The Australian community left waiting for mental health reform Last Friday, health and mental health ministers from Commonwealth, State and Territory jurisdictions convened in Melbourne for their first meeting of 2025, to discuss priorities in national reform. At the start of the day, I facilitated a discussion with lived experience and sector leaders. We shared our reflections on the importance of governments listening, and being guided by, lived experience and sector expertise; working together to improve mental health; and making real commitments to progress reform. It was an incredible demonstration of the strength and unity of our sector, and I am grateful that ministers provided this opportunity. While this direct engagement with lived experience and sector representatives was a welcome step forward, unfortunately the outcomes from the subsequent meeting fell short on genuinely progressing reform priorities. As detailed in the special communique, ministers recognised the importance of child and youth mental health supports, and the collective need to address the alarming levels of distress now seen in children and young people. They agreed that children and young people (0-25 years) will be a priority population in the next National Mental Health and Suicide Prevention Agreement. Ministers also agreed to continue to focus on building supports for children and young people through education settings, and committed to work towards harmonisation of services by age-range across jurisdictions. While the ministers recognised the importance of most of Mental Health Australia’s six recommended actions to improve child and youth mental health, it is disappointing that they did not agree to immediate actions. Ministers also reaffirmed their shared responsibility for psychosocial supports outside the National Disability Insurance Scheme (NDIS) and agreed that addressing unmet need will be one of the central priorities of the next National Mental Health and Suicide Prevention Agreement. In addition, ministers committed to at least maintain existing funding for psychosocial supports, and to consult with lived experience and sector representatives to inform negotiations of the next National Agreement. Ministers committed to report back on this progress at their next meeting. While these commitments are welcome, they do not go far enough for the almost 500,000 people who are currently missing out on these crucial supports, identified in governments’ own analysis. Access to support needs to be expanded now, as outlined in our open joint letter with State and Territory mental health sector peak bodies. While ministers demonstrated some progress in this meeting – particularly through engaging directly with lived experience and sector experts – it is critical that all governments come to the table with tangible actions that demonstrate their commitments to prioritise mental health, supported by long-term investments plans. You can read our response to the meeting outcomes in more detail here. Carolyn Nikoloski CEO, Mental Health Australia |