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KPIs for Australian Public Mental Health Services: PI 08J – Proportion of population receiving clinical mental health care, 2015

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termMHS PI 08J: Proportion of population receiving clinical mental health care, 2015
METeOR identifier:Help on this term584375
Registration status:Help on this termHealth, Standard 13/04/2016
Description:Help on this term

Percentage of consumers who reside in the state/territory and received care from a state/territory specialised mental health service (including admitted patient mental health care services, ambulatory mental health care services and residential mental health care services).

NOTE: This specification has been adapted from the indicator MHS PI 08: Proportion of population receiving clinical mental health care, 2015 (Service level version) using terminology consistent with the National Health Data Dictionary. There are no technical differences in the calculation methodologies between the Service level version and the Jurisdictional level version of this indicator.

Rationale:Help on this term

The issue of unmet need has become prominent since the National Survey of Mental Health and Wellbeing indicated that a majority of people affected by a mental disorder do not receive treatment.

The implication for performance indicators is that a measure is required to monitor population treatment rates and assess these against what is known about the distribution of mental disorders in the community.

Access issues figure prominently in concerns expressed by consumers and carers about the mental health care they receive. More recently, these concerns have been echoed in the wider community.

Most jurisdictions have organised their mental health services to serve defined catchment populations, allowing comparisons of relative population coverage to be made between organisations.

Indicator set:Help on this termKey Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2015) Health, Superseded 11/05/2016

Collection and usage attributes

Computation description:Help on this term

Coverage/Scope:

State/territory public specialised mental health services.

The following exclusions apply:

  • Mental health clients for which a unique person identifier was not recorded, that is non-uniquely identifiable clients, are to be excluded.

Methodology:

Reference period for 2015 performance reporting: 2013–14.

Requires a count of individuals receiving services provided by state/territory mental health services in the reference period. That is, consumers who received services in the reference period in more than one service setting, or by more than one specialised mental health service organisation, should only be counted once. No additional service utilisation thresholds have been set for this indicator.  This approach has been taken to allow:

  • ‘assessment only’ cases to be included (i.e. individuals receiving only one service contact) because these are a regarded as a significant and valid service provided by specialist mental health services; and
  • all service contacts to be included in defining whether a person receives a service, including those delivered ‘on behalf’ of the consumer i.e. where the consumer does not directly participate.  This approach has been taken to ensure that the role of state and territory mental health services in providing back up as tertiary specialist services to other health providers is recognised.
Computation:Help on this term

(Numerator ÷ Denominator) x 100

Numerator:Help on this termNumber of individuals recorded on jurisdictional mental health information systems as receiving one or more service events from state/territory public specialised mental health services (including admitted patient, ambulatory and residential services) in the reference period.
Numerator data elements:Help on this term
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


Data Element / Data SetData Element

Person—person identifier

Data Source

Department of Veterans' Affairs (DVA)

Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—person identifier

Data Source

State/territory admitted patient data

Guide for use

Data source type: Administrative by-product data


Denominator:Help on this term

Total population

Denominator data elements:Help on this term
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 estimates and projections

Guide for use

Data source type: Census-based plus administrative by-product data


Disaggregation:Help on this term

Service variables: Nil

Consumer attributes: Age, sex, SEIFA, remoteness, Indigenous status. Disaggregated data excludes missing or not reported data.

All disaggregated data are to be calculated as at the first service event for the reporting period, that is, any in-scope admission, residential episode or service contact, even if an ongoing event is underway at the start of the reporting period. In cases where a null value is returned, the first valid result is to be used.

Disaggregation data elements:Help on this term
Data Element / Data SetData Element

Person—age

Data Sources

State/territory admitted patient data

State/territory community mental health data

Private Mental Health Health Alliance Centralised Data Management Service

Medicare (MBS) data

Department of Veterans' Affairs (DVA) data

Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—sex

Data Source

State/territory admitted patient data

State/territory community mental health data

Private Mental Health Health Alliance Centralised Data Management Service

Medicare (MBS) data

Department of Veterans' Affairs (DVA) data


Data Element / Data SetData Element

Person—area of usual residence

Data Source

State/territory admitted patient data

State/territory community mental health data

Private Mental Health Health Alliance Centralised Data Management Service

Medicare (MBS) data

Department of Veterans' Affairs (DVA) data


Guide for use

Used for disaggregation by remoteness and SEIFA


Data Element / Data SetData Element

Person—Indigenous status

Data Source

State/territory admitted patient data

State/territory community mental health data

Private Mental Health Health Alliance Centralised Data Management Service

Medicare (MBS) data

Department of Veterans' Affairs (DVA) data


Representational attributes

Representation class:Help on this termProportion
Data type:Help on this termReal
Unit of measure:Help on this termPerson

Indicator conceptual framework

Framework and dimensions:Help on this termAccessible

Accountability attributes

Benchmark:Help on this term

State/territory level

Further data development / collection required:Help on this term

This indicator cannot be accurately constructed using the Community Mental Health Care and Admitted Patient Care NMDSs because the data sets do not include unique patient identifiers that allow linkage across data sets.

Accurate construction of this indicator at a national level requires separate indicator data to be provided individually by states and territories.

Development of state-wide unique patient identifiers within all mental health NMDSs is needed to improve this capacity.

When data for this indicator are requested, jurisdictions are required to answer whether a state-wide unique client identifier system is in place, or some comparable approach has been used in the data analysis to allow tracking of service utilisation by an individual consumer across all public specialised mental health services in the jurisdiction. Collection of this information is aimed at assessing the degree of consistency between jurisdictions in data reported the result of which are explored in the data quality statement for this indicator.

Other issues caveats:Help on this term
  • As defined populations may receive services from a state/territory service other than their resident state/territory, this measure is not a ‘pure’ indicator of mental health service performance but more about service utilisation by the population they serve. However, it is regarded as an important indicator to understand the overall relationship of the state/territory mental health service in relation to its resident population needs.
  • Resource allocation based on psychiatric epidemiology, associated morbidity and disability, mortality and socio-demographic factors is generally regarded as resulting in more equitable distribution of resources in relation to local need than funding strategies based on service-utilisation and population size alone. This indicator advances these concepts by creating scope in the future to compare expected treatment rates to actuals.
  • This measure does not consider the roles of primary mental health care or the specialist private mental health sector. While people who received care from specialist non-government organisations are not counted, it is expected that majority of these people will be captured by the activities of clinical services.
  • This measure may under report levels of service access in areas where persons are able to access public sector mental health services across jurisdictional boundaries.

Source and reference attributes

Submitting organisation:Help on this termAustralian Institute of Health and Welfare on behalf of the Australian Institute of Health and Welfare
Reference documents:Help on this termKey Performance Indicators for Australian Public Mental Health Services, Third edition (2014)
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