It is estimated that one in five people will be affected at some stage by a mental health problem or illness. The increasing prevalence of mental illness means that at some point in time most of us will either be affected or we will know of someone who is.

Although most people with mental illness can be treated in the community, at times some may require emergency treatment or admission to hospital for shortterm intensive therapy.

Not only are more mental health patients presenting to an emergency department for treatment than ever before, they are reportedly sicker and a greater number require admission to a hospital bed for further treatment. And, because of its very nature, those suffering from acute mental illness may not understand what is wrong or be able to communicate their problems clearly.

This makes access to emergency mental health services a significant issue for government that requires continuing attention.

The focus of this report is on the provision of 24-hour crisis services to adults. Emergency mental health services play a vital role in providing timely and appropriate care. Without proper treatment the severity of the illness may escalate, increasing the risk of self-harm or harm to others.

There have been many changes to mental health services over the last decade to deal with increasing demand. Much has been done to improve access to, and the quality of emergency services through significant increases in funding, the opening of new beds and the employment of more mental health staff.

Yet recent reviews have highlighted problems with accessing mental health beds and inadequate levels of psychiatric support in rural areas.

I believe that our report will provide valuable assistance to area health services on alternative models of emergency mental health care that better manage patient risk and further improve service quality.

Parliamentary reference - Report number #136 - released 26 May 2005

Air is fundamental to our existence.

The quality of our air is a key issue for everyone. It directly affects our health. It also affects our environment, and can even affect our economy.

And air pollution does not respect geo-political boundaries. Pollution produced locally may have regional and global implications.

The substances which may pollute our air can interact in complex ways, which even the best scientists do not fully understand. Strategies that reduce some types of air pollution can make others worse.

All this points to the need for a well-planned and coordinated approach with effective monitoring, review and reporting.

The Government’s plans to address air quality issues place particular emphasis on pollution from road transport as a major contributor to air pollution. Managing these emissions is a critical issue facing governments everywhere, and is an important part of a broader challenge of developing sustainable cities.

This performance audit examines the New South Wales Government’s approach to managing air quality. It is also one of several by my Office in recent times with an environmental focus.

These audits contribute to an understanding of complex issues in public administration and to public debate on issues that affect us all.

Parliamentary reference - Report number #134 - released 6 April 2005

Periodically we review the extent to which agencies have implemented the recommendations they accepted from our earlier audits. This gives Parliament and the public an update on the extent of progress made.

Major development and infrastructure projects may have significant environmental, social and quality-of-life impacts. The purpose of environmental impact assessment is to ensure that major projects are environmentally and socially sustainable and integrated with State, regional and local planning.

The Department of Infrastructure, Planning and Natural Resources (DIPNR) manages the assessment of major infrastructure proposals and coordinates whole of Government involvement. In November 2001 we audited this process, then undertaken by the Department of Urban and Regional Planning. (In July 2003 the new Department of Infrastructure, Planning and Natural Resources assumed responsibility.)

In this follow-up audit, we examine DIPNR’s implementation of the recommendations of the 2001 audit.

Parliamentary reference - Report number #129 - released 1 February 2005