A two-year independent investigation in Pennsylvania has revealed the devastating consequences of underfunding, broken promises, and systemic neglect in mental health care. Once heralded as a leader in deinstitutionalisation and community reform, the state’s vision for a modern, community-based mental health system has collapsed into a grim reality of homelessness, incarceration, and preventable deaths.

The Vocational Mental Health Practitioners Association Australia (VMHPAA) acknowledges the concerns raised by recent scrutiny of Victoria’s mental health reform progress, following revelations that despite the collection of over $1.1 billion through the Mental Health and Wellbeing Payroll Levy, the availability of acute mental health beds remains grossly inadequate.