Episode of care—mental health legal status, code N
Data Element Attributes
Identifying and definitional attributes | |
Metadata item type:![]() | Data Element |
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Short name:![]() | Mental health legal status |
METEOR identifier:![]() | 722675 |
Registration status:![]() |
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Definition:![]() | Whether a person is treated on an involuntary basis under the relevant state or territory mental health legislation, at any time during an episode of admitted patient care, an episode of residential care or treatment of a patient/client by a community based service during a reporting period, as represented by a code. |
Context:![]() | Mental health care: This metadata item is required to monitor trends in the use of compulsory treatment provisions under state and territory mental health legislation by Australian hospitals and community health care facilities, including 24-hour community based residential services. For those hospitals and community mental health services which provide psychiatric treatment to involuntary patients, mental health legal status information is an essential metadata item within local record systems. |
Data Element Concept:![]() | Episode of care—mental health legal status |
Value domain attributes | |||||||
Representational attributes | |||||||
Representation class:![]() | Code | ||||||
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Data type:![]() | Number | ||||||
Format:![]() | N | ||||||
Maximum character length:![]() | 1 | ||||||
Permissible values:![]() |
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Supplementary values:![]() |
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Collection and usage attributes | |||||||
Guide for use:![]() | CODE 1 Involuntary patient Involuntary patient should only be used by facilities which are approved for this purpose. While each state and territory mental health legislation differs in the number of categories of involuntary patient that are recognised, and the specific titles and legal conditions applying to each type, the legal status categories which provide for compulsory detention or compulsory treatment of the patient can be readily differentiated within each jurisdiction. These include special categories for forensic patients who are charged with or convicted of some form of criminal activity. Each state/territory health authority should identify which sections of their mental health legislation provide for detention or compulsory treatment of the patient and code these as involuntary status. CODE 2 Voluntary patient Voluntary patient to be used for reporting to the Community mental health care NMDS, where applicable. CODE 9 Not reported/unknown This code is to be used if the mental health legal status for the patient is either not reported or unknown. | ||||||
Data element attributes | |||||||
Collection and usage attributes | |||||||
Guide for use:![]() | The mental health legal status of admitted patients treated within approved hospitals may change many times throughout the episode of care. Patients may be admitted to hospital on an involuntary basis and subsequently be changed to voluntary status; some patients are admitted as voluntary but are transferred to involuntary status during the hospital stay. Multiple changes between voluntary and involuntary status during an episode of care in hospital or treatment in the community may occur depending on the patient's clinical condition and his/her capacity to consent to treatment. Similarly, the mental health legal status of residents treated within residential care services may change on multiple occasions throughout the episode of residential care or residential stay. Approval is required under the state or territory mental health legislation in order to detain patients in hospital for the provision of compulsory mental health care or for patients to be treated compulsorily in the community. | ||||||
Collection methods:![]() | Admitted patients are to be reported as involuntary if the patient is involuntary at any time during the episode of care. Residents in residential mental health services are to be reported as involuntary if the resident is involuntary at any time during the episode of residential care. Patients of ambulatory mental health care services are to be reported as involuntary if the patient is involuntary at the time of a service contact. | ||||||
Relational attributes | |||||||
Related metadata references:![]() | Supersedes Episode of care—mental health legal status, code N
Has been superseded by Episode of care—mental health legal status, code N
Is used in the formation of Episode of admitted patient care—diagnosis related group, code (AR-DRG v 10.0) ANNA
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Implementation in Data Set Specifications:![]() | Tasmanian Health, Standard 18/05/2021 Health, Superseded 05/02/2021 Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Health, Superseded 20/01/2021 Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Health, Superseded 20/01/2021 Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 Tasmanian Health, Standard 10/07/2020 Implementation start date: 01/07/2020 Implementation end date: 30/06/2021 |