Identifying and definitional attributes | |
Metadata item type: | Data Element |
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Short name: | Mental health legal status |
METEOR identifier: | 727343 |
Registration status: | Health, Standard 20/01/2021 Tasmanian Health, Standard 16/10/2023 |
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 or an episode of residential care, or at the time of contact for treatment as a patient/client by a community based service, as represented by a code. |
Data element concept attributes | |
Identifying and definitional attributes | |
Data element concept: | Episode of care—mental health legal status |
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METEOR identifier: | 727341 |
Registration status: | Health, Standard 20/01/2021 Tasmanian Health, Standard 16/10/2023 |
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 or an episode of residential care, or at the time of contact for treatment as a patient/client by a community based service. Involuntary patients are persons who are compulsorily treated in hospital or in the community under state and territory mental health legislation for the purpose of assessment or provision of appropriate treatment or care. A patient's mental health legal status may change between contacts and during an episode of care. |
Object class: | Episode of care |
Property: | Mental health legal status |
Value domain attributes | |
Identifying and definitional attributes | |
Value domain: | Mental health legal status code N |
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METEOR identifier: | 727339 |
Registration status: | Health, Standard 20/01/2021 |
Definition: | A code set representing whether a person, at any time during an episode of admitted patient care, an episode of residential patient care, or treatment as a patient/client by a community based service at the time of contact, is treated on an involuntary basis under the relevant state or territory mental health legislation. |
Data element attributes | |
Collection and usage attributes | |
Guide for use: | While legislation differs between each state and territory, all Australian jurisdictions have legislation which provides for compulsory detention or compulsory treatment of patients for mental health-related conditions. Each state/territory health authority has identified which sections of their legislation provide for the detention or compulsory treatment of the patient and codes treatment delivered under the provisions of this legislation as involuntary status. The mental health legal status of admitted patients 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 their capacity to consent to treatment. The mental health legal status of residents treated within residential care services may also change on multiple occasions throughout the episode of residential care or residential stay. As with admitted and residential services, the mental health legal status of patients/clients treated by a community based service may also change over time, and may change between service contacts. 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. |
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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. |
Comments: | This data element is used 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 inherent metadata item within local health information systems. |
Relational attributes | |
Related metadata references: | Supersedes Episode of care—mental health legal status, code N Health, Superseded 20/01/2021 Tasmanian Health, Superseded 16/10/2023 |
Implementation in Data Set Specifications: | Admitted patient care admission related data elements (TDLU) cluster Tasmanian Health, Standard 10/11/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2025 Admitted patient care admission related data elements (TDLU) cluster (Private Hospitals) Tasmanian Health, Standard 20/11/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2025 Admitted patient care NMDS 2021–22 Health, Superseded 20/10/2021 Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Admitted patient care NMDS 2022–23 Health, Superseded 20/12/2022 Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Admitted patient care NMDS 2023–24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 Admitted patient care NMDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 Community mental health care NMDS 2021–22 Health, Superseded 17/12/2021 Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Community mental health care NMDS 2022–23 Health, Superseded 09/12/2022 Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Community mental health care NMDS 2023–24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 Community mental health care NMDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 National Outcomes and Casemix Collection NMDS 2023-24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 National Outcomes and Casemix Collection NMDS 2024-25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 Residential mental health care NMDS 2021–22 Health, Superseded 17/12/2021 Implementation start date: 01/07/2021 Implementation end date: 30/06/2022 Residential mental health care NMDS 2022–23 Health, Superseded 09/12/2022 Implementation start date: 01/07/2022 Implementation end date: 30/06/2023 Residential mental health care NMDS 2023–24 Health, Superseded 06/12/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 Residential mental health care NMDS 2024–25 Health, Standard 06/12/2023 Implementation start date: 01/07/2024 Implementation end date: 30/06/2025 Tasmanian Admitted Patient Data Set - 2023 Tasmanian Health, Standard 22/11/2023 Implementation start date: 01/07/2023 Implementation end date: 30/06/2024 Conditional obligation: If required |