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Mental health services in Aotearoa: A system in constant crisis

This blog post is extracted from a recent editorial of the journal Aotearoa New Zealand Social Work written by Neil Ballantyne and Liz Beddoe. The editorial extract refers to a commentary in the journal by Genevieve Smith and Joanna Appleby.


In their commentary on the “Social work practice implications of upcoming mental health reforms”, Genevieve Smith and Joanna Appleby offer an informative account of the key challenges for mental health services and for people experiencing mental distress in Aotearoa New Zealand. They contextualise their discussion with reference to the impact of four decades of neoliberal reforms on our people and on our health and social services—reforms that have fostered deep economic inequality, racism, precarity and despair in the lives of the many (see, also, the review of Ferguson, 2017 in this issue). These reforms have devastated mental health services through underfunding, service rationing and managerial business models that alienate service users, pressurise frontline workers and fracture service provision. Smith and Appleby explore four challenges faced by those who would reform mental health services: the steady growth in demand for services along with the severity of presenting problems, the failure to maintain or increase the supply of services leading to issues with service accessibility, the postcode lottery of service variability between the 20 District Health Boards, and staff retention and burnout (partly a product of the first two challenges).

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Social work and the un-justice system

This is a guest post from Bex Silver. Bex graduated the MSW(P) Programme, University of Auckland, in 2018. She has worked as a housing social worker in South Auckland and as a Family Start social worker with a kaupapa Māori NGO. Bex now works in a male prison, delivering rehabilitation programmes. She also sits on the Labour Party Justice Policy Committee, advocating for changes within the Justice and Corrections systems.

I have been working in a men’s prison for almost two years now. There is something unsettling about working within a Justice system that remains so fundamentally unjust. Many people have asked me why I choose this line of work. The answer is that I purposely chose to move towards my fear rather than away from it. I already knew, from international research and national recidivism rates, that the prison system doesn’t work – for perpetrators or for victims.

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Dissent, Struggle and Change: OT – The world in a teardrop

As many others will be doing at this uncertain time, I am hunkering down and wondering about the state of the play in the world as I know it. On a global scale the hypocrisy and ultimate futility of the US project in Afghanistan is gobsmacking. On a bigger scale still, the growing evidence of a planet pushed to breaking point by the extractive profit driven commodification of all things is chilling. Closer to home we have a virus to surround and conquer. It does seem that our politicians and public health specialists are close to being on the same page and we can have some confidence that this outbreak will be isolated and extinguished. We also have winds of change blowing through the bureaucracy of our state child protection system in Aotearoa. In this blog post I want to touch on the indirect connections – the conjuncture – between some of these things.

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Education for people in prison: How, why and what’s the point?

In the latest RSW podcast Emily Keddell interviews Fairleigh Gilmour, an academic in Gender studies and Criminology at the University of Otago. Fairleigh has run a volunteering programme into the Milton prison for a number of years, after discovering how few students in her criminology classes had ever been into a prison. Her programmes involve recruiting and training students to develop their own classes and run them for men in the local prison.

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Some notes on science and the social world

There is a troubled relationship between social work and science. Although western social work is not separate from the historical development of Enlightenment science and what has come to be understood as the project of modernity, it has always sat uncomfortably within this schema of knowledge. Since the time of Descartes (1596-1650) science has advanced a claim to objective truth – that the tool of scientific reason is a mechanism for naming, understanding, and controlling the world (Hyslop, 2012). There are more than a few problems with this belief system.