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This assignment provides the knowledge and guidelines which are followed in mental health care in Australia. The process and practices followed in mental health care had changed significantly in Australia after the introduction of deinstitutionalization. Adaptation of this practice changed the pattern of service delivery at care centre and also changed the behavior, thoughts and mentality of people or patients towards the mental health care centre. Deinstitutionalize can be defines as a process by which mental health care is been modified so that the care centre is free from confines or its limitation along with providing a safe and healthy environment to mental patients so that they feel themselves comfortable and recover early (Jorm, 2012).

Mental Health Service Delivery Prior To Deinstutionalisation

Service delivery prior to Deinstutionalisation was in a miserable condition as service centers were not constructed in a well manner as well as the treatment required by the patients were also not provided likewise. Mental patients were treated as if they are the prisoners and rooms which were allotted to them too looks like jail, where they need to remain for the whole day, as they were not permitted to leave there respected room. The entire necessary requirements such as meals, medicine, etc were provided to them in their room. This above rules and regulation restricted their ability to cope up with their mental problems and they created their own imaginary world in there room. This even led them to suffer from problem of depression and there duration of treatment in mental health care centers enhanced. Australian aboriginals and Torres Strait Islander are example of high risk population (Ferdinand, et al. 2013).

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Overview Of Recovery Framework And Its Implementation In Australian Mental Health Services

After the implementation of Deinstutionalisation in mental health care centre in Australia, the structure of the health care centre, rules and regulation, pattern of delivering service, stay of patients, etc got changed. An informal environment was provided to patients which provided them permission to leave there room as per the schedule, all the patients can have their meals in dining area, exercise and yoga were planned, they were permitted to go on walk in evening in the garden area as well as they can freely come for treatment and leave after the treatment is been done. Adaptation of this practice helped patients to cope up with their problems at a rapid speed; a sense of belongings was created which assisted them to feel comfortable (McGorry, et al. 2013).

Critical Analysis

Rosen, 2005, conducted a research study on Australian experience of Deinstitutionalization and how it interacted with the Australian culture. Objective of this research was to describe those experiences and critically evaluate them in reference to history of Austrian culture and mental health services. History is concern with the colonizers, who fought with the Aboriginal and their children were forced to remove from their parents so as to decrease their population, they lost their traditional land and culture due to which they suffered from mental illness. With the help of this study it can be concluded that, acceptance and implementation of deinstitutionalization in Australia was not an easy task, as it requires funds which were not provided by the government on a regular basis. Deinstitutionalization helps the society as well patients by providing them equal human rights. This study must also focus on the needs and requirement of patients as it differ from person to person. Each person has common ground weather they belong to any culture and so they must be treated equally (Cunningham, et al. 2013).

Smith, et al. 2014, conducted a research study on recovery of mental health patient and how it impacts the voting rights of patient. This research study depicts that right to vote is an important function of a citizen and this rights should not be concern with the mental ability of an individual. It is considered that recovery on mental illness would be better if patients are able to exercise their rights and experience to be a part of main stream society. An assumption is made in this study which is recovering based practice on the basis of person’s right to vote. American, Dos standard which is used to determine capacity to vote is also considered. As per the author finding, in more than 60 countries, it is found that voting right of an individual is liked with persons mental capacity. Author also focused on improving patient’s mental condition by ensuring them their citizenship, by providing they right to vote. He also mentioned that it is a federal right and duty to provide right to vote to each and every individual without any discrimination and Australia is following all the international treaties regarding upholding democracy (Kelaher, et al. 2014).

Author finds that, Australian electoral commission formed a provision for special patients who are unable to attend polling on the day of election can vote using mobile polling teams as well as postal application forms are also made available to them (Siskind, et al. 2013).

From this study it can be concluded that recognition as a citizen is necessary factor to acknowledge as human being (Fisher, 2012). Citizenship or right to vote provide an individual sense of survival in a community and in case of mental patients it is must, as this patients are sensitive in nature and requires extra care. There are certain limitation in this case study as well, which are, author has not considered the responsibility which comes with the voting right for the patients and even not provided any evidence on the fact that "how to ensure that voting rights are used judiciary by the patients." Along with providing voting rights, society must also accept them (Lawn, et al. 2014).


In conclusion it can be said that it is very important to provide equal rights to mental patients such as human right and a strategy was implemented known as Australian National mental health strategy which was adopted at mental health care centre on the basis of which patients were treated in a well defined way. Between 1993-1998 major transformation in mental health service centre was observed when de institutionalization was introduced. It is one of the revolutionary changes which redefined the mental health care services, its approach towards patient recovery and prognosis of mental health patient. There is a need to further explore the area and implement the similar concepts in other aspects of health care services (Viana, et al. 2013).


1.Fisher P. (2012) Questioning the ethics of vulnerability and informed consent in qualitative studies from a citizenship and human rights  perspective. Ethics and Social Welfare 6, 2–17 (online) Available at last assessed at 19/03/2017.

2.Siskind, D., Harris, M., Buckingham, B., Pirkis, J., & Whiteford, H. (2012). Planning estimates for the mental health community support sector. Australian & New Zealand Journal of Psychiatry, 46(6), 569-580.

3.Viana, M. C., Gruber, M. J., Shahly, V., Alhamzawi, A., Alonso, J., Andrade, L. H., ... & Girolamo, G. D. (2013). Family burden related to mental and physical disorders in the world: results from the WHO World Mental Health (WMH) surveys. Revista brasileira de psiquiatria, 35(2), 115-125.

4.Lawn, S., McMillan, J., Comley, Z., Smith, A., & Brayley, J. (2014). Mental health recovery and voting: why being treated as a citizen matters and how we can do it. Journal of psychiatric and mental health nursing, 21(4), (Online) Available at last assessed on 19/03/2017.

5.Katzenellenbogen, J. M., Sanfilippo, F. M., Hobbs, M. S., Knuiman, M. W., Bessarab, D., Durey, A., & Thompson, S. C. (2013). Voting with their feet-predictors of discharge against medical advice in Aboriginal and non-Aboriginal ischaemic heart disease inpatients in Western Australia: an analytic study using data linkage. BMC health services research, 13(1), 330.

6.Kelaher, M., Ferdinand, A., & Paradies, Y. (2014). Experiencing racism in health care: the mental health impacts for Victorian Aboriginal communities. Med J Aust, 201(1), 44-47.

7.Ferdinand, A., Paradies, Y., & Kelaher, M. (2013). Mental health impacts of racial discrimination in Victorian Aboriginal communities. Lowitja Institute.

8.McGorry, P., Bates, T., & Birchwood, M. (2013). Designing youth mental health services for the 21st century: examples from Australia, Ireland and the UK. The British Journal of Psychiatry, 202(s54), s30-s35, (online) available at, Plumb, J., Georgiou, A., Westbrook, J. I., & Braithwaite, J. (2012). Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ quality & safety, 21(3), 239-249.ntent/202/s54/s30.short last accessed on 18/03/2017.

9.Cunningham, F. C., Ranmuthugala, G.

10.Jorm, A. F. (2012). Mental health literacy: empowering the community to take action for better mental health. American Psychologist, 67(3), 231.