North West Area Mental Health Service Hume Moreland Community Mental Health Profile 2015
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No Health Without Mental Health (World Health Organisation 2008) North West Area Mental Health Service Hume Moreland Community Mental Health Profile 2015 Compiled by Doris Sant Population Health & Community Partnerships Coordinator North West Area Mental Health Service, The Royal Melbourne Hospital [email protected] Tel: 8371 9806 1 ‘Many people who experience mental illness do not seek treatment or support which can jeopardise their health and wellbeing. People who live with mental illness are at a much greater risk of social and economic disadvantage, deprivation and poorer physical health, and have a lower life expectancy… they are also more likely to be unemployed, homeless, to have contact with the criminal justice system, and to miss out on treatment for physical health problems’ (Department of Health and Human Services (Victoria), 2015 Mental Health 10-year Plan) 2 NWAMHS Community Mental Health Profile 2016 Table of Contents EXECUTIVE SUMMARY __________________________________________________ 5 CONTEXTUAL INFORMATION_____________________________________________ 6 PURPOSE ____________________________________________________________________________ 6 POLICY CONTEXT ____________________________________________________________________ 6 SERVICE DESCRIPTION ______________________________________________________________ 7 WHY MENTAL HEALTH MATTERS _____________________________________________________ 8 KEY DEFINITIONS ____________________________________________________________________ 8 MENTAL HEALTH INDICATORS ______________________________________________________ 11 KEY CONCEPTUAL FRAMEWORKS ___________________________________________________ 11 SOCIAL DETERMINANTS OF MENTAL HEALTH _______________________________________ 10 ACKNOWLEDGEMENTS ______________________________________________________________ 12 DATA COLLECTION CHANGES AND CHALLENGES ____________________________________ 12 DISCLAIMER ________________________________________________________________________ 12 MENTAL ILLNESS IN AUSTRALIA ________________________________________ 13 DEMOGRAPHICs for VICTORIA and AUSTRALIA ______________________________________ 15 LIFE SATISFACTION INDICATORS ___________________________________________________ 16 LIVING STANDARD TRENDS IN AUSTRALIA __________________________________________ 17 MENTAL ILLNESS IN VICTORIA ______________________________________________________ 18 MENTAL WELLBEING ACROSS THE LIFE SPAN _______________________________________ 19 MENTAL HEALTH PBS ITEMS DISPENSED 2013–2014 ________________________________ 19 REFERENCES _______________________________________________________________________ 20 SOCIAL HEALTH PROFILE: North West Area Mental Health Service Catchment Population & Projections ________________________________________________ 21 KEY POPULATION STATISTICS ______________________________________________________ 23 STATISTICAL LOCAL AREAS (SLAs) WITHIN THE NWAMHS CATCHMENT _____________ 23 NWAMHS CATCHMENT POSTCODES _________________________________________________ 25 DESCRIPTION OF NWAMHS SUBURBS _______________________________________________ 25 ABOUT NWAMHS CATCHMENT AREA ________________________________________________ 26 FUTURE TRENDS ____________________________________________________________________ 28 SOCIO-ECONOMIC DISADVANTAGE __________________________________________________ 28 2011 SEIFA DATA: ABS ________________________________________________________________ 29 MOST DISADVANTAGED NWAMHS SUBURBS ________________________________________ 29 EDUCATION, EMPLOYMENT AND INCOME DISTRIBUTION ____________________________ 29 AGE STRUCTURE OF NWAMHS POPULATION ________________________________________ 30 RELIGION ___________________________________________________________________________ 30 CULTURAL COMPOSITION NWAMHS CATCHMENT ___________________________________ 31 3 NWAMHS Community Mental Health Profile 2016 RECENTLY ARRIVED IMMIGRANTS __________________________________________________ 31 LANGUAGES ________________________________________________________________________ 32 HOUSEHOLD CHARACTERISTICS ____________________________________________________ 33 DISTRIBUTION OF General Practitioners IN NWAMHS CATCHMENT area______________ 34 CRIME TRENDS IN HUME AND MORELAND ___________________________________________ 35 DRUG OF CHOICE FOR HUME AND MORELAND _______________________________________ 36 EGM GAMBLING LOSSES PER ADULT: 2014-2015 BY LGA COMPARISON ______________ 37 NWAMHS SERVICE UTILISATION_________________________________________ 38 PROFILE OF NWAMHS NEW REGISTRATIONS (2014 -2015) ___________________________ 38 MOST FREQUENTLY DIAGNOSED CONDITIONS 2014-2015 ____________________________ 39 AGE AND GENDER (New registrations) _______________________________________________ 40 CLIENTS & PENSION TYPE __________________________________________________________ 40 EMPLOYMENT STATUS (NEW REGISTRATIONS 2014-2015) ___________________________ 40 RELIGION ___________________________________________________________________________ 40 NEW REGISTRATIONS AND MARITAL STATUS _______________________________________ 41 NEW REGISTRATIONS BY SUBURB __________________________________________________ 41 NEW REGISTRATIONS BY COUNTRY OF BIRTH ______________________________________ 42 INTERPRETERS AND PREFERRED LANGUAGE _______________________________________ 42 LIVING WITH OTHERS STATUS ______________________________________________________ 43 NEW REGISTRATIONS AND HOUSING ________________________________________________ 43 REFERRAL SOURCES ________________________________________________________________ 44 EDUCATIONAL BACKGROUND AND NEW REGISTRATIONS ___________________________ 44 HOSPITAL UTILISATION DATA (2013 -2014) __________________________________________ 45 HUME & MORELAND POPULATION STATISTICS SUMMARY __________________ 48 POPULATION HEALTH DATA: HUME and MORELAND LGAs 2015 ______________________ 48 4 NWAMHS Community Mental Health Profile 2016 EXECUTIVE SUMMARY This is the third mental health profile of the population defined by the North West Area Mental Health Service boundary (Cities of Moreland and Hume, with the exception of Sunbury and Bulla). The data presented also includes snapshot data of mental illness in Australia, Victoria and the North West metropolitan Region as a comparison point to local area data. A shortfall of this profile and of the best current and available indicators, are suitable measures of ‘mental wellness’ sufficient to provide a balanced picture of mental health and wellbeing, given mental health, is more than the mere absence of mental illness. Results from the 2011/2012 Victorian Population Health Survey, (adults) found that Hume City (15.9%) and Moreland (14.3) had a higher rate of ‘high or very high levels of psychological distress ‘compared to Victoria (11.1%). Hume ranked as third highest against all other 79 Victorian LGAs and Moreland LGA ranked as sixth highest, representing a slight reduction from 2008. PERCENTAGE BY LGA OF HIGH/VERY HIGH PSYCHOLOGICAL DISTRESS 2011-2012 5 NWAMHS Community Mental Health Profile 2016 CONTEXTUAL INFORMATION PURPOSE This 2015 profile brings together some of the most recent, available and relevant mental health data in a single reference document to better understand the changing issues and needs of the community we serve for informed action-planning. The data presented provides a ‘point-in-time snapshot’ of the whole population and various sub-populations using a range of social and health indicators. Where data is not recent nor available at a Local Government Area (LGA) level or at a North West Area Mental Health Service catchment level, such as with the Burden of Disease data, other data is used to help create a profile of mental health in our community. POLICY CONTEXT Promoting mental health and wellbeing is an international, national and Victorian state government priority articulated through: International level Comprehensive Mental Health Action Plan for 2013-2020 World Health Organisation goals of strengthening action by world governments and promoting mental health. National level Fourth National Action Plan on Mental Health (released 2006 and 2011) and previous five year national mental health plans since 1992. Establishment of the National Mental Health Commission in 2012 to provide guidance and improve standards of reporting and information sharing. Review of public and private services by the National Mental Health Commission. New classification system for mental health services, Independent Hospital Pricing Authority. State level (Victorian) Guidelines for funding mental health services and support through the National Disability Insurance Scheme. Victorian government 10-year mental health policy (released Nov 2015) Victorian public health and wellbeing plan 2015-2019 Melbourne Metropolitan Region, Local Government & NWAMHS level Medicare Local, Primary Health Care Networks , Primary Care Partnerships, Hume & Moreland City Council Health & Wellbeing Plans. North West Area Mental Health Service & Community Partner, Mental Health Promotion & Mental ill- Health Prevention 3-year Action Plans 2009-11 and 2012-14, 2015-17 interim plan. 6 NWAMHS Community Mental Health Profile 2016 SERVICE DESCRIPTION North West Area Mental Health Service (NWAMHS) is situated in the North West Metropolitan Region (NWMR). NWMR is a state government defined boundary comprising 14 LGAs. NWAMHS services two LGAs; Moreland LGA and Hume LGA with the exception of Sunbury and Bulla. The geographic catchment of NWAMHS – Also see link here