澳大利亚维多利亚州的精神卫生工作者正面临日益严峻的工作环境。超过三分之二的工作者在过去一年中遭遇暴力侵害[1],包括被重拳打伤导致脑震荡、被勒喉、抓伤以及被感染血液唾液喷溅等情况[1]。工作者们表示该系统比皇家委员会改革前更加破裂,超过48%的受调查工作者不同意或强烈不同意其卫生服务状况有所改善[1],少于15%的劳动力认为精神卫生系统已得到改善[1]。
政府层面的改革承诺也面临困难。皇家委员会曾建议建设2000套支持性住房,该项目在2021-22年度获得4040万澳元预算[1],但这笔资金已从预算中消失,项目因缺乏资金而停滞[1]。卫生与社区服务工作者工会秘书保罗·希利表示,系统资源不足、过度紧张,无法及时提供适当的护理[1]。此外,帕克维尔青年心理健康及福祉服务首席执行官莱安·杰培特博士在因采用远程领导安排从布里斯班管理该组织的做法曝光后一天辞职[1]。
Mental health workers across Victoria, Australia are reporting unprecedented levels of violence and deteriorating conditions, with more than two-thirds experiencing assault over the past year [1]. The incidents include severe physical attacks, with colleagues suffering concussions from punches, strangulation, scratches, and being spat upon with infected blood [1]. Fewer than 15 percent of the mental health workforce believe the system has improved [1].
A promised government initiative to create 2,000 supported housing placements—a key recommendation from a royal commission—has stalled due to insufficient funding, with an allocated budget of AUD 40.4 million disappearing from budget allocations [1]. More than 48 percent of surveyed workers disagree or strongly disagree that their health services are better than before the royal commission inquiry [1]. According to Paul Healey, secretary of the Health and Community Services Workers Union, the system is under-resourced, overstretched, and unable to provide timely, appropriate care [1].
The turmoil extended to leadership, with Dr Leanne Geppert, chief executive of Parkville Youth Mental Health and Wellbeing Service, resigning on Wednesday following the disclosure that she had been managing the organization remotely from Brisbane through a fly-in, fly-out arrangement [1].