every bit outlined in the data source section.
Data presented in this department is for the 2019–twenty menstruum, constant prices are adapted to 2019–20 levels. Further data on health spending is also available in Wellness Expenditure Australia 2019–20 (AIHW 2021).
Data downloads:
Expenditure on mental health-related services 2019–20 tables (534KB XLSX)
Expenditure on mental wellness-related services 2019–20 section (443KB PDF)
Data source and key concepts related to this section
Information coverage includes the time menstruation 1992–93 to 2019–20. Australian Regime Medicare expenditure and mental health-related medications subsidised under the PBS and RPBS expenditure information for 2019–20 in this section were last updated in May 2021.
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Specialised mental health intendance facilities
Key points
- $xi.0 billion, or $431 per person, was spent on mental health-related services in Commonwealth of australia during 2019–20, a real increase from $409 per person in 2015–16.
- 1.iii% annual average increment in the real per capita spending on mental health-related services from 2015–16 to 2019–20.
- 7.half dozen% of government health expenditure was spent on mental health-related services in 2019–20, consistent with that for 2015–16 (seven.6%).
- $6.vii billion was spent on state/territory mental health services in 2019–twenty; $2.9b on public infirmary services; $2.6b on customs services.
- $1.iv billion, or $53 per Australian, was spent by the Australian Authorities on benefits for Medicare-subsidised mental health-specific services in 2019–20.
- $566 million, or $22 per Australian, was spent by the Australian Government on subsidised mental health-related prescriptions under the PBS/RPBS during 2019–20.
Overview
In 2019–20, the national recurrent spending on mental health-related services was estimated to be $11.0 billion. This represents an annual average increase of 3.0% since 2015–16, in real terms (i.east. adapted for inflation). Overall, national expenditure on mental health-related services increased from $409 per Australian in 2015–xvi to $431 per person during 2019–20; an boilerplate annual increase of 1.3% in existent terms.
Of the $xi.0 billion spent nationally in 2019–20, country and territory governments spent 60.0% ($6.6 billion), the Australian Government 34.7% ($3.eight billion), and private health insurance funds and other tertiary political party insurers 5.3% ($584 million). These proportions have remained relatively stable over time, with lx.4% of national spending coming from state and territory governments, 34.4% from the Australian Government, and 5.2% from private wellness insurance funds and other insurers in 2015–16.
Government spending on mental wellness-related services in 2019–20 was estimated to be effectually vii.6% of total government health expenditure, in line with 2015–16 (7.half-dozen%) and up from 7.3% in 1992–93 when data collection began.
Spending past the Australian Government for mental wellness-related services (adjusted for inflation) has increased by an boilerplate annual rate of iii.2% over the period 2015–16 to 2019–20, while spending by land and territory governments increased by an average annual rate of 2.8%.
Specialised mental wellness services expenditure
Around $6.7 billion was spent on land and territory specialised mental health services in 2019–20. The largest proportion of this spending was on public hospital services for admitted patients ($two.9b), comprising of public acute hospitals with a specialist psychiatric unit or ward ($2.3b) and public psychiatric hospitals ($0.6b). This was closely followed past spending on community mental health care services totalling almost $2.6b.
Per capita spending on specialised mental health services ranged from $247 per person in Queensland to $328 per person in the Northern Territory, compared to a national boilerplate of $260 per person during 2019–20.
Per capita spending on state and territory specialised mental health services increased in real terms past an boilerplate annual rate of 1.0% between 2015–16 and 2019–twenty. This equates to an increase of most $ten per person, from nearly $250 in 2015–16 to about $260 in 2019–twenty.
Detailed spending information are available covering more than than 25 years to 2019–xx. Figure EXP.i shows the changes in country and territory spending patterns, for example, increased investment in customs mental health care services, reflecting changes to the state and territory specialised mental health service contour mix over this time. Further data can be plant in the Specialised mental health care facilities section.
Figure EXP.1: Recurrent spending ($) per capita on state and territory specialised mental health services, constant prices, 1992–93 to 2019–20
Stacked area chart showing the per capita spending on specialised mental health services from 1992–93 to 2019–twenty. Public psychiatric hospital spending has decreased over the period. Spending increased for specialised psychiatric units of wards in public hospitals, community mental wellness care services, residential mental wellness services, grants to non-government-organisations and other indirect expenditure. Refer to Table EXP.4.
Sources:Australian Government Department of Health, National Survey of Mental Health Services Database (1992–93 to 2004–05), National Mental Health Establishments Database (2005–06 onwards); Tabular array EXP.iv.
Stacked vertical bar chart showing the per capita spending by the Australian Government on specialised mental health services between 2009–10 and 2019–twenty. Expenditure increased for Mental health specific payments to states and territories, National programs and initiatives, the National Mental Health Commission and private health insurance premium rebates. Expenditure decreased for the Pharmaceuticals Do good Scheme and enquiry. Refer to Table EXP.31.
Note: National programs and initiatives includes: programs managed by DoH, programs managed by DSS, programs managed by DVA, DoD funded programs, Indigenous social and emotional wellbring programs, National Suicide Prevention Program.
Source: Australian Government Department of Health (unpublished); Tabular array EXP.31
Stacked vertical bar nautical chart showing the Australian Government per capita expenditure on Medicare-subsidised mental health-specific services past provider type and states and territories in 2019–20. At that place was no consistent tendency across the states and territories as to which provider had the highest per capita expenditure, with psychiatrists, clinical psychologists and general practitioners all having the highest per capita expenditure in at least one state or territory. Per capita expenditure for Other allied wellness was the lowest of all providers in every state and territory.
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Notation: 'Clinical psychologist' refers to psychological therapy services provided by a clinical psychologist, and 'Other psychologist' includes other psychology services involving clinical psychologists and other psychologists.
Source: Medicare Benefits Schedule data; Table EXP.20.
Stacked vertical bar chart showing the Australian Government per capita expenditure on mental health-related medications subsidised under the PBS/RPBS past type of medication prescribed and states and territories in 2019–xx. The highest per capita spend was on Antipsychotics in all states and territories, except for Tasmania where Antidepressants was the highest. Hypnotics and sedatives had the lowest per capita spend across all states and territories. Refer to Table EXP.28.
Source: Pharmaceutical Benefits Scheme data; Tabular array EXP.28.
What Is Medicaid's Budget For Physical Injuries Versus Mental Health Services,
Source: https://www.aihw.gov.au/reports/mental-health-services/mental-health-services-in-australia/report-contents/expenditure-on-mental-health-related-services
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