Mental health servicesin Australia
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Of all admitted patient separations with specialised psychiatric care in 2010–11, over 1 in 4 (29.0%) were for patients who had an involuntary admission. Involuntary admissions represented about 2 in 5 separations with specialised psychiatric care in public acute hospitals, with the majority (87.1%) of involuntary separations occurring in this hospital type (33,638 of 38,617). Involuntary admitted patient separations comprised half (50.0%) of public psychiatric hospitals separations, while less than 1 in 100 (0.6%) of private hospital separations with specialised psychiatric care were involuntary admissions (Figure AD.5).
Note: Separations with a care type of Newborn (without qualified days), and records for Hospital boarders and Posthumous organ procurement have been excluded.
Source: National Hospital Morbidity Database.Source data for this figure are accessible from Table AD.5 (330KB XLS) in the Admitted patient mental health-related care table downloads.
About 2 in 5 (41.7%) of all mental-health related separations with specialised psychiatric care did not have an intervention or procedure recorded. However, it is likely that the interventions (procedures) provided to patients during these mental health-related separations were not able to be coded using the existing procedure classification system. For example, the administration of mental health-related medications is not explicitly included in the current classification system.
A frequently reported intervention (procedure) for all admitted patient mental health-related separations was an allied health intervention, including services provided by social workers and occupational therapists. A frequently reported procedure for separations with specialised care was non-emergency general anaesthesia. This was most likely associated with the administration of electroconvulsive therapy, a form of treatment for depression.
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