When profit becomes the prescription: A critical perspective on the evolution of mental healthcare through the lens of systems theory

ObjectiveThis perspective critically examines the impact of capitalism on Australian mental healthcare employing Bronfenbrenner's ecological theory. By analysing systemic challenges across macro-, meso-, and micro-levels, the paper reveals how marketisation prioritises profit over patient welfare. The perspective also highlights solution-based attempts of the Royal Australian and New Zealand College of Psychiatry to address the current crisis.ConclusionThe paper concludes by proposing strategies to restore justice, equity, and continuity in mental healthcare through reinvestment in public services, strengthened governance, workforce support, and a rights-based, socially integrated model of care.