National Healthcare Agreement: P21-Treatment rates for mental illness, 2010

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Treatment rates for mental illness, 2010
METeOR identifier:394710
Registration status:Health, Superseded 08/06/2011
Description:Proportion of population receiving clinical mental health services.
Indicator set:National Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Primary and Community Health Health, Standard 07/07/2010
Quality statement:National Healthcare Agreement: P21-Treatment rates for mental illness, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation:100 x (Numerator ÷ Denominator)

Calculated separately for public, private and Medicare Benefits Schedule (MBS) funded services.

Rates are directly age-standardised to the Australian population as at 30 June 2001.
Numerator:Number of people receiving clinical mental health services
Numerator data elements:
Data Element / Data SetData Element
Person—person identifier
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—government funding identifier, Medicare card number N(11)
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—person identifier
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Denominator:Population
Denominator data elements:
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Census-based plus administrative by-product data
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Indigenous experimental estimates and projections (2001 Census-based)
Guide for use
Data source type: Census-based plus administrative by-product data
Disaggregation data elements:
Data Element / Data SetData Element
Person—area of usual residence
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness area and SEIFA of residence
Data Element / Data SetData Element
Person—age
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Establishment—Australian state/territory identifier
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory
Data Element / Data SetData Element
Person (address)—Australian postcode
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory, remoteness area and SEIFA of residence
Data Element / Data SetData Element
Person—age
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—area of usual residence
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness area and SEIFA of residence
Data Element / Data SetData Element
Person—age
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Establishment—Australian state/territory identifier
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory
Comments:Specified disaggregation:

Public: Nationally and by state/territory (of establishment): by 10 year age group, Indigenous status, remoteness area, and SEIFA of residence.

Private: Nationally and by state/territory (of establishment): by 10 year age group, Indigenous status, remoteness area, and SEIFA of residence.

MBS: Nationally and by state/territory (of patient's residence): by 10 year age group, Indigenous status, remoteness area, and SEIFA of residence.

Available disaggregation:

Public: Nationally and by state/territory (of establishment): by 10 year age group, Indigenous status, remoteness area, and SEIFA of residence.

Private: Nationally and by state/territory (of establishment): by 10 year age group, remoteness area, and SEIFA of residence.

MBS: Nationally and by state/territory (of patient's residence): by 10 year age group, remoteness area, and SEIFA of residence.

Data for 2008-09 will be available by June 2010.

Most recent data available for 2010 CRC baseline report: 2007-08

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person
Format:N[NN].N

Indicator conceptual framework

Framework and dimensions:Accessibility

Data source attributes

Data sources:
Data SourcePrivate Mental Health Alliance Centralised Data Management Service
Frequency
Annual
Data custodian

Private Mental Health Alliance



Data SourceMedicare (MBS) data
Frequency
Monthly
Data custodian
Department of Health

Data SourceState/territory community mental health care data
Frequency
Annual
Data custodian

State/territory health authorities



Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Data SourceABS Indigenous experimental estimates and projections (2001 Census-based)
Frequency
Periodic
Quality statement
ABS Indigenous experimental estimates and projections, QS
Data custodian
Australian Bureau of Statistics

Accountability attributes

Reporting requirements:National Healthcare Agreement
Organisation responsible for providing data:Australian Institute of Health and Welfare
Further data development / collection required:Specification: Proxy

A small number of persons receiving mental health treatment are not captured in the proposed data sources. These include:

  • individuals receiving only admitted and/or residential services from state and territory public sector specialised mental health services
  • individuals receiving mental health services (other than as admitted patients in private hospitals) funded through the Department of Veterans' Affairs (DVA), other third party funders (e.g. transport accident insurers, workers compensation insurers, crime compensation) or out of pocket sources.

    Further work will be undertaken to extend the coverage to DVA-funded activities and to public sector admitted and residential services. The potential to include non-admitted services funded by third party funders and out-of-pocket sources will be explored but is not likely to be feasible in the short term.

    Non-duplicated person count. To estimate the number receiving ‘one or more’ mental health services from administrative data, a non-duplicated person count would be required (e.g. through inclusion of a unique identifier or statistical linkage key or similar).

    Ability to identify persons treated. People who are assessed for a mental health service but do not go on to be treated for a mental illness are included in the data submissions of a number of jurisdictions to the Community mental health care (CMHC) NMDS. It is proposed that work is undertaken to amend the data definitions in the CMHC NMDS to allow the identification of people who are assessed but not treated.

    Indigenous identification needs improvement in each of the administrative datasets used in this measure.
  • Other issues caveats:There is likely to be considerable overlap between the MBS data and the private hospital data, as most patients accessing private hospital services would access MBS items in association with the private hospital service. There is also likely to be some double counting of consumers receiving public and MBS-funded services.

    Relational attributes

    Related metadata references:

    See also National Healthcare Agreement: P28-Public sector community mental health services, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P29-Private sector mental health services, 2010 Health, Superseded 08/06/2011

    See also National Healthcare Agreement: P32-Proportion of people with mental illness with GP care plans, 2010 Health, Superseded 08/06/2011

    Has been superseded by National Healthcare Agreement: PI 21-Treatment rates for mental illness, 2011 Health, Superseded 31/10/2011