Reform of the mental health service system to better meet the needs of people affected by mental health concerns and psychosocial disability is welcome, and the rhetoric in the Fifth Plan around a holistic response, with individuals at the centre of service planning, delivery, evaluation. However, PWDA believes there are a number of fundamental concerns with the draft Fifth Plan which undermine this rhetoric and which need to be addressed. This PWDA submission explains these concerns and strongly urges the Department of Health to review, and amend, the Fifth Plan to appropriately recognise Australia’s obligations under the Conventions on the Rights of Persons with Disabilities.