The economic value of informal mental health caring in Australia
Overview
This 2017 Australian study estimated the economic value of informal mental health caring. It found 240,000 mental health carers providing 208 million hours annually - equivalent to 173,000 full-time workers. The replacement cost totalled $13.2 billion, representing 1.7 times national mental health expenditure. Government spending on carer support was only $1.2 billion, highlighting significant economic contribution and modest support for carers.
Individual authors
- Sandra Diminic (Policy & Epidemiology Group, Queensland Centre for Mental Health Research; School of Public Health, University of Queensland)
- Emily Hielscher (same affiliations)
- Yong Yi Lee (same affiliations)
- Meredith Harris (same affiliations)
- Jaclyn Schess (Queensland Centre for Mental Health Research)
- Jan Kealton (Carer consultant)
- Harvey Whiteford (same affiliations as Diminic)
Key insights
Key Insights:
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240,000 Australians provide informal mental health care annually
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Replacement cost: $13.2 billion - 1.7x total national mental health spending
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Mental health carers provide 208 million hours of care yearly
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Government spends only $1.2 billion supporting mental health carers
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Primary carers average 36 hours weekly; 38% provide 40+ hours
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67% of caring time involves emotional support and psychosocial care
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Only 24% of primary carers receive Carer Payment benefits
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35% of carers unaware of available support services and programs
Did this resource draw on transformative evidence?
The document was primarily research-based rather than experiential. It relied on large-scale surveys (SDAC 2012, NSMHWB 2007), statistical modeling, and literature reviews. Limited experiential input came from 107 carers in the UQ Carer Survey 2016 and four brief clinician interviews. While some qualitative feedback was included, the study was fundamentally an economic analysis using quantitative data rather than drawing from extensive lived experience or clinical expertise.
The document had minimal practice wisdom foundation. It primarily relied on statistical analysis and economic modelling rather than accumulated professional experience. Limited practice wisdom came from four brief clinician interviews about hospital discharge practices and some references to existing service frameworks (NMHSPF). The study was fundamentally an academic economic analysis using survey data, not grounded in practitioner knowledge or field-based professional insights about mental health caring.
The document was heavily based on research and evaluation insights. It utilized multiple large-scale national surveys (SDAC 2012, NSMHWB 2007, SHIP 2010), systematic literature reviews, and purpose-designed research (UQ Carer Survey 2016). The study employed rigorous economic modelling, uncertainty analysis, and comprehensive evaluation of existing studies. It included systematic reviews of government expenditure, service utilisation data, and comparative analysis with international replacement cost studies.
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Categories
Resource type
Literature Review