Same day admitted mental health care—private hospitals

Private hospital-based same day admitted mental health care is provided in either private hospitals with psychiatric beds or private psychiatric day hospitals (APHA 2020) (information on hospital types can be found in the mental health care facilities key concepts section). Private hospital same day admitted mental health care data is sourced from the Australian Private Hospitals Association Private Psychiatric Hospitals Data Reporting and Analysis Service (PPHDRAS) and is not comparable with data from the NHMD.

Some state and territory data from the PPHDRAS is aggregated to maintain privacy for participating hospitals. New South Wales and the Australian Capital Territory are reported together (NSW/ACT) as are Western Australia, South Australia, Tasmania and Northern Territory (WA/SA/Tas/NT). Victoria and Queensland are reported separately.

Remoteness area is coded in accordance with the Australian Bureau of Statistics’ (ABS) Australian Statistical Geography Standard (ASGS) Remoteness Structure to the following categories: Major cities, Inner regional, Outer regional, Remote, and Very remote. Due to the relatively small number of patients in outer regional, remote or very remote areas, only Urban (defined as Major cities) versus Non-urban (everywhere else) is reported.

Counts of episodes include only clinically substantive episodes of care. Episodes that are of brief duration (1 or 2 contacts only) and episodes during which contacts were sparse (average interval between contacts 6 weeks or greater) are excluded from the count. Consequently, the count of episodes can in some cases be less than the count of unique patients.

Further detail can be found in the data source section.

States and territories

In 2018–19, 20,288 patients received 273,982 same day mental health-related days of care from private hospitals; an average number of 12.6 care days per patient. These figures equate to 8.1 patients per 10,000 population and 108.8 care days per 10,000 population.

The rates of patients per 10,000 population ranged from 7.2 in New South Wales/Australian Capital Territory (combined) to 9.9 in Queensland in 2018–19. (Figure SD.6).

There were 20,032 clinically substantive episodes of care provided in 2018–19, which is a rate of 8.0 per 10,000 population. By jurisdiction, this rate ranged from 7.0 in New South Wales/Australian Capital Territory (combined) to 9.9 in Queensland. (Figure SD.7).

Figure SD.6: Patients and episodes of care for same day private admitted mental health care, by states and territories, 2018-19.

Column graph showing the rate of patients and episodes receiving same day private admitted mental health care. Episodes; New South Wales and the Australian Capital Territory 7.0; Victoria 8.1; Queensland 9.9; Western Australia, South Australia, Tasmania and the Northern Territory 7.5; total 8.0. Patients per 10,000 population; New South Wales and the Australian Capital Territory 7.2; Victoria 8.1; Queensland 9.9; Western Australia, South Australia, Tasmania and the Northern Territory 7.6; total 8.1. Refer to Table SD.12.

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Source data: Same day public admitted mental health-related care tables (119KB XLSX).

Patient demographics

The majority of same day private mental health related separations were female patients. The population rate of these separations for females was 1.8 times that for males (10.3 and 5.8 per 10,000 population, respectively).

Examining separation rates for age and sex groups shows a tendency for lower rates in children (<18 years) and older persons (65+ years) compared to other age groups. Females aged 18–24 years had the highest separation rate (15.7 per 10,000 population) of all age groups (Figure SD.7).

In 2018–19, the majority of patients (85.6%) receiving same day private admitted mental health care were from urban areas.

Figure SD.7: Patients receiving same day private admitted mental health care, by sex and age group, 2018-19.

Horizontal bar chart showing the rate of male and female patients (per 10,000 population) receiving same day private admitted mental health care by age group (years). Males; 12–17 0.6; 18–24 5.0; 25–34 6.0; 35–44 9.3; 45–54 10.2; 55–64 8.3; 65–74 7.0; 75–84 3.9; 85+ 3.5. Females; 12–17 2.1; 18–24 15.7; 25–34 12.9; 35–44 15.2; 45–54 15.0; 55–64 13.5; 65–74 9.1; 75–84 7.1; 85+ 3.4. Refer to Table SD.13.

Visualisation not available for printing

Source data: Same day public admitted mental health-related care tables (119KB XLSX).

Change over time

Since 2012–13 the total number of same day private mental health patients has increased steadily from 15,688 to 20,288 in 2018–19, an increase of 29%. The number of care days also increased  (34%) but the number of episodes was less than half either growth rate (13.6%). In that time there has been minor growth in overall average care days per patient, at 3.8% growth. However, in the past 5 years, since 2014–15, there has been no change in average care days per patient nationally.

A review of the jurisdications over the past 5 years, from 2014–15 to 2018–19 shows the greatest increase in average care days per patient in Queensland, with a growth of 10.2%, whereas Victoria showed a decrease in care days with -6.1% growth.

Since 2014–15 Queensland reported the greatest increase in both the number of patients and the number of episodes and only WA, SA, NT and Tas, in combination, reported an overall decrease in patient numbers in the same period.

Principal diagnosis

In 2018–19, the most common mental health diagnostic group, of clinically significant episodes of care was Major affective and other mood disorders (46.4%), followed by Alcohol and other substance use disorders (16.2%) and Anxiety and Adjustment disorders (10.6%) (Figure SD.8).

Figure SD.8: Proportion of same day private admitted mental health care episodes, for the 5 most commonly reported mental health diagnostic groups, 2018-19.

Horizontal bar chart showing the proportion of same day private admitted mental health care episodes, for the 5 most commonly reported mental health diagnostic groups for 2018–19. Major affective and other mood disorders 46.4%; Alcohol or other substance use disorders 16.2%, Anxiety and Adjustment Disorders 10.6%, Post-traumatic stress disorders 8.3%, and Personality disorders 7.2%. Refer to Table SD.14.

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