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KPIs for Australian Public Mental Health Services: PI 16 – Restraint rate, 2020– (Service level)

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termMHS PI 16: Restraint rate, 2020– (Service level)
METeOR identifier:Help on this term725536
Registration status:Help on this termHealth, Standard 13/01/2021
Description:Help on this term

Number of restraint events per 1,000 patient days within public acute admitted patient specialised mental health service units.

Rationale:Help on this term
  • Working towards the elimination of restrictive practices in mental health services has been identified as a priority in the publication National safety priorities in mental health: a national plan for reducing harm.
  • High levels of restraint are widely regarded as inappropriate, and may point to inadequacies in the functioning of the overall systems and risks to the safety of consumers receiving mental health care.
  • The use of restraint in public sector mental health service organisations is regulated under legislation and/or policy of each jurisdiction.
Indicator set:Help on this termKey Performance Indicators for Australian Public Mental Health Services (Service level version) (2020–) Health, Standard 13/01/2021

Collection and usage attributes

Computation description:Help on this term

Coverage/Scope:

All public mental health service organisations admitted patient services.

Methodology:

  • This indicator is to be partitioned by the program type (i.e. acute and non-acute inpatient). Consequently, there would be two potential scores for each type of restraint for this indicator. This partitioning will enable appropriate interpretation of the indicator and concept and facilitate accurate and targeted action to reduce the use of restraint in mental health services.
  • Leave days should be excluded from the construction of the denominator.
  • For the purpose of this indicator, when a mental health service organisation has more than one unit of a particular admitted patient care program, those units should be combined.
  • For the purpose of this indicator, only mechanical and physical restraint events are included in the computation. Unspecified restraint events are not included.
Computation:Help on this term

(Numerator ÷ Denominator) x 1,000

Numerator:Help on this term

Total number of mechanical restraint events.

Total number of physical restraint events.

Denominator:Help on this term

Number of accrued mental health care days within the mental health service organisation’s inpatient unit(s) during the reference period, partitioned by acute and non-acute inpatient mental health services.

Disaggregation:Help on this term

Service variables: Service variables: target population, program type.

Consumer attributes: age, Socio-Economic Indexes for Areas (SEIFA), remoteness, Indigenous status

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termSafety

Accountability attributes

Benchmark:Help on this term

Levels at which the indicator can be useful for benchmarking:

  • service unit
  • mental health service organisation
  • regional group of services
  • state/territory.
Further data development / collection required:Help on this term

Collection of restraint data at the national level occurs via the Mental Health Seclusion and Restraint National best endeavours data set (SECREST NBEDS), a data collection under the governance of the Safety and Quality Partnership Standing Committee, a subcommittee, of the Mental Health Principal Committee (MHPC).

Data on the characteristics of the consumers subject to restraint is not currently available. Data development activity to expand the SECREST NBEDS to include consumer demographic information is under consideration by the Mental Health Information Strategy Standing Committee (MHISSC) and SQPSC.

Other issues caveats:Help on this term
  • The use of restraint 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 slightly between jurisdictions. These variations should be recognised in the interpretation of the indicator.
  • The type of restraint used, physical or mechanical, informs the understanding of an organisation’s management and use of restraint. However, the capacity to collect information regarding restraint types varies across jurisdictions. Data improvement initiatives are expected to remove the need for an unspecified restraint category from 2016–17 onwards.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee

Reference documents:Help on this term

National Mental Health Performance Subcommittee 2013. Key Performance Indicators for Australian Public Mental Health Services, 3rd edn. Canberra: NMHPC.

National Mental Health Working Group (2005) National safety priorities in mental health: a national plan for reducing harm, Health Priorities and Suicide Prevention Branch, Department of Health and Ageing, Commonwealth of Australia, Canberra.

Relational attributes

Related metadata references:Help on this term

Supersedes KPIs for Australian Public Mental Health Services: PI 16 – Restraint rate, 2019 (Service level) Health, Superseded 16/02/2021

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