Involuntary patient days, 2018

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Involuntary patient days, 2018
METeOR identifier:637578
Registration status:Health, Candidate 10/04/2019
Description:

The percentage of admitted patient specialised mental health care patient 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 amount 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’.

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.

Only public hospitals are in scope for this indicator.

Computation:

(Numerator ÷ Denominator) x 100

Numerator:

Number of psychiatric care days where patients have a mental health legal status of ‘Involuntary’.

Numerator data elements:
Data Element / Data SetData Source
State/territory admitted patient data
Denominator:

Total number of psychiatric care days for admitted patient mental health care services.

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


Representational attributes

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

N[NN].N

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:

State and territory health authorities.

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 hospital treatment, 2018 Health, Candidate 10/04/2019