Involuntary hospital treatment, 2018

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Involuntary hospital treatment, 2018
METeOR identifier:637506
Registration status:Health, Candidate 10/04/2019
Description:

The percentage of separations with specialised mental health care days that are involuntary.

Rationale:
  • Every jurisdiction in Australia has legislation to enable people with mental illness to be treated involuntarily under certain conditions. This means treatment for mental illness, including medication, restraint, seclusion and therapeutic interventions, can be provided without the individual’s consent, either in hospital or in the community.
  • Monitoring the proportion of involuntary treatment is an important step in understanding the use of restrictive practices in Australian public hospitals.
Indicator set:Fifth National Mental Health and Suicide Prevention Plan, 2018 Health, Candidate 09/08/2018

Collection and usage attributes

Computation description:

Methodology:

Reference period for 2018 performance reporting: 2016–17

Patient days are for all separations that ended within the reference period. Mental health legal status is defined for this indicator as: ‘Whether a person is treated on an involuntary basis under the relevant state or territory mental health legislation’.

Only public hospitals are in scope for this indicator.

Presented as a:

  • percentage
  • number.
Computation:

Number

(Numerator ÷ Denominator) x 100

Numerator:

Number of separations in public hospitals with specialised mental health care days that are involuntary.

Numerator data elements:
Data Element / Data SetData Source
State/territory admitted patient data
Guide for use

Number of psychiatric care days greater than 0.

This data element is used to identify episodes of care where specialised mental health care have been received.


Denominator:

Total number of separations with specialised mental health care days in public hospitals.

Denominator data elements:
Data Element / Data SetData Source
State/territory admitted patient data
Guide for use

Number of psychiatric care days greater than 0.

This data element is used to identify episodes of care where specialised mental health care have been received.


Disaggregation:

Service variables: acute/non-acute units, and target population.

Consumer attributes: age, sex, and Indigenous status.

Disaggregated data excludes missing or not reported data.

Disaggregation data elements:
Data Element / Data SetData Element

Person—age

Data Source

State/territory admitted patient 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


Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—Indigenous status

Data Source

State/territory admitted patient data


Guide for use

Data source type: Administrative by-product data


Comments:

Most recent data available for reporting: 2016–17.

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Episode
Format:

N[NN.NN]

Indicator conceptual framework

Framework and dimensions:Less avoidable harm

Data source attributes

Data sources:
Data SourceState/territory admitted patient data
Frequency
Annual
Data custodian
State/territory health authorities

Accountability attributes

Organisation responsible for providing data:

Australian Institute of Health and Welfare

Other issues caveats:

The use of involuntary treatment is governed by either legislation (a Mental Health Act or equivalent) or mandatory policy within each state and territory. The definitions used within the legislation and policies vary between jurisdictions including, but not limited to, forensic-related legislation that applies to admitted patient mental health services. These variations should be recognised in the interpretation of the indicator.

Source and reference attributes

Submitting organisation:

Safety and Quality Partnership Standing Committee/Mental Health Information Strategy Standing Committee

Relational attributes

Related metadata references:

See also Involuntary patient days, 2018 Health, Candidate 10/04/2019