Free mental health support — expand access to publicly funded counselling
The Green Party of Aotearoa New Zealand proposes universal, publicly funded mental health counselling — starting with guaranteed free access for all New Zealanders under 25 and working toward extending that coverage to every adult in the country.
The Policy: Green Party Mental Health Policy — 2023 →
What it does
- Expands free counselling to all New Zealanders aged 25 and under, with an explicit commitment to work toward extending this to all adults
- Part of a broader $260 million youth mental health package (announced September 2017, reaffirmed in subsequent manifestos), including $100 million per year to boost psychiatrists and nurses and cut waiting times
- Expands youth mental health services — Piki, Mana Ake, and Youth One Stop Shops — to regions not currently covered
- Provides dedicated, funded postnatal mental health support for new parents
- Trains additional mental health professionals to reduce caseloads (a 1:400 guidance counsellor-to-student ratio in schools with dedicated funding)
- Resources Te Hiringa Mahara (Mental Health and Wellbeing Commission) to monitor services and lead a whole-of-government approach
- Funds kaupapa Māori mental health and addiction programmes through the Māori Health Authority using a Te Whare Tapa Whā model
- Implements recommendations of the Every Life Matters suicide prevention strategy
- Reviews Compulsory Treatment Orders and improves eating disorder inpatient and outpatient services
- The Access and Choice programme (introduced during the 2017–2023 Labour-Greens era) delivered over 1.6 million free or low-cost primary mental health sessions by mid-2024, reaching over 207,000 people in 2023–24 alone
The result
The Green Party's mental health platform is the most expansive of any parliamentary party on access to counselling, consistently earning that assessment from independent analysts including The Spinoff. However, feasibility questions persist. New Zealand's mental health workforce faces a genuine structural crisis: one in five psychiatrist positions in the public system are vacant, wait-list times for private psychiatrists have reached 15 months in some cases, and the 2026 Counselling Workforce Report found cost is now the single biggest barrier to access — with one in five counsellors considering leaving the profession within two years. Labour spokesperson Ingrid Leary noted in March 2026 that "counsellors have capacity to see more clients, yet people are still stuck on waiting lists," pointing to a funding disconnect rather than a supply shortage. Critics — including the Royal Australia and New Zealand College of Psychiatrists — argue successive governments have underfunded specialist mental health, and the 2024 National-led Budget failed to deliver on pre-election promises to fund 13 new psychiatry registrar places. The Greens' push for universality is widely supported in principle, but experts caution that without a credible pipeline of trained clinicians and sustained funding, free access promises can deepen demand without matching supply.
The impacts to watch
- Whether a phased rollout (under-25s first, adults later) can hold political and budget priority across electoral cycles when fiscal pressures are high
- Workforce retention: if one in five counsellors exit the profession by 2028, expanding funded slots may create unfillable wait lists rather than faster access
- Equity gaps: Māori youth have suicide rates nearly twice those of non-Māori (16.3 vs 9.0 per 100,000); kaupapa Māori services need separate, adequate funding or mainstream expansion will bypass communities with highest need
- Regional variation: services are concentrated in main centres; rural and provincial areas already see much longer wait times for both funded and private services
- New Zealand ranks last among OECD countries for child and youth mental health, with a youth suicide rate nearly three times the wealthy-country average — the scale of unmet need may outpace even well-funded universal schemes
- The Access and Choice programme's conclusion in 2025 leaves a potential gap in primary mental health provision if a successor Green policy is not funded in government
This overview is summarised by AI from public sources. It may contain errors and is a guide, not the definitive record — we welcome corrections.
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Key milestones
Greens announce $260m youth mental health package with free counselling for under-25s
Green Party leader James Shaw announced a $260 million per year youth mental health package including free counselling for all New Zealanders aged 25 and under, $100 million annually to expand psychiatrist and nursing capacity, a national mental health inquiry, and restored Lifeline funding. The long-term goal stated explicitly: extend free counselling to all adults.
Piki pilot launches free youth mental health support via universities
The Green Party's Confidence and Supply Agreement with Labour delivered the Piki programme, offering free counselling to 18–25-year-olds at Victoria University, Massey University, and across the Wellington Capital and Coast DHB area. Mental health spokesperson Chlöe Swarbrick credited student advocacy groups for driving the rollout.
Greens renew commitment to cut wait times and expand counselling access
Chlöe Swarbrick pledged that no one should wait more than three weeks for mental health treatment and emergency cases should be seen within three hours. The party called out that over 10,000 New Zealanders experienced extended waits the prior year. The commitment to expand free counselling beyond under-25s to all adults was restated.
Greens take broadest mental health platform into 2023 election
The Spinoff's analysis of 2023 election health policies found the Greens had the most comprehensive mental health approach: free services for children and young people, training more mental health professionals, strengthening the Mental Health and Wellbeing Commission, kaupapa Māori programmes, and a phased path to universal free counselling. One in four New Zealanders and nearly one in three women reported poor mental health.
Budget 2024 fails to fund promised psychiatry training places
The National-led government's 2024 Budget did not include the 13 additional psychiatry registrar places promised before the 2023 election. RANZCP chair Dr Hiran Thabrew warned that delayed mental health care worsens conditions and increases costs. The Greens and other opposition parties criticised the omission as the public psychiatrist vacancy rate sat at approximately 20 percent nationwide.
Counselling Workforce Report 2026 finds cost is the top barrier to access
The Counselling Workforce Report 2026 found that cost is now the biggest barrier preventing New Zealanders from accessing counselling. Government-funded services carry six-month wait times while counsellors report having available capacity — pointing to a funding disconnect rather than a workforce shortage. One in five counsellors said they are considering leaving the profession within two years, risking a worsening crisis.
Community debate: should free counselling be universal or targeted?
Discussion on social media and community forums reflects broad support for expanding publicly funded mental health support, with particular momentum on X (twitter.com/NZGreenParty) and Instagram (@nzgreenparty). Advocates for universality point to NZ's last-place OECD ranking for child and youth mental health. Some critics argue targeted support for those in most acute need — including Māori youth, where suicide rates are nearly twice non-Māori rates — should take priority over a staged universal rollout.
Sources
- Greens Promise Free Counselling for Under 25s — RNZ ↗
- New Zealand Has Highest Child Suicide Rate Among Wealthy Countries — RNZ ↗
- Mental Health Workforce Target Exceeded — NZ Doctor ↗
- Green Party Health Policy ↗
- How Much Does Therapy Cost in New Zealand? 2025 Guide — TherapyRoute ↗
- Budget 2024: Disappointment Over Broken Promise to Fund Mental Health Specialists — RNZ ↗
- More Free Mental Health Support for Young People — Green Party ↗
- High Costs and Long Waits Block Access to Mental Health Care — Scoop ↗
- Green Party Mental Health Policy (2023) ↗
- Election 2023: The Health Policies in Two Minutes — The Spinoff ↗
- Psychiatrist Shortage: Months-Long Wait Lists — RNZ ↗
- Access and Choice Programme — Mental Health and Wellbeing Commission ↗
- Greens Announce Free Counselling for Young People ↗
- What Are the Different Parties' Plans for Fixing Mental Health Services? — The Spinoff ↗
- Green Party ↗
- X / Instagram ↗
