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A year in Auckland: A personal view

  • Darryl Watts (a1)
Extract

I had acquainted myself with the psychiatric services in New Zealand some years ago during my student elective. I wanted to return to experience further a system which was both similar and different to the NHS. The New Zealand hospital system was funded in a similar way to the NHS. One organisational difference was the managerial layer, which was still filled by medical superintendents. Another difference was the extensive no-fault accident compensation scheme through which settlements were made without resort to lawsuits. Thus doctors paid low medical defence fees and were rarely sued, but the Government had regularly to meet a large bill. The psychiatric services were in the process of moving from hospital-based to community-based, in line with prevailing clinical and public attitudes. This was fuelled by some headline-making scandals over patient care in the asylums. One cause for general alarm was the poor health of ethnic minorities, especially the indigenous Maori. This issue resonated with racial and political overtones.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 149, 137144.
Richman, A. & Harris, P. (1985) General hospital psychiatry: Are its roles and functions adjunctive or pivotal? General Hospital Psychiatry, 7, 258266.
Stein, L. I. & Test, M. A. (1980) Alternative to mental hospital treatment I: Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392397.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A year in Auckland: A personal view

  • Darryl Watts (a1)
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