2023 General Election statement

Our wero to political parties

The wero (challenge)

This election, people across Aotearoa need to hear how your party will transform our mental health and addiction system to better protect and improve the mental wellbeing of all people.  

What actions will your party take to empower people and communities to build positive mental wellbeing, and ensure everyone has equitable access to timely, safe, effective, culturally responsive mental health care, informed by Te Tiriti o Waitangi and the expertise and experiences of people with lived experience of mental illness or distress? 

What’s your investment strategy to put these actions into practice over the long term, and how will it make life better for the 1 in 5 New Zealanders who will experience mental illness and/or addiction this year?  

To help your party meet our wero, we offer our vision for change, backed by strong evidence and consultation from people with lived experience of mental distress or illness. 

Mental Health Foundation

The moemoeā (vision)

We all want Aotearoa to be a place where people enjoy a good level of mental wellbeing, where people who experience mental distress or addiction are treated with dignity and given the choice of holistic, effective support, when and where they need it to recover and regain their wellbeing. Family and whānau will have the support and information, and services have the flexibility and resourcing, to meet these needs. 

What’s stopping us?

The report from the 2018 Inquiry into Mental Health and Addiction, He Ara Oranga, offered recommendations for positive change, but we’re still waiting on a plan of implementation for many of the recommendations.


  • Nearly 1 in 4 adults experience poor mental wellbeing – this number is rising and inequities exist with Māori, Pasifika, and those living in hardship more likely to experience mental distress.
  • Mental distress is highest among young people, and rangatahi Māori are more than twice as likely to die by suicide than non-Māori youth. 
  • Despite increased investment, access to specialist services has remained stagnant for the past five years. Access to primary mental health services is increasing but there are gaps for Māori, Pasifika, and rangatahi.
  • Our services are not set up to address the drivers of mental distress such as poverty, racism, whānau violence, loneliness, prejudice and discrimination, unemployment, and insecure housing.

The cost and investment

Mental Health Foundation

The shortfalls in our system are costing us all. People using mental health services in Aotearoa have more than double the risk of premature death (before the age of 65) compared to the general population, including from preventable and treatable health issues. The annual cost of serious mental illness and addiction is high at $12bn per year (5% of GDP).

Mental health investment must be commensurate to need. The majority of DHB and Ministry of Health expenditure is on services but it must be spread across prevention, promotion and effective support and services. Doing so is estimated to produce large cost savings.

Change is overdue. People in New Zealand deserve better, and we can do better. What is your plan to make it happen?  

Creating a safe, strong and supportive system


To make meaningful change, we must invest in growing a strong, empowered, community-driven, and culturally safe workforce, which includes and resources peer support in every service.

The mental health workforce and system must: 

  • Be guided by lived experience and whānau leadership.  
  • Be representative of, and effective for our diverse communities, including Māori, Pasifika, Asian communities, migrants, people with disabilities, people with backgrounds as refugees, rainbow communities, and those across the life course spectrum.  
  • Reflect whānau, hapū, and iwi aspirations by including kaupapa Māori approaches and Māori-led solutions and being responsive to people’s holistic needs. This is key to reducing inequitable health outcomes for Māori. 
Mental Health Foundation

12 actions to create meaningful change

The MHF believes there are four priority areas for change, backed by clear evidence, that should guide your plan. We offer examples of 12 tangible actions that can be adopted – we acknowledge this is not an exhaustive list.  

To ensure the actions taken are meaningful and responsive, we must have access to current, robust data which helps us to understand the scale of need across population groups, and how the needs change over time. We recommend establishing a comprehensive, national survey.

Prevention, early intervention, and mental wellbeing promotion

There is strong evidence that prevention and early intervention is the most beneficial and cost-effective strategy. Often mental illnesses are recognised only after they become severe and harder to treat. Half of all lifetime cases of mental illnesses begin by age 14 and three-quarters by age 24.

Mental health promotion makes a difference and a national investment strategy is needed to ensure mental health promotion is safe and effective, and funding is appropriately and equitably directed across communities. Empowering communities and whānau to adopt behaviours that build resilience to life’s challenges and positive mental health will reduce the pressure on services and support recovery. Wellbeing is not just a luxury for those already well. 

Effective crisis response and supports

People experiencing a mental health crisis deserve a compassionate, timely, and effective response that enables them to stay connected with their community supports and access the full continuum of mental health services. Whānau need support so they, in turn, can provide meaningful support to their loved one experiencing mental health or addiction challenges. 

Support recovery and wellness

Too many people are discharged from inpatient services with no place to stay and no plan for their ongoing recovery. We must support people to recover from mental illness and distress in our communities by ensuring they have access to post-discharge follow-up support, meaningful employment, education, and healthcare.

Change mental health laws

Honouring our Te Tiriti o Waitangi and international treaty obligations – such as the UNCRPD and UNDRIP – in law and practice will uphold people’s mana, dignity, and rights. It will give people more autonomy and partnership over their care and treatment, increase alternatives to compulsory treatment, and foster community inclusion, recovery, and the ability to live full and meaningful lives. 

We all have mental health. The post-election government will be charged with protecting, maintaining, and growing our mental health system and the mental health of New Zealanders to ensure our collective and individual mental health is strong and ready to support us through the challenges and opportunities ahead. New Zealanders are listening now to hear how you will do that. More than ever, they understand the importance of investing in and protecting their mental health and the mental health of those they love.  

We look forward to hearing how political parties will answer this wero this election.

Authorised by Shaun Robinson, Mental Health Foundation of New Zealand, Eden 3, Ground Floor, 16 Normanby Road, Mt Eden, Auckland 1024.