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Improving Australia’s population mental health: An ounce of prevention is worth a pound of cure

Jorm (2018) reports an absence of reduction in the prevalence of mental disorders or rates of suicide in the Australian population between 2006 and 2015. This is despite massive investment in Australian mental health care, largely through the implementation of the Better Access Scheme. He proposes four explanations for this lack of change: an inadequate dose of treatment, services not delivered to those in need, lack of fidelity to effective treatments and a paucity of initiatives to address the social determinants of mental illness. It is plausible that all of these may explain, to varying degrees, the persisting high rates of mental disorders and suicide. However, we assert that the primary reason is the absence of strategy for the prevention of mental disorders. The Better Access Scheme can only increase remission and delay relapse