Australian Government: Australian Institute of Health and Welfare METeOR Home Page

National Healthcare Agreement: PI 17–Treatment rates for mental illness, 2018

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 17–Treatment rates for mental illness, 2018
METeOR identifier:Help on this term658501
Registration status:Help on this termHealth, Standard 30/01/2018
Description:Help on this term

Proportion of population receiving clinical mental health services.

Indicator set:Help on this termNational Healthcare Agreement (2018) Health, Standard 30/01/2018
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010

Collection and usage attributes

Computation description:Help on this term

The number of people receiving clinical mental health care expressed as a rate, which is directly age-standardised to the 2001 Australian population.

Age group is calculated from age at first service event during the reference period, or as at 1 July of the reference period where a service event (hospital admission or residential episode) commenced prior to 1 July.

Remoteness is derived from Statistical Area Level 2 (SA2) (or postcode where SA2 is not available) of the client at first service event, consistent with derived age, and is proportionally allocated using a population-based concordance.

Socio-Economic Indexes for Areas (SEIFA) is derived from SA2 (or postcode where SA2 is not available) of the client at first service event and is proportionally allocated using a population-based concordance.

For remoteness and SEIFA, if a null result is returned from the first event, the next valid result is to be used.  That is, if a valid SA2 (or postcode where SA2 is not available) is not obtained from the client's first service event, then this information will be obtained from the next possible service event.

Indigenous status is the Indigenous status of the client recorded at the first service event.

The client's first service event is the first time that a client receives a service during the reporting period, or as at 1 July of the reference period where a service event (hospital admission of residential episode) commenced prior to 1 July of the reference period.

Public:

Number of individuals recorded on jurisdictional mental health information systems as receiving 1 or more services from state/territory public mental health services, including specialised mental health hospital services, residential mental health care services and community mental health care services.

Person counts should be confined to individuals who received 1 or more services from state or territory specialised mental health services. Jurisdictional systems should be used, where available, to remove duplicate person counts between the different specialised mental health service settings.

For community mental health care service contacts, all types of service contacts are to be included in defining whether a person receives a service, including those delivered ‘on behalf’ of the consumer, that is, where the consumer does not directly participate.

‘Assessment only’ cases are included.

Community mental health care data for non-uniquely identifiable clients are to be excluded.

State and territory disaggregation of mental health care data is based on the jurisdiction that provided the health care service.

Private:

Number of individuals receiving specialist psychiatric care in private hospitals with psychiatric beds. Services provided to patients with psychiatric diagnoses by other private hospitals (that is, those without designated psychiatric beds) are not included.

State and territory disaggregation of Private Mental Health Alliance data is based on location of service.

Medicare Benefits Schedule (MBS):

Inclusive of all mental-health related MBS items and includes some ambulatory-equivalent admitted patient mental health service contacts.

Consultant psychiatrist services include MBS items: 134, 136, 138, 140, 142, 288, 289, 291, 293, 296, 297, 299, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344, 346, 348, 350, 352, 353, 355, 356, 357, 358, 359, 361, 364, 366, 367, 369, 370, 855, 857, 858, 861, 864, 866, 14224.

GP and other services include MBS items: 170, 171, 172, 2574, 2575, 2577, 2578, 2700, 2701, 2702, 2704, 2705, 2707, 2708, 2710, 2712, 2713, 2715, 2717, 2719, 2721, 2723, 2725, 2727, 20104.

Clinical psychologist services include MBS items: 80000, 80005, 80010, 80015, 80020.

Other allied health services include MBS items: 10956, 10968, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81325, 81355, 82000, 82015.

Medicare Benefits Scheme data presented by Indigenous status are adjusted for under-identification in the Medicare Australia Voluntary Indigenous Identifier (VII) database. Indigenous status is the Indigenous status of the client recorded as at June of the latest reference period.

State and territory, remoteness and SEIFA disaggregation of MBS data is based on postcode of residence of the person as recorded in Medicare Australia's database at the date the last service was received in the reference period.

For MBS data age group is calculated from age at last service event.

Department of Veterans’ Affairs (DVA):

Inclusive of all mental-health related MBS items and additional DVA items and includes some ambulatory-equivalent admitted patient mental health service contacts.

Consultant psychiatrist services include MBS items: 134, 136, 138, 140, 142, 288, 289, 291, 293, 296, 297, 299, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344, 346, 348, 350, 352, 353, 355, 356, 357, 358, 359, 361, 364, 366, 367, 369, 370, 855, 857, 858, 861, 864, 866, 14224.

GP and other services include MBS items: 170, 171, 172, 2700, 2701, 2702, 2710, 2712, 2713, 2715, 2717, 2719, 2721, 2723, 2725, 2727, 20104.

Clinical psychologist services include MBS items: 80000, 80005, 80010, 80015, 80020 and DVA items US01, US02, US03, US04, US05, US06, US07, US08, US50, US51, US99.

Other allied health services include MBS items: 10956, 10968, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81325, 81355, 82000, 82015 and DVA items CL20, CL25, CL30, US11, US12, US13, US14, US15, US16, US17, US18, US21, US22, US23, US24, US25, US26, US27, US31, US32, US33, US34, US35, US36, US37, US52, US53, US96, US97, US98.

State and territory disaggregation of DVA data is based on postcode of residence of the person as recorded by Medicare Australia at the date the last service was received in the reference period.

Presented as a percentage.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Calculated separately for public, private, and combined Medicare Benefits Scheme and DVA data.

Numerator:Help on this term

Number of people receiving clinical mental health services

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
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 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
State/territory admitted patient data
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—person identifier


Data Source
State/territory residential mental health care 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 (2011 Census-based)
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 (2011 Census-based)
Guide for use

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


Disaggregation:Help on this term

2015–16—Nationally, by service type, by (not reported):

  • 2011 SEIFA Index of Relative Socio-economic Disadvantage (IRSD) deciles.

2015–16—State and territory, by service type, by:

  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure)
  • Indigenous status (public and Medicare Benefits Scheme data only)
  • profession type of service provider (Medicare Benefits Scheme and DVA data only).
Disaggregation data elements:Help on this term
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 and SEIFA IRSD


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 and SEIFA IRSD


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 and SEIFA IRSD


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


Data Element / Data SetData Element

Person—age


Data Source
Department of Veterans' Affairs (DVA)
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—area of usual residence


Data Source
Department of Veterans' Affairs (DVA)
Guide for use

Data source type: Administrative by-product data

Used for disaggregation by state/territory, remoteness and SEIFA


Data Element / Data SetData Element

Person—area of usual residence


Data Source
State/territory residential mental health care data
Guide for use

Data source type: Administrative by-product data
Used for disaggregation by remoteness and SEIFA IRSD


Data Element / Data SetData Element

Person—age


Data Source
State/territory residential 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 residential mental health care data
Guide for use

Data source type: Administrative by-product data
Used for disaggregation by state/territory


Data Element / Data SetData Element

Person—area of usual residence


Data Source
State/territory admitted patient data
Guide for use

Data source type: Administrative by-product data
Used for disaggregation by remoteness and SEIFA IRSD


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

Establishment—Australian state/territory identifier


Data Source
State/territory admitted patient data
Guide for use

Data source type: Administrative by-product data
Used for disaggregation by state/territory


Comments:Help on this term

Most recent data available for 2018 National Healthcare Agreement performance reporting: 2015–16.

MBS and DVA item numbers change over time. Extracted data may include historical item numbers that are no longer current but have been processed by Medicare Australia within the reference period.

There is likely to be considerable overlap between the MBS/DVA data and the private hospital data, as most patients accessing private hospital services would access MBS items in association with the private hospital service.

Indigenous information is not currently available for private psychiatric hospital or DVA data.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
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 SourceDepartment of Veterans' Affairs (DVA)
Frequency
Annual
Data custodian
Department of Veterans' Affairs (DVA)

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

State/territory health authorities



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

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

State/territory health authorities



Data SourceABS Estimated resident population (2011 Census-based)
Frequency
Quarterly
Data custodian
Australian Bureau of Statistics

Data SourceABS Indigenous estimates and projections (2011 Census-based)
Frequency
Periodic
Data custodian
Australian Bureau of Statistics

Accountability attributes

Reporting requirements:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Further data development / collection required:Help on this term

Specification: Substantial work required, the measure requires significant work to be undertaken.

Relational attributes

Related metadata references:Help on this term

Supersedes National Healthcare Agreement: PI 17–Treatment rates for mental illness, 2017 Health, Superseded 30/01/2018

My items Help on this term
Download Help on this term