Mental health

Mental health workforce

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Key points

In 2023–24:

Nationally, there was an increase

in the supply of all specialist mental health professions and lived experience worker groups from 2014–15 to 2023–24.

Private practice was the most frequent work setting for psychiatrists (38%) and psychologists (50%),

hospital setting for mental health nurses (67%), and community mental health services for mental health occupational therapists (47%).

Workforce supply peaked in Major cities, especially for psychiatrists and psychologists;

mental health nurses were most evenly distributed across regions, and accredited mental health worker rate was highest in the Inner regional area.

Summary

The mental health workforce is important to a strong and sustainable mental health system. It supports services delivery across primary care, acute care, aged care, disability support and veterans’ care. Although there is no universal definition of what “a mental health worker” is, there is broad agreement that the workforce includes people who provide care and support to individuals experiencing mental illness or distress and is divided into 3 inter-related sectors including specialist, generalist and lived experience sections (Cleary, Thomas and Boyle 2020). This definition aligns with the National Mental Health Workforce Strategy 2022–2032 (Department of Health and Aged Care 2022).

Mental health workers may be employed in a wide variety of settings, including state-run health services, not-for-profit care providers or private practice. Each state and territory has a mental health workforce plan (Cleary, Thomas and Boyle 2020), intended to guide and support the development of the mental health workforce to ensure it meets the needs of residents. For further information, refer to the National Mental Health Workforce Strategy 2022–2032.

This report presents data and information on specialist mental health workers and lived experience workers from the available data sources. The data sources include (i) National Health Workforce Dataset (NHWDS) which is managed by the Australian Government Department of Health, Disability and Ageing, (ii) Accredited mental health social workers data provided by the Australian Association of Social Workers (AASW) and (iii) Specialised Mental Health Facilities Dataset which comes primarily from the National Mental Health Establishments Database.

Data sourced from the NHWDS refer to registered health professionals who are employed in Australia and working in their registered profession. Data sourced from the specialised mental health facilities dataset refer to those working in specialised mental health facilities. AASW data cover social workers accredited with mental health expertise.

For more information, refer to data source.

How has the mental health workforce grown over time in Australia?

Specialist mental health workers

During 2024 there were about 4,500 psychiatrists, 36,900 psychologists, 28,300 mental health nurses, 3,100 mental health occupational therapists employed in their registered profession and 3,400 accredited mental health social workers in Australia.

Over the decade from 2015 to 2024, the mental health workforce grew across all 5 specialist mental health professions (Table 1).

  • Psychologists and mental health nurses recorded the largest increase across rate measures. For psychologists, this included increase of 33 practitioners, 25 total full-time-equivalent (FTE) counts and 18 clinical FTE counts per 100,000 population. For mental health nurses, this included an increase of 17 practitioners, 17 total FTE and 16 clinical FTE per 100,000 population.
  • Accredited mental health social workers recorded the largest percentage increase in the rate of practitioners per 100,000 population, increasing by 117%.
  • Mental health occupational therapists showed consistent workforce growth across all measures, with percentage increase of 38% in practitioner numbers and between 43% to 50% in FTE roles.
  • Psychiatrists showed slight changes across all rates, with percentage increase ranging from 9% to 15%.
Table 1: Changes in key statistics for specialist mental health workers, 2015 to 2024
Profession
Rate per 100,000 population
2015
2024
Rate change
% Change
Psychiatrists
Number of practitioners
14
16
+2
+14
PsychiatristsFTE total
13
15
+2
+15
Psychiatrists
FTE Clinical
11
12
+1
+9.1
Mental health nurses
Number of practitioners
87
104
+17
+20
Mental health nurses
FTE total
84
101
+17
+20
Mental health nurses
FTE Clinical
77
93
+16
+21
Mental health occupational therapists
Number of practitioners
8
11
+3
+38
Mental health occupational therapists
FTE total
7
10
+3
+43
Mental health occupational therapists
FTE Clinical
6
9
+3
+50
Psychologists
Number of practitioners
103
136
+33
+32
Psychologists
FTE total
88
113
+25
+28
Psychologists
FTE Clinical
64
82
+18
+28
Accredited mental health social workers
Number of practitioners
6
13
+7
+117
Accredited mental health social workers
FTE total
n.a.
n.a.
n.a
n.a.
Accredited mental health social workers
FTE Clinical
n.a.
n.a.
n.a.
n.a.

Notes:

  1. n.a. data not available.
  2. Total FTE and clinical FTE data were not available for accredited mental health social workers.

Sources: National Health Workforce Dataset and Australian Association of Social Workers data table.

Lived experience workers

Between 2014–15 and 2023–24, the number of lived experience workers in specialised mental health care facilities grew substantially (Table 2), reflecting the introduction of lived experience workforce policies and frameworks across national and state/territory levels that provided funding and guidance to expand consumer and carer roles in mental health services.

  • Consumer worker total FTE increased almost fourfold over the decade, rising from 97 in 2014–15 to about 490 in 2023–24. The FTE rate per 100,000 population increased from a value rounded to zero to 2 over that period.
  • Carer worker total FTE increased almost fivefold, from 36 to about 210 over time. The FTE rate per 100,000 population increased from a value rounded to zero 2014–15 to 1 in 2023–24.
Table 2: Changes in total FTE staff for lived experience workers in specialised mental health care facilities, 2014–15 to 2023–24
ProfessionMeasure2014–152023–24Number change% change
Consumer workers
Total FTE
97
488
+391
+402%
Consumer workers
FTE staff per 100,000 population 
0
2
+2
n.p.
Carer workers
Total FTE
36
209
+173
+481%
Carer workers
FTE staff per 100,000 population 
0
1
+1
n.p.

Note: n.p. Percentage change is not published where 2014–15 value was rounded to zero, as this can produce misleading results.

Source: Specialised mental health care facilities dataset

Who makes up the mental health workforce?

This section presents information on the characteristics of specialist mental health workers by age, sex, and Indigenous status, drawing on the NHWDS and AASW data.

In 2024:

  • More than half of psychiatrists were males (about 57%), while females dominated for other specialist mental health worker types (about 81% of psychologists, 73% of mental health nurses, 85% of mental health occupational therapists and 84% of accredited mental health social workers) (Figure 8).
  • The largest proportions were in 45–54 age group for psychiatrists (33%), 35–44 for psychologists (29%), 20–34 and 35–44 for mental health nurses (27% and 26%), 20–34 for mental health occupational therapists (43%), and 45–54 and 55–64 for accredited mental health social workers (27% and 26%) (Figure 9).
  • More than 98% of specialist mental health workers were non-Indigenous people, noting that data were not available for accredited mental health social workers (Figure 10).

How is the mental health workforce distributed across Australia?

Geographic distribution

This section presents information on the distribution of specialist mental health workers across states and territories, and remoteness area, drawing on the NHWDS and AASW data.

In 2024:

  • Psychologists and mental health nurses recorded higher FTE rates than psychiatrists and mental health occupational therapists across all states and territories (Figure 11.1).
    • The Australian Capital Territory had the highest psychologist FTE rate (171 per 100,000 population). Among the states, Victoria (124 psychologist FTE; 114 mental health nurse FTE) and New South Wales (116 psychologist FTE; 89 mental health nurse FTE) recorded the highest rates.
    • Psychologist FTE rates were higher than mental health nurse rates in New South Wales, Victoria, Queensland, the Australian Capital Territory and the Northern Territory, while mental health nurse rates were higher in Western Australia, South Australia and Tasmania.
    • Tasmania recorded the highest headcount rate of accredited mental health social workers (20 per 100,000 population). South Australia had the lowest rate (7) (Figure 11.2).
  • Mental health workforce supply was highest in Major cities across all professions (most sharply for psychiatrists and psychologists). Mental health nurses had the most even distribution and were the main workforce in more remote areas (Figure 12.1). Inner regional area recorded the highest rate of accredited mental health social workers (16 per 100,000 population) (Figure 12.2).

How does tenure vary across the mental health workforce

Distribution by job role and setting

This section presents information on the distribution of specialist mental health workers across job roles and settings, drawing on the NHWDS data.

In 2024:

  • Clinicians made up the large majority FTE across specialist mental health professionals (about 27,500 psychologist FTE; 25,500 mental health nurses FTE; 3,700 psychiatrists FTE; 2,500 mental health occupational therapist FTE) (Figure 13).
    • Over time, the increase was concentrated in clinical roles, with limited change in non-clinical roles.
  • There was some variability in the main work setting for the specialist mental health workforce, with nurses mainly in hospitals, occupational therapists mainly in community mental health care (CMHC), and psychologists and psychiatrists mainly in private practice (Figure 14.1, Figure 14.2).
    • Psychologist: about 15,400 total FTE (50%) in private practice, 4,800 (16%) in educational settings and 2,200 (7%) in CMHC
    • Psychiatrists: about 1,600 total FTE (38%) in private practice, 1,400 (34%) in hospital setting and 880 (22%) in CMHC
    • Mental health nurses: about 18,200 total FTE (67%) in hospitals, 5,700 (21%) in CMHC, 700 (3%) in residential mental health care (RMHC)
    • Mental health occupational therapists: 1,300 (47%) in CMHC, 560 (20%) in hospitals, 440 (16%) in private practice

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