The Commission delivered its final report on 3 February 2021 and it was tabled on 2 March 2021 during a special sitting of the Legislative Assembly at the Royal Exhibition Building in Melbourne.

During the 2018 state election Labor Premier Daniel Andrews promised that a re-elected government would establish a royal commission to inquire into a "broken" mental health system.

[3] In May 2020 the Victorian Government confirmed providing an extension to the Royal Commission to complete its work until February 2021, noting the delays caused by the COVID-19 pandemic.

The final report was released to the public in a special sitting of the Victorian Parliament on 2 March 2021, with significant media coverage and attention.

The recommendations set out a 10-year vision for a future mental health system in Victoria where people can access treatment close to their homes and in their communities.

The final report spoke to evidence that:'it is difficult to see what actions are being taken to hold services to account for quality and safety or human rights failings.

Transparency about these activities allows consumers and their advocates to engage in a more meaningful way with the various oversight and improvement arrangements, and hold those charged with these functions to—in turn—be held to account.

In contrast, the lack of information about how the Department of Health, the Chief Psychiatrist and other bodies are responding to quality and safety concerns can leave consumers feeling disempowered and distrustful.