Neo-liberalism, community care and Australian mental health policy

Julie Henderson
School of Nursing and Midwifery, Flinders University, Bedford Park SA

PP: 242 - 254

Abstract

This paper examines key documents from the National Mental Health Strategy and explores the extent to which they reflect neo-liberal ideals. It argues, through discourse analysis of policy documents, that the families of the mentally ill have been reconstructed as a key source of informal care.

The development of 'community care' and 'informal care' in Australian policy documents reflect a neo-liberal understanding of the individual and their family, one that views the family as an autonomous unit responsible for its own maintenance. This orientation creates a moral imperative upon the families of the mentally ill to adopt a caring role while conversely, allowing for increasing regulation of the family by professional carers through the creation of formal mechanisms for carer involvement in provision of mental health services and the codification of carers' rights and responsibilities in the Mental Health Statement of Rights and Responsibilities.

Keywords

National Mental Health Strategy; Neo-liberalism; community care; mental illness; governmentality; discourse analysis


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References

Australian Health Ministers (1991) Mental Health Statement of Rights and Responsibilities, Canberra: AGPS.

Australian Health Ministers (1992a) National Mental Health Strategy, Canberra: AGPS.

Australian Health Ministers (1992b) National Mental Health Plan, Canberra: AGPS.

Australian Health Ministers (1998) Second National Mental Health Plan, Canberra: Mental Health Branch, Commonwealth Department of Health and Family Services.

Australian Health Ministers' Advisory Council (AHMAC) (1989) Mental Health Discussion Paper: A paper presented to Australian Health Minister Advisory Council in Oct 1989, Canberra: AGPS.

Australian Health Minsters' Advisory Council (AHMAC) Working Group on Mental Health (1988) A National Mental Health Services Policy: Summary of the Report of the Committee Report to Commonwealth, State and Territory Health Ministers, Canberra: AGPS.

Australian Institute of Health and Welfare (2000) Institutional Mental Health Services in Australia 1997-98, Canberra: AIHW.

Bacchi C (2000) Policy as discourse: What does it mean? Where does it get us? Discourse: Studies in the Cultural Politics of Education 21(1): 45-57.

Bell V (1993) Governing childhood: Neo-liberalism and the law, Economy and Society, 22(3): 390-405.

Burchell G (1993) Liberal government and the techniques of self, Economy and Society 22(3): 265-282.

Commonwealth of Australia (2002) Evaluation of the Second National Mental Health Plan, Canberra: Mental Health Branch, Commonwealth Department of Health and Ageing.

Culpitt I (1999) Social Policy and Risk, London: Sage.

Dean H and Thompson D (1996) Fetishizing the family: The construction of the informal carer, in Jones H and Millar J (eds) The Politics of the Family, Aldershot: Avebury, pp.145-165.

Dean M (1999) Governmentality: Power and Rule in Modern Society, London, Sage.

Department of Health, New South Wales (1983a) Inquiry into Health Services for the Psychiatrically Ill and Developmentally Disabled (The Richmond Report), Part I: General Proposals, Haymarket: Department of Health.

Department of Health, New South Wales (1983b) Inquiry into Health Services for the Psychiatrically Ill and Developmentally Disabled (The Richmond Report), Part III: Mental Health Services and Services for the Mentally Ill, Haymarket: Department of Health.

Donzelot J (1979) The Policing of Families, London: Hutchinson.

Gordon C (1991) Governmental rationality: An introduction, in Burchell G, Gordon C and Miller P (eds) The Foucault Effect: Studies in Governmentality, Chicago: University of Chicago Press, pp.1-51.

Hancock L (1999) Health Policy in the Market State, Allen & Unwin: St Leonards.

Hazelton M (1999) Mental health and citizenship, in Grbich C (ed) Health in Australia 2nd edn. Sydney: Prentice Hall, pp.280-295.

Heaton J (1999) The gaze and visibility of the carer: A Foucauldian analysis of the discourse of informal care', Sociology of Health and Illness 21(6): 759-777.

Henderson S and Petersen A (2002) Introduction: Consumerism in health care, in Henderson S and Petersen A (eds) Consuming Health: The Commodification of Health Care, London: Routledge, pp.1-10.

Higgs P (1998) Risk, governmentality and the reconceptualisation of citizenship, in Scambler G and Higgs P (eds) Modernity, Medicine and Health: Medical Sociology Towards 2000, Routledge: London, pp.176-197.

Irvine R (2002) Fabricating 'health consumers' in health care politics, in Henderson S and Petersen A (eds) Consuming Health: The Commodification of Health Care, London: Routledge, pp.31-47.

Mental Health Branch (1998) National Mental Health Report 1997, Canberra: Department of Health and Aged Care.

Mental Health Fellowship of Australia (2002) Background, available at http://www.schizophrenia.org.au/. Accessed August 20 2002.

Miller P and Rose N (1990) Governing economic life, Economy and Society 19(1): 1-31.

Moon J (1999) The Australian public sector and new governance, Australian Journal of Public Administration 58(2): 112-120.

Morgan D (1999) Risk and family politics: Accounting for change and fluidity in family life, in Silva E and Smart C (eds) The New Family? London: Sage.

National Hospitals and Health Services: Interim Committee (1973) A Community Health Program for Australia, Canberra: AGPS.

National Mental Health Plan Steering Committee (2003) Consultation Paper on the National Mental Health Plan 2003-2008, Canberra: Commonwealth of Australia.

Offer J (1999) Idealist thought, social policy and the rediscovery of informal care, British Journal of Sociology 50(3): 467-488.

Rose N (1993) Government, authority and expertise in Advanced Liberalism, Economy and Society 22(3): 283-300.

Rose N (1996a) Governing ‘advanced' liberal democracies, in Barry A, Osborne T and Rose N (eds) Foucault and Political Reason: Liberalism, Neo-liberalism and the Rationalities of Government. London: UCL Press, pp.37-64.

Rose N (1996b) Psychiatry as political science: Advanced liberalism and the administration of risk, History of Human Sciences 9(2): 1-23.

Rose N and Miller P (1992) Political power beyond the state: Problematics of government, British Journal of Sociology 43(2): 173-205.

Rose N (1996c) The death of the social? Re-figuring the territory of government, Economy and Society 25(3): 327-356.

Schizophrenia Fellowship of New South Wales (2002) About your Fellowship, available at http://www.sfnsw.arg.au/home/aboutus.htm. Accessed August 20 2002.

Silverman D (2000) Analyzing text and talk, in Denzin N and Lincoln Y (eds) Handbook of Qualitative Research 2nd edn. Thousand Oaks: Sage, pp.821-834.

Smith D (1983) Inquiry into Mental Health Services in South Australia, Adelaide: South Australian Health Commission.

Snowdon J (1980) Self-help groups and Schizophrenia, Australian and New Zealand Journal of Psychiatry 14: 265-286.

Stuart C (1978) Review of Mental Health Care: A Discussion Paper, Canberra: Commonwealth Department of Health.

Tonkiss F (1998) Analysing discourse, in Seale C (ed) Researching Society and Culture, London: Sage, pp.245-260.

Turner B (2001) The erosion of citizenship, British Journal of Sociology 52(2): 189-209.



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