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The Integrated Atlas of Mental Health of the Perth North Primary Health Network Region

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The Integrated Atlas of Mental Health of the Perth North Primary Health Network Region THE INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION This page is intentionally left blank 1 INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION AUTHORS: Australian National University Professor Luis Salvador-Carulla Ms MaryAnne Furst Ms Julia Reynolds Dr. Nasser Bagheri Universidad Loyola Andalucia (Spain) Dr Jose Alberto Salinas-Perez ConNetica Consulting Adjunct Professor John Mendoza Ms Janet Hopkins Associate Professor Lisa Wood Dr. Tanya Bell Dr. Larisa McLoughlin (nee Karklins) Dr. Alex Stretton Western Australia Primary Health Alliance (WAPHA) Dr. Daniel Rock Ms. Christinia Tsou ISBN 978-1-921126-04-8 ACKNOWLEDGEMENTS: We would like to acknowledge the support of WAPHA, including Leigh Newman, and the assistance of Ms Kirsty Snelgrove from WA Health. We are also grateful to the members of the Project Reference Group, and to all the service providers who participated in this study. SUGGESTED CITATION: Furst M, Reynolds J, Salinas JA, Tsou C, Rock D, Hopkins J, Bell T, Woods L, McLoughlin L, Stretton A,Mendoza J, Bagheri N, Salvador-Carulla L. The Integrated Atlas of Mental Health of the Perth North Primary Health Network Region. Australian National University and Western Australia Primary Health Alliance (WAPHA) (2018) Cover image of Sorrento and Hillarys Boat Harbour: Rhyshuw1 at English Wikipedia (https://commons.wikimedia.org/wiki/File:Sorrento_and_Hillarys_1.jpg), „Sorrento and Hillarys 1“, https://creativecommons.org/licenses/by-sa/3.0/legalcode 2 INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION Table Of Contents Executive Summary ......................................................................................................... 10 Summary of Findings ..........................................................................................................11 1. Framework ................................................................................................................ 13 1.1 What are Integrated Atlases? ................................................................................... 13 The importance of context ...................................................................................................15 1.2 Methodology ............................................................................................................ 15 1.3 Basic Stable Inputs of Care ...................................................................................... 16 Classification of BSIC ..........................................................................................................16 Inclusion Criteria .................................................................................................................24 1.4 Atlas Development Process ...................................................................................... 25 2. Population Health and Socio-Demographic Indicators ................................... 31 2.1 Demographic Factors ............................................................................................... 31 2.2 Social Determinants ................................................................................................. 31 2.3 Health and Mortality ................................................................................................. 32 3. Perth North PHN ...................................................................................................... 34 3.1 Social Determinants of Health .................................................................................. 39 3.2 Health and Mortality ................................................................................................. 48 4. Mental Health Data - PNPHN ................................................................................. 53 4.1 Mental Health Nurse Incentive Program (MHNIP) ...................................................... 53 4.2 Medical Benefits or Medicare Funded Services ......................................................... 53 4.3 Access to Allied Psychological Services (ATAPS) ..................................................... 56 5. Mental Health Services - PNPHN ......................................................................... 57 5.1 Introduction.............................................................................................................. 57 5.2 Residential Care - Mental Health .............................................................................. 62 Acute Residential Services (R0, R1, R2 and R3 DESDE Codes) ........................................62 Non-Acute Residential Services (R4, R5, R6, R7 DESDE Codes) ......................................65 Other Residential Services (R8, R9, R10, R11, R12 and R13 DESDE Codes) ....................66 5.3 Day Care - Mental Health ......................................................................................... 69 5.4 Outpatient Care - Mental Health ............................................................................... 70 Acute Mobile Outpatient Care (O1 and O2 DESDE Codes) ................................................70 Acute Non-Mobile Outpatient Care (O3 and O4 DESDE Codes) .........................................72 Non-Acute Mobile Outpatient Care (O5, O6 and O7 DESDE Codes) ..................................73 Non-Acute Non-Mobile Outpatient Care (O8, O9 and O10 DESDE Codes) ........................82 Other Non-Acute Outpatient Care .......................................................................................90 5.5 Information and Guidance Services .......................................................................... 91 5.6 Accessibility Services ............................................................................................... 92 5.7 Self-Help and Voluntary Services ............................................................................. 93 5.8 Forensic/ Justice Services ........................................................................................ 94 6. Patterns of Mental Health Care – PNPHN ........................................................... 96 6.1 National Comparatives ............................................................................................. 98 6.2 International Comparatives ..................................................................................... 101 Finland and Norway ..........................................................................................................102 Spain and Italy ..................................................................................................................104 England .............................................................................................................................105 6.3 Placement Capacity - National Comparisons ........................................................... 107 3 INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION 6.4 Placement Capacity – International Comparisons .................................................... 108 6.5 Workforce Capacity – PNPHN ................................................................................ 109 7. Discussion .............................................................................................................. 110 7.1 Residential Care .................................................................................................... 112 7.2 Day Care ............................................................................................................... 112 7.3 Outpatient Care ..................................................................................................... 112 7.4 Accessibility ........................................................................................................... 112 8. Study Limitations .................................................................................................. 113 9. Future Steps ........................................................................................................... 115 10. Conclusion ............................................................................................................. 116 4 INTEGRATED ATLAS OF MENTAL HEALTH OF THE PERTH NORTH PRIMARY HEALTH NETWORK REGION Table Of Figures Figure 1 Main Type Of Care-Core Values ............................................................................................. 18 Figure 2 Residential Care Coding Branch ............................................................................................. 19 Figure 3 Day Care Coding Branch ........................................................................................................ 20 Figure 4 Outpatient Care Coding Branch ............................................................................................. 21 Figure 5 Accessibility To Care Coding Branch ...................................................................................... 22 Figure 6 Information For Care Coding Branch ...................................................................................... 23 Figure 7 Self- Help And Volunteer Coding Branch ................................................................................ 24 Figure 8 Integrated Mental Health Atlas Development Process ........................................................... 25 Figure 9 Code Components Example ..................................................................................................
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