Australia: Psychiatric care policy under broad attack

The NSW Government struggled yesterday to defend its policy of putting the mentally ill back into the community after a revolt by police and health industry unions. The NSW Police Association backed its commissioner, Ken Moroney, who said officers should not have to deal with "every madman" being let out. The uproar follows a pitchfork and knife attack, according to Mr Moroney, by a mentally ill man this week on four police officers on the state's central coast, which resulted in serious injuries to three of them. The event has reignited a debate about closing down large mental institutions and releasing patients into the community.

Deputy state Liberal leader Barry O'Farrell said yesterday the Government had implemented only half of the recommendations of the major mental health report by public service strategist David Richmond. The Government had closed down the institutions without providing adequate services to enable discharged patients to cope in society, as Professor Richmond recommended in his 1983 report, Mr O'Farrell said. The secretary of the Comprehensive Area Service Psychiatrists Network, Alan Rosen, said community intervention teams had been "starved of resources". Some had closed down, while others had restricted their hours. Public psychiatry was "chasing its tail" as a result.

The police association's Luke Hannon said the pitchfork case should have been dealt with by trained mental health experts. Health Minister John Hatzistergos claimed yesterday figures ranking NSW fifth in terms of states' per-capita spending on mental health were out of date. State director of forensic mental health John Basson said the Government was trying to catch up with earlier inadequate spending on helping the mentally ill to cope in the community.

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