The Victorian Royal Commission released its report. It is available from: https://finalreport.rcvmhs.vic.gov.au/
The report is in 5 volumes and 4 appendices. It is a big report: the volumes range from 36Mb to 54Mb.
Very little of the report relates to autistic Victorians.
The report mentions the national Burdekin Report 1993 only once; the mention is in the context of mental illness and "minor offences and infringements". The Burdekin report limited "dual diagnosis" to mean only intellectual disability and mental illness. The Victorian report defines:
Dual disability Term defined in the Commission’s interim report as people living with both mental illness and an acquired or neurodevelopmental disability (such an intellectual disability, autism spectrum disorder, attention-deficit/hyperactivity disorder or a communication disorder).
This this broader meaning for dual disability is a welcome development.
The report observes:
This report repeats Burdekin's strategy of having a specialist "dual disability service" for treating people with "dual disability". While Victoria still has such a service, the report says it is now badly under-resourced. Similar units created in other states/territories following Burdekin's recommendations are either chronically under-resourced or have disappeared completely. This strategy has not proven effective.
The whole health sector should look to the inclusion models that the education sector is developing for more effective approaches to supporting subpopulations of patients, including people with dual disability needing mental health services and supports.