Forum: Prioritise accessibility, affordability and quality in mental healthcare system

I refer to the recent articles which highlighted the Government’s initiatives to improve mental health and well-being, which are deserving of wholehearted support, as they recognise the importance of prioritising mental health.

In mental healthcare, there are concerns over psychologist shortages and burnout rates, exacerbated by a recent surge in demand. Consequently, waiting times for psychologist appointments have increased and negatively impact service accessibility.

Proposed initiatives, such as increasing capacity at mental health institutions and expanding mental health services to polyclinics and GP clinics, are important steps towards providing accessible support. The commitment to training front-line personnel and volunteers demonstrates a dedication to building a supportive community equipped to address mental health challenges.

Beyond accessibility, it is necessary to consider two other key aspects in creating a comprehensive framework to address the diverse needs of those seeking mental health support: cost-effectiveness and quality of mental healthcare.

High out-of-pocket costs and limited insurance coverage hinder mental healthcare access. Awareness of these financial challenges is growing, with suggestions for the insurance sector to collaborate in addressing them.

Funding must prioritise mental health initiatives to ensure that resources support prevention, early intervention and treatment programmes. By reducing financial barriers, individuals can access care without economic hardship, promoting equity in mental health outcomes.

Quality care is equally crucial for positive mental health outcomes. Effective intervention for individuals with mental illness should be evidence-based, culturally sensitive and delivered by qualified psychologists.

In Singapore, distinguishing between qualified psychologists and those who are not is challenging because of limited familiarity with the relevant qualifications.

Regulating the profession ensures that only qualified psychologists may practise, creating a safer environment for service users.

While conversations regarding regulation continue between the Singapore Psychological Society and the Ministry of Health, the public should refer to the Singapore Register of Psychologists, which has over 700 registered psychologists who are qualified to practise, undergo continuous professional development, and adhere to the society’s code of ethics.

The provision of mental healthcare must prioritise accessibility, cost-effectiveness and quality to promote the well-being of individuals and communities. Everyone should be encouraged to support these initiatives and contribute to building a society where mental health is valued, supported and prioritised.

Adrian Toh
President
Singapore Psychological Society

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