National mental health information priorities 2nd edition

5.3 - Relative responsibilities

Page last updated: June 2005

Advancing the priorities described in this document is premised on cooperation between key parties to develop a coherent national approach. Ongoing collaboration between the States and Territories and the Australian Government is fundamental.

The work program includes activities that need to be jointly managed by the States and Territories and the Australian Government, as well as activities managed solely by each party. In summary terms:

  • Collectively, all parties need to work together in setting directions, developing the framework for action and investing the necessary resources required by the work program.

  • States and Territories will carry responsibility for the implementation of agreed concepts and systems within the public mental health services under their control. Additionally, individual jurisdictions will need to take the lead role on one or more national initiatives.

  • The Australian Government's role is to create the enabling environment by establishing the required national infrastructure, contributing funding to projects undertaken on a national basis and facilitating coordination and action where a national approach is required.
The specific roles of the States and Territories and the Australian Government in each of the ten priority areas are summarised in Table 5.

Table 5: Relative responsibilities of Australian and State and Territory governments in each of the priority areas

Table 5 is presented as text in this HTML version for accessibility reasons. It is presented as a table in the PDF version.

Priority area 1: Using outcome measurement to improve mental health care

States & Territories' responsibilities

  • Establish systems for the full introduction of agreed consumer outcome measures.
  • Ongoing workforce development.
  • Implement system enhancements for clinician feedback reporting systems.
  • Develop processes for state-level analysis and reporting of data.
  • National reporting of agreed consumer outcomes data.
  • Contribute to national forums for ongoing development of outcomes focus.
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Australian Government responsibilities

  • Contribute the national perspective on the further development of outcome measurement in mental health including: review and refinement of core outcome measures; consumer and carer perceptions of care; indigenous consumer outcomes; carer outcomes; outcome measures for older persons.
  • Coordinate the national infrastructure to support an outcomes focus in mental health (expert groups, AMHOCN).
  • Manage the national-level analysis and reporting of data.
  • Ongoing development of national specifications for collection and reporting of data.

Priority area 2: Further development of a mental health casemix classification

States & Territories' responsibilities

  • Establishing systems for comprehensive collection and reporting of classification data.
  • Collaborate in the further development of classification system.

Australian Government responsibilities

  • National-level analysis and reporting of casemix data.
  • National coordination of further development of casemix classification for mental health.

Priority area 3: Using information to improve safety in mental health care

States & Territories' responsibilities

  • Full implementation of National Standards for Mental Health Services.
  • Implementation of local incident monitoring systems.
  • Review state-level data sources for potential to contribute to national approach to safety in mental health care.

Australian Government responsibilities

  • Contribute the national perspective on development of safety indicators for mental health.
  • Stimulate strategic research to improve safety in mental health care.
  • Coordinate linkages with relevant national organisations.

Priority area 4: Establishing performance indicators and benchmarking in mental health services

States & Territories' responsibilities

  • Implement national key performance indicator framework and indicators.
  • Development of state reporting and monitoring arrangements.
  • Collaborate in development of national benchmarking forums and development on the national performance framework for mental health.

Australian Government responsibilities

  • Development of arrangements for national-level reporting of performance indicators.
  • Establish funding arrangements for national benchmarking forums.
  • Contribute the national perspective on further development of the national performance framework for mental health.
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Priority area 5: Strengthening workforce uptake and capacity to use information

States & Territories' responsibilities

  • Promote approaches to use of data to support delivery and management of services.
  • Ensure availability of reporting systems at service delivery level.
  • Introduce new training programs to build clinical leadership in use of data.

Australian Government responsibilities

  • Development of a national communication strategy, through AMHOCN, to promote industry awareness of information development objectives.
  • Establish arrangements for the development of national accreditation approaches for trainers in the collection and use of mental health information.

Priority area 6: Improving national minimum data sets for mental health care

States & Territories' responsibilities

  • Continue the collection and reporting of all national minimum data sets.
  • Establish new state-level collection arrangements to replace functions of National Survey of Mental Health Services.
  • Ongoing development of systems for the incorporation of NOCC datasets within State and Territory-level mainstream collections.

Australian Government responsibilities

  • Collaborate with States and Territories in ongoing development of minimum data sets.
  • Establish a negotiated framework for incorporation of NOCC data within national minimum data sets.
  • Contribute the national perspective on the further development of national data relating to community mental health care.
  • Establish a process to develop nationally agreed mental health intervention codes.
  • Review national health and welfare collections to improve relevance to mental health requirements.

Priority area 7: Information to support mental health care provided external to the specialist sector

States & Territories' responsibilities

  • Contribute to the development of emergency department national data collections.
  • Promote linkage between specialist mental health services and general practitioners.

Australian Government responsibilities

  • Lead the further development of an outcomes focus in primary mental health care.
  • Explore options for incorporating outcomes information within general practice clinical information systems.
  • Establish linkage to relevant national projects to improve information on emergency department mental health care.

Priority area 8: Monitoring population mental health and wellbeing

States & Territories' responsibilities

  • Incorporate nationally agreed measures of mental health status in State and Territory level population surveys.
  • Contribute to development of a nationally consistent, strategic approach to population surveillance.
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Australian Government responsibilities

  • Lead the development of a nationally strategic approach to population surveillance.
  • Lead negotiations on the implementation of future national surveys of mental health and wellbeing.

Priority area 9: Information to support mental health prevention and promotion

States & Territories' responsibilities

  • Collaborate in the development and implementation of a 'promotion and prevention' scorecard to monitor State and Territory programs.

Australian Government responsibilities

  • Contribute to the development of a national 'promotion and prevention' scorecard monitoring system.
  • Coordinate national research efforts including data linkage studies to establish a process for monitoring the impact of promotion and prevention programs.

Priority area 10: Monitoring and reporting of progress under the National Mental Health Strategy

States & Territories' responsibilities

  • Develop alternative State and Territory-level collections to replace the functions of the National Survey of Mental Health Services.
  • Report agreed data nationally for publication on progress of National Mental Health Strategy.

Australian Government responsibilities

  • Coordinate the regular publication of mental health data that inform judgements about the progress of the National Mental Health Strategy.
  • Coordinate an independent evaluation of the National Mental Health Plan 2003-2008.