Neuropsychiatric services in Australia and New Zealand
In New Zealand and Australia, until recently, neuropsychiatric patients with disorders like Parkinson’s disease, epilepsy, or Huntington’s disease were generally treated in state institutions, and there has been an axiomatic shift to short-stay inpatient units and community management, often with insufficient resources. This chapter explores the provision of adult neuropsychiatric services in the Australasian public health sectors and the current inadequacies in its planning frameworks. Divided by region, the facets of the main neuropsychiatric bodies in each are explored such as the Neuropsychiatric Institute (NPI) in New South Wales and the Royal Melbourne Hospital (RMH) Neuropsychiatry Unit. While there are a number of centres in Australasia that satisfy the ‘hub’ requirement of the ‘hub and spoke’ model recommended for the implementation of neuropsychiatric services, the ‘spokes’ are inconsistently developed, leading to patchy provision across the countries.