Mental health establishments NMDS 2020–21
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
|DSS type:||National Minimum Data Set (NMDS)|
The scope of the Mental health establishments national minimum data set (MHE NMDS) is all specialised mental health services managed or funded by state or territory health authorities. The concept of a specialised mental health service is not dependent on the inclusion of the service within the state or territory mental health budget. Services funded by government from non-mental health specific budgets are considered in-scope for collection if they meet the definition of a specialised mental health service. Services funded and administered wholly by the Australian Government are considered out-of-scope for the MHE NMDS.
All services operated within the budget of a specialised mental health service organisation are considered in-scope for the MHE NMDS. These services are also expected to report client level data, that is, they are expected to report to the Community mental health care NMDS, Residential mental health care NMDS, Admitted patient care NMDS and the Mental Health National Outcomes and Casemix Collection. There are some services reporting to the MHE NMDS for which the collection of client level data is not warranted, however, these services are uncommon and any omission of client level data must be justified by jurisdictions.
Specialised mental health services are those with a primary function to provide treatment, rehabilitation or community support targeted towards people with a mental disorder or psychiatric disability. These activities are delivered from a service or facility that is readily identifiable as both ‘specialised’ and ‘serving a mental health care function’.
A service is not defined as a specialised mental health service solely because its clients include people affected by a mental illness or psychiatric disability.
The definition excludes specialist drug and alcohol services and services for people with intellectual disabilities, except where they are specifically established to assist people affected by a mental disorder who also have drug and alcohol related disorders or intellectual disability.
The services can be sub-units of hospitals that are not, themselves, specialised mental health establishments (e.g. designated psychiatric units and wards, outpatient clinics etc.).
There is a hierarchy of statistical units used within the MHE NMDS. Information is provided at each level: State/Territory; Region; Organisation; Hospital/Service unit cluster; and Service unit (Admitted patient services, Residential services and Ambulatory services). Each level has a unique set of attributes which comprise the NMDS data elements and additional supplementary information.
The statistical units are specialised mental health services. These are the specialised mental health components of the state and territory health authorities, and of regions within states and territories; specialised mental health service organisations; service units within those organisations; hospitals or service unit clusters; service units; and specialised mental health services provided by private hospitals, and non-government residential service units in receipt of state or territory government funding.
Specialised mental health services provided by private hospitals and non-government residential mental health services that receive state or territory government funding are included as service units for this NMDS.
Ambulatory services managed by non-government organisations (NGOs) are not defined as statistical units for this NMDS.
The scope of the MHE NMDS is restricted to recurrent expenditure as specified by its metadata. Consequently, capital expenditure is out of scope for this collection. In determining what constitutes recurrent expenditure, data suppliers should have regard to State health authority and other authoritative guidelines as to the differentiation between ‘capital’ and ‘recurrent’ expenditure.
The scope of the MHE NMDS includes 'in-reach' mental health service contacts, that is, service contacts provided to patients admitted to psychiatric hospitals or designated psychiatric units in acute care hospitals, and residents in 24 hour staffed specialised residential mental health care services.
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