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KPIs for Australian Public Mental Health Services: PI 17bJ – Involuntary patient days, 2021

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termMHS PI 17bJ: Involuntary patient days, 2021
METeOR identifier:Help on this term739904
Registration status:Help on this termHealth, Standard 17/12/2021
Description:Help on this term

The percentage of admitted patient specialised mental health care patient days where the consumer has a mental health legal status of 'involuntary'.

Rationale:Help on this term
  • 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:Help on this termKey Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2021) Health, Standard 17/12/2021

Collection and usage attributes

Computation description:Help on this term

Coverage/Scope:

State/territory public admitted patient mental health service units. Only public hospitals are in scope for this indicator.

Methodology:

  • Reference period for 2021 performance reporting: 2019–20.
  • Patient days are for all separations that ended within the reference period.
  • Patient days should be reported as whole numbers. A stay that continues past midnight is counted as 1 day, with 1 day added each time midnight is passed.
    * Overnight episodes: Total patient days is a count of the number of nights for the person’s length of stay—that is, the number of nights where the person is admitted as at midnight—minus any leave days. Involuntary patient days are a count of the number of nights where the person has had a mental health legal status of involuntary at any time before midnight.
    * Where a person has a mental health legal status of involuntary at midnight, count as 1 involuntary patient day. Where a person has a mental health legal status of voluntary at midnight and has had a part-day of involuntary treatment, count as 1 involuntary patient day.
    * Involuntary care on the day of separation is not counted, except for same-day episodes.
    * Same-day episodes: Where a person is admitted and separated on the same date, count as 1 full patient day. If the person was involuntary for any part of a same-day episode, count as 1 involuntary patient day.
  • 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 relevant state and territory legislation for the purpose of assessment or provision of appropriate treatment or care. All types of treatment orders are in scope for this indicator, regardless of the setting of the treatment order. For example, admitted patients who are under a community treatment order are in scope for the numerator of this indicator.
Computation:Help on this term

(Numerator ÷ Denominator) x 100

Numerator:Help on this term

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

Numerator data elements:Help on this term
Data Element / Data SetData Element

Specialised mental health service—number of psychiatric care days where patients have a mental health legal status of 'Involuntary'


Data Source
State/territory admitted patient data
Denominator:Help on this term

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

Denominator data elements:Help on this term
Data Element / Data SetData Element

Specialised mental health service—total number of psychiatric care days


Data Source
State/territory admitted patient data
Disaggregation:Help on this term

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:Help on this term
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


Data Element / Data SetData Element

Admitted mental health service—admitted patient care program type

Data Source

State/territory admitted patient data


Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Admitted mental health service—target population

Data Source

State/territory admitted patient data


Guide for use

Data source type: Administrative by-product data

Target population refers to the target population of the service unit.


Comments:Help on this term

Most recent data available for reporting: 2019–20. This indicator refers to the inpatient setting only.

Representational attributes

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

N[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termSafety

Data source attributes

Data sources:Help on this term
Data SourceState/territory admitted patient data
Frequency
Annual
Data custodian
State/territory health authorities

Accountability attributes

Organisation responsible for providing data:Help on this term

State and territory health authorities.

Other issues caveats:Help on this term

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:Help on this term

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

Relational attributes

Related metadata references:Help on this term

See also KPIs for Australian Public Mental Health Services: PI 17aJ – Involuntary hospital treatment, 2021 Health, Standard 17/12/2021

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