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Almost 50% of Australians experience mental illness in their lifetime, costing our economy up to A$220 billion annually, according to .

The full impact of the pandemic on our nation’s mental health is still emerging, but are bleak, with experiencing a mental health disorder between 2020 and 2021.

This includes 3.3 million people with anxiety disorders, 1.5 million with mood disorders, 650,000 with substance use disorders, and .

But accessing help can be very . Government investment in psychology training programs is part of this problem.

A severe shortage of psychologists

Currently, the federal government is meeting only .

One in three psychologists report having , due to overwhelming demand. Despite this, psychology workforce issues were not on the agenda at the recent .

Brain and mental health disorders including , , , and are major causes of disability, with significant personal and societal .

Timely diagnosis, assessment and treatments for these complex conditions are crucial. However, these services require psychologists with advanced training. This includes clinical psychologists, clinical neuropsychologists, counselling psychologists, educational and developmental psychologists, forensic psychologists and health psychologists. These psychologists are comprehensively trained in assessment, intervention and treatment of people with mental illness and brain conditions.

Hundreds of hospital-based psychology positions , with patients (including children) waiting up to two years for . Positions are often advertised for months with no qualified applicants, particularly in .

Psychology training places are declining despite high demand

Postgraduate psychology courses are costly to run, requiring high staff-to-student ratios and incurring high clinical supervision and placement costs.

Unlike medical degrees, government funding for these programs . The recently reduced federal government support is that given to veterinary science. This means universities lose money on these programs, making them an unattractive financial prospect for ever-tightening higher education budgets.

This has led to , despite consistently high demand for training places. Across Australia, the number of clinical neuropsychology training programs has fallen from eight to five in the past ten years. There have been similar reductions in health, counselling and forensic psychology training.

La Trobe University’s neuropsychology program received more than 300 applications annually for up to ten places, yet the program was closed in 2020. Similarly, according to course conveners, clinical psychology programs regularly receive at least 20 applicants for each available place.

Universities are now resorting to reducing government-funded masters places in favour of costly full-fee places (around $35,000 each year), impacting affordability, equity of access and student diversity. This disrupts any endeavour to develop a culturally and socioeconomically representative workforce and fails to meet the needs of our healthcare sector.

Many psychologists choose to enter better-paying private practices straight out of university, bypassing public health roles. This affects the general public’s access to mental health services.

We must do better. Vulnerable people living with mental health problems deserve to be supported and protected.

5 solutions to the psychology workforce problem

There are straightforward steps that could go a long way to addressing this issue.

1. Increase funding for postgraduate psychology training so universities do not lose money by offering these programs.

2. Ensure a minimum number of (that is, with no, or reduced, student fees) are protected for students in psychology training programs and make sure these align with workforce demands and job vacancies.

3. Consider training models that incorporate “return-of-service” obligations. This is when the government subsidises student fees but requires graduates to engage in paid health services work for a minimum period, such as two years.

4. Invest in joint university/health service psychology staff positions (as occurs in medical training) to provide supervision and placements within the sector.

5. Increase placement opportunities for postgraduate students via better collaboration between universities, services and government.

All Australians deserve to have their mental health needs supported by trained and qualified psychologists. Investing in the psychology workforce will be , increase total workforce participation, reduce wait times and save lives.

The authors would like to thank Tamara Cavenett (President, Australian Psychological Society) and Lynda Katona (Manager, Psychology Services, Alfred Health) for their contributions to this article.

Dana Wong receives research grant funding from the ³Ô¹ÏÍøÕ¾ Health and Medical Research Council (NHMRC), Medical Research Future Fund (MRFF) and the Stroke Foundation. Dana is President-Elect of the Australasian Society for the Study of Brain Impairment, and a member of the APS College of Clinical Neuropsychologists.

Catriona Davis-McCabe is the President-Elect of the Australian Psychological Society and an Adjunct Senior Lecturer/Researcher at Curtin University.

Joanne Wrench is the Manager, Psychology at Austin Health and Chair of the Victorian Hospital Heads of Psychology.

Katherine Lawrence has previously received research grant funding from Australian Rotary Health.

Lorelle Burton is Chair of the Heads of Departments and Schools of Psychology Association (HODSPA) and is Professor and Head of the School of Psychology and Wellbeing at the University of Southern Queensland