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National Mental Health Performance Framework 2020

The National Mental Health Performance Framework 2020 supersedes the National Mental Health Performance Framework.

The objective of the National Mental Health Performance Framework is to improve all health outcomes for all Australians living with mental illness and ensure sustainability of the Australian health system.

The first National Mental Health Performance Framework (NMHPF) was developed in 2005 as a key strategy for facilitating a culture of continuous quality improvement in mental health service delivery. The framework supports Australian and state and territory governments’ commitment to improving accountability and transparency at the Mental Health Service Organisation level.

The revised NMHPF was developed based on the Australian Health Performance Framework, and was endorsed by the Mental Health Principal Committee in March 2019. The key domains of the framework are as follows:

Dimensions of this framework

  • Determinants of health

    Are the factors that influence good health changing for the better? Where and for who are these factors changing? Is it the same for everyone?

    Sub-dimensions of this framework

    • Environmental factors

      Physical, chemical and biological factors such as water, food and soil quality.

    • Health behaviours

      Attitudes, beliefs, knowledge and behaviours such as patterns of eating, physical activity, smoking and alcohol consumption.

    • Personal biomedical factors

      Genetic-related susceptibility to disease & other factors such as blood pressure, cholesterol levels and body weight.

    • Personal history

      Factors such as experience of trauma.

    • Socioeconomic factors

      Income, employment, housing, education and social inequalities.

  • Health status

    How healthy are Australians? Is it the same for everyone? What are the best opportunities for improvement?

    Sub-dimensions of this framework

    • Deaths

      Mortality rates, mortality gap and life expectancy measures.

    • Health conditions

      Incidence and prevalence of disease, disorder, injury, trauma or other health-related states.

    • Human function

      Alterations to body structure or function (impairment), activity limitations and restrictions in participation.

    • Wellbeing

      Measures of physical, mental, social and emotional wellbeing of individuals.

  • Health system

    Is the health system (by itself, and with others) working to prevent illness, injury and disease? Is it delivering safe, effective, and accessible coordinated care appropriate for each individual? Is the health system efficient and sustainable? Is the health system working to support/facilitate mental health recovery? Does the health system address the needs of consumers and family/kin/friends/carers (referred to in this framework as 'consumers and carers') and include them as part of the care?

    Sub-dimensions of this framework

    • Accessibility

      People can obtain health care at the right place and right time, taking account of different population needs and the affordability of care.

    • Appropriateness

      Service is a person-centred, culturally appropriate, rights-based, trauma-informed and recovery oriented. Mental health consumers and carers are treated with dignity and confidentiality and encouraged to participate in choices related to their care. Consumers and carers report positive experiences (PROMs & PREMs).

    • Continuity of care

      Ability to provide uninterrupted and integrated care or service across program, practitioners and levels over time. Coordination mechanisms work for mental health consumers, carers and health care providers. Care and support is holistic and includes psychosocial and physical dimensions.

    • Effectiveness

      Care, intervention or action achieves the desired outcome from both the clinical and mental health consumer and carer perspective, as reflected in patient-reported outcomes (PROMs). Care provided is based on evidence-based standards.

    • Efficiency and sustainability

      The right care is delivered at minimum cost and human and physical capital and technology are maintained and renewed while innovation occurs to improve efficiency and respond to emerging needs. Members of the workforce receive appropriate support and report positive experiences.

    • Safety

      The avoidance of, or reduction to, acceptable limits of actual or potential harm (physical or psychological) from health care management or the environment in which health care is delivered. Includes aspects of the safety of care delivered to consumers (including patient-reported incidents and restrictive practices) as well as safety of carers and workforce.