Population access to specialised clinical mental health care, 2018
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Population access to specialised clinical mental health care, 2018|
|Registration status:||Health, Candidate 09/08/2018|
The 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 Population access to specialised clinical mental health care, 2018– (Service level) 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.
The issue of unmet need has become prominent since the National Survey of Mental Health and Wellbeing (ABS 2008) 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:||Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2018) Health, Candidate 09/08/2018|
Collection and usage attributes
State/territory public specialised mental health services.
Mental health consumers for which a unique person identifier was not recorded, that is non-uniquely identifiable consumers are excluded.
Reference period for 2018 performance reporting: 2016–17.
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:
Consumers receiving care from services outside their state/territory of usual residence are in-scope for reporting.
(Numerator ÷ Denominator) x 100
Number 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:|
|Denominator data elements:|
Service variables: nil.
Consumer attributes: age, sex, Socio-Economic Indexes for Areas (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:|
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Accessible|
|Further data development / collection required:|
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.
|Other issues caveats:|
Source and reference attributes
Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee
Australian Bureau of Statistics (ABS) 2008. National survey of mental health and wellbeing: summary of results, Australia, 2007. ABS cat. no. 4326.0. Canberra: ABS.
National Mental Health Performance Subcommittee (NMHPSC) 2013. Key Performance Indicators for Australian Public Mental Health Services, 3rd edn. Canberra: NMHPSC.
|Related metadata references:|
Supersedes KPIs for Australian Public Mental Health Services: PI 08J – Proportion of population receiving clinical mental health care, 2017 Health, Standard 14/06/2017