Mental Health System Failure: Gaslighting and Broken Promises (2026)

In the realm of mental health, a story of promise and disappointment unfolds. As a psychiatrist with four decades of experience, I've witnessed the cyclical nature of reform, where hope often gives way to disillusionment. The Royal Commission into Victoria's Mental Health System, once a beacon of change, has now faded into another false dawn.

The commission's expert advisory committee, chaired by me, crafted a comprehensive blueprint for transformation. Yet, despite initial political will and community support, the momentum has dissipated. The mental health levy, intended to future-proof reforms, now faces skepticism as many believe its funds are being diverted elsewhere.

The current state of mental health services in Victoria is dire. Acute units remain custodial, clinical research is scarce, and treatment advancements lag behind other healthcare sectors. The core system is neglected, leading to worsening risks for patients, staff, and the community. This crisis is no secret, yet the government persists in claiming progress.

This narrative of progress is a form of mass gaslighting, denying the experiences of those directly affected. It silences frontline clinicians and undermines accountability mechanisms. The result is a continued marginalization of individuals with severe mental illnesses, left to suffer in isolation or on the streets.

However, there is a path forward. Acknowledging government failures and embracing a new direction is crucial. As Victoria approaches a state election, it's imperative that mental health takes center stage, with both political sides committed to meaningful reform. The time has come to transcend the mirage and create a mental health system that truly serves its people.

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Patrick McGorry, Professor of Youth Mental Health at the University of Melbourne, reflects on the need for honest acknowledgment and bold action to address the systemic issues plaguing Victoria's mental health landscape.

Mental Health System Failure: Gaslighting and Broken Promises (2026)
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