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Mental health staff spend 50%+ of their time responding to legal need

Health Justice Australia has been working with Neami National, a large non-government organisation that runs mental health and wellbeing services across Australia, to set up health justice partnerships (HJPs) in three Neami service sites.

As part of this work, we collaborated with Neami to run a survey exploring the types of legal issues that arise for Neami consumers, and what Neami staff feel they need to support clients with these issues. 

Legal issues can affect your mental health, and mental health issues can affect your legal situation. It’s why mental health services are a great fit for health justice partnership, which brings legal help into health and community care settings.

Non-legal professionals, like mental health workers, have a vital role in linking people experiencing legal issues with the legal help they would otherwise not access at all or in a timely manner.  

People with unmet legal need are more likely to be in contact with trusted workers in health and community settings than directly with legal professionals and services.

We found that frontline staff in these mental health and wellbeing services often see clients with unmet legal need – most commonly credit, debt and social security issues, housing, family law and family violence. 

Graph showing frequency of client’s legal issues out of 100%, from most to least common: Money issues e.g. debts, fines, payday loans, Social security/Centrelink, Housing/tenancy, Family/relationship, Domestic or family violence, NDIS/NDIA. Victim of crime issues, Care and child protection issues, Crime, Discrimination/harassment, mental health legislation, Employment, Other issues (e.g. consumer, scams, insurance), Visa and immigration.
From the report: Legal issues identified by mental health staff (Legal issues ordered by ‘Sometimes’ and ‘Frequently’ combined (50% or more))

Two thirds of respondents said they spent at least half their time ‘responding to these types of issues’, and yet they still don’t necessarily have what they need to connect their consumers with legal help. 

Although more than 90% of survey respondents agreed that legal issues affect consumers’ wellbeing, nearly half said they didn’t know where to refer them for legal help. And more than half of respondents didn’t feel confident in communicating with lawyers and legal services about issues facing consumers.

Frontline mental health workers need more support to address legal issues facing their clients, particularly more knowledge of other services, connections with professionals in other organisations and connections with community. Survey respondents also said they could benefit from additional processes, tools and resources, and time to manage their case load. 

Graph of statements mental health staff were asked to agree or disagree with. In order from most agreement to most disagreement: Legal issues affect consumers’ wellbeing, I feel able to identify legal issues that are affecting a consumer’s wellbeing, It is a good idea to have a lawyer available in our service to help consumers with their legal issues, I know when to refer a consumer to legal help, I know where to refer a consumer to legal help, I am confident to communicate with lawyers and legal services about issues facing consumers, It is beyond my role to help consumers deal with their legal problems, The thought of helping consumers to get legal help is overwhelming.
From the report: Perceptions of capability to support consumers with legal issues.

So, what now?

The report clearly shows that clients who access mental health services have unmet legal needs, and that those unmet legal needs – whether related to credit, debt and social security issues, housing, or family law and family violence issues – affect their health and wellbeing.

Frontline staff in these service settings feel expected to respond to these legal needs, even when survey responses indicate they simply aren’t equipped to know how: more than half don’t know where to refer clients to legal help, more than half are not confident in communicating with lawyers and legal services about issues facing consumers, and a further a quarter find the thought of helping consumers to get legal help overwhelming.

Health justice partnerships may offer a solution. Integrating legal help into services that support health and wellbeing can help address the social and legal issues that contribute to poor health outcomes, providing a holistic service that is more than the sum of its parts.

Read more about our work with Neami National:

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