- Table VIC1: Indicators of mental health reform in Victoria
- Figure VIC1: Overall spending on mental health
- Figure VIC2: Change in spending mix
- Figure VIC3 : Changes in inpatient services
- Figure VIC4: Changes in ambulatory care
- Figure VIC5: Direct care workforce
- Figure VIC6: Inpatient and residential beds
- Figure VIC7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000
- Figure VIC8: Readmission to hospital within 28 days of discharge
- Figure VIC9: Rates of pre-admission community care
- Figure VIC10: Rates of post-discharge community care
- Figure VIC11: Average treatment days per three month community care project
- Figure VIC12: Percentage of population receiving state or territory community mental health services
- Figure VIC13: Percentage of population receiving MBS-subsidised mental health services
- Figure VIC14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services
- Figure VIC15: Mental health outcomes for people who receive treatment from state or territory services
- FigureVIC16: Proportion of total mental health workforce accounted for by consumer and carer workers
- Figure VIC17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards
- Figure VIC18: Percentage of mental health consumers living in stable housing
Table VIC1: Indicators of mental health reform in Victoria
Table VIC1 is presented as 9 separate tables in this html version. It is a single table in the PDF version.Symbols used in table:
- 'n.a.' signifies that the indicator is not available because relevant national data were not collected.
- '..' indicates that the indicator is not applicable for the year on a comparable basis to other reported years.
- '-' indicates zero.
A. State government expenditure
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
State spending on mental health services ($millions) | 496 | 857 | 974 | 4,188 |
State spending per capita ($) | 111 | 164 | 177 | 189 |
Per capita spending rank (1=highest to 8=lowest) | 1 | 6 | 8 | |
Average annual per capita spending growth since preceding milestone year (%) | 2.7 | 2.7 | 4.1 |
B. Service mix
% total service expenditure | Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 |
---|---|---|---|---|
Community services | 33 | 66 | 66 | 55 |
Stand-alone psychiatric hospitals | 54 | 5 | 5 | 13 |
Colocated general hospitals | 13 | 28 | 29 | 32 |
C. Inpatient services
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Total hospital beds | 1,887 | 1,216 | 1,262 | 6,755 |
Per capita expenditure on inpatient care ($) | 73 | 54 | 57 | 81 |
Inpatient beds per 100,000 | 42 | 23 | 23 | 30 |
Acute inpatient beds per 100,000 | 22 | 20 | 20 | 20 |
Non acute inpatient beds per 100,000 | 20.6 | 3.4 | 2.9 | 9.7 |
Stand-alone psychiatric hospitals as % of total beds | 83 | 13 | 12 | 31 |
Average cost per patient day ($) | 523 | 732 | 784 | 842 |
D. Community services
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Ambulatory care - % total service expenditure | 24 | 40 | 40 | 41 |
Ambulatory care - per capita expenditure ($) | 26 | 64 | 67 | 74 |
NGOs - % total service expenditure | 3.1 | 11.7 | 12.8 | 9.3 |
NGOs - per capita expenditure ($) | 3 | 19 | 22 | 17 |
Residential services - % total service expenditure | 6.8 | 17.4 | 17.7 | 6.0 |
Residential services - per capita expenditure ($) | 7 | 28 | 30 | 11 |
Residential services - adult beds per 100,000 - 24 hour staffed | 1.5 | 13.1 | 13.7 | 6.0 |
Residential services - adult beds per 100,000 - non-24 hour staffed | n.a. | 10.2 | 9.7 | 5.0 |
Residential services - older persons' beds per 100,000 - 24 hour staffed | 49 | 88 | 82 | 23 |
Residential services - older persons' beds per 100,000 - non-24 hour staffed | n.a. | - | - | 0.4 |
Supported public housing places per 100,000 | n.a. | 27 | 23 | 22 |
E. Direct care workforce
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Number full-time equivalent (FTE) staff | 4,111 | 5,405 | 5,868 | 24,292 |
FTE per 100,000 | 92 | 103 | 105 | 108 |
FTE per 100,000 - ambulatory services | 22 | 44 | 45 | 47 |
F. Implementation of national service standards
% service expenditure covered by level 1 services:- Victoria
- 1992-93 - ..
- 2007-08 - 99
- 2010-11 - 96
- Australia 2010-11 - 84
G. Consumer and carer participation
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% services with level 1 consumer committee representation | 19 | 55 | 55 | 55 |
% total mental health workforce accounted for by consumer workers | n.a. | 0.37 | 0.30 | 0.28 |
% total mental health workforce accounted for by carer workers | n.a. | 0.29 | 0.30 | 0.18 |
H. Medicare subsidised mental health services
Victoria 1992-93 | Victoria 2007-08 | Victoria 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% population seen - all MBS funded providers (psychiatrists, GPs, allied health) | n.a. | 5.4 | 7.7 | 6.9 |
% population seen - GPs | n.a. | 3.9 | 6.0 | 5.4 |
% population seen - consultant psychiatrists | 1.6 | 1.5 | 1.5 | 1.3 |
% population seen - clinical psychologists | - | 0.6 | 1.1 | 1.1 |
% population seen - registered psychologists and other allied health professionals | - | 1.8 | 2.7 | 2.1 |
Total MBS mental health related benefits paid per capita ($) | n.a. | 36 | 47 | 38 |
I. PBS-funded pharmaceuticals (including RPBS)
Total PBS/RPBS benefits paid per capita ($):- Victoria
- 1992-93 - 4
- 2007-08 - 39
- 2010-11 - 41
- Australia 2010-11 - 38 Top of page
Figure VIC1: Overall spending on mental health
Text version of figure VIC1
Per capita ($), constant prices 2010-11VIC | National | |
---|---|---|
1992-93 Baseline year | 111 | 97 |
1993-94 | 104 | 95 |
1994-95 | 110 | 99 |
1995-96 | 112 | 101 |
1996-97 | 116 | 108 |
1997-98 End 1st plan | 116 | 112 |
1998-99 | 117 | 115 |
1999-2000 | 121 | 119 |
2000-01 | 128 | 123 |
2001-02 | 132 | 127 |
2002-03 End 2nd plan | 137 | 133 |
2003-04 | 142 | 138 |
2004-05 | 154 | 145 |
2005-06 | 157 | 153 |
2006-07 | 160 | 160 |
2007-08 End 3rd plan | 164 | 168 |
2008-09 | 165 | 172 |
2009-10 | 173 | 181 |
2010-11 Mid 4th plan | 177 | 189 |
Figure VIC2: Change in spending mix
Text version of figure VIC2
Psych hospitals | General hospitals | Ambulatory | Residential | NGO | |
---|---|---|---|---|---|
1992-93 Baseline year | 59 | 14 | 26 | 7 | 3 |
1997-98 End 1st plan | 15 | 27 | 44 | 19 | 12 |
2002-03 End 2nd plan | 8 | 40 | 55 | 24 | 13 |
2007-08 End 3rd plan | 8 | 46 | 64 | 28 | 14 |
2010-11 Mid 4th plan | 8 | 49 | 67 | 30 | 15 |
Figure VIC3 : Changes in inpatient services
Text version of figure VIC3
Expenditure (%) | FTE (%) | Beds (%) | Days (%) | |
---|---|---|---|---|
1992-93 Baseline year | 0 | 0 | 0 | 0 |
1993-94 | -15 | -12 | -9 | -12 |
1994-95 | -17 | -22 | -19 | -18 |
1995-96 | -31 | -37 | -36 | -42 |
1996-97 | -41 | -41 | -41 | -45 |
1997-98 End 1st plan | -41 | -48 | -42 | -46 |
1998-99 | -42 | -46 | -44 | -48 |
1999-2000 | -40 | -40 | -42 | -48 |
2000-01 | -35 | -42 | -42 | -44 |
2001-02 | -31 | -42 | -41 | -45 |
2002-03 End 2nd plan | -28 | -40 | -40 | -43 |
2003-04 | -25 | -39 | -39 | -41 |
2004-05 | -17 | -36 | -37 | -38 |
2005-06 | -21 | -35 | -38 | -39 |
2006-07 | -19 | -33 | -37 | -38 |
2007-08 End 3rd plan | -14 | -31 | -36 | -38 |
2008-09 | -11 | -28 | -35 | -38 |
2009-10 | -8 | -27 | -35 | -38 |
2010-11 Mid 4th plan | -4 | -24 | -33 | -36 |
Figure VIC4: Changes in ambulatory care
Text version of figure VIC4
Expenditure (%) | FTE (%) | |
---|---|---|
1992-93 Baseline year | 0 | 0 |
1993-94 | 22 | 16 |
1994-95 | 43 | 34 |
1995-96 | 68 | 39 |
1996-97 | 85 | 63 |
1997-98 End 1st plan | 78 | 57 |
1998-99 | 82 | 74 |
1999-2000 | 90 | 71 |
2000-01 | 110 | 74 |
2001-02 | 120 | 82 |
2002-03 End 2nd plan | 134 | 90 |
2003-04 | 143 | 109 |
2004-05 | 166 | 113 |
2005-06 | 178 | 124 |
2006-07 | 183 | 130 |
2007-08 End 3rd plan | 194 | 132 |
2008-09 | 201 | 139 |
2009-10 | 211 | 144 |
2010-11 Mid 4th plan | 220 | 156 |
Figure VIC5: Direct care workforce
Text version of figure VIC5
VIC | National | |
---|---|---|
1992-93 Baseline year | 92 | 80 |
1993-94 | 87 | 78 |
1994-95 | 86 | 79 |
1995-96 | 82 | 79 |
1996-97 | 87 | 82 |
1997-98 End 1st plan | 80 | 81 |
1998-99 | 87 | 84 |
1999-2000 | 89 | 85 |
2000-01 | 91 | 86 |
2001-02 | 94 | 90 |
2002-03 End 2nd plan | 96 | 91 |
2003-04 | 98 | 93 |
2004-05 | 100 | 95 |
2005-06 | 103 | 99 |
2006-07 | 103 | 102 |
2007-08 End 3rd plan | 103 | 103 |
2008-09 | 104 | 105 |
2009-10 | 103 | 105 |
2010-11 Mid 4th plan | 105 | 108 |
Figure VIC6: Inpatient and residential beds
Text version of figure VIC6
Beds per 100,000 populationVIC acute | VIC non-acute | VIC residential | National all bed types | |
---|---|---|---|---|
1992-93 Baseline year | 22 | 21 | 7 | 50 |
1997-98 End 1st plan | 20 | 4 | 19 | 41 |
2002-03 End 2nd plan | 19 | 4 | 24 | 41 |
2007-08 End 3rd plan | 20 | 3 | 27 | 41 |
2010-11 Mid 4th plan | 20 | 3 | 26 | 40 |
Figure VIC7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000
Text version of figure VIC7
Acute | Non-acute | |
---|---|---|
1992-93 Baseline year | 22 | 21 |
1993-94 | 21 | 17 |
1994-95 | 21 | 13 |
1995-96 | 21 | 5 |
1996-97 | 20 | 4 |
1997-98 End 1st plan | 20 | 4 |
1998-99 | 19 | 3 |
1999-2000 | 20 | 3 |
2000-01 | 20 | 3 |
2001-02 | 20 | 3 |
2002-03 End 2nd plan | 19 | 4 |
2003-04 | 20 | 4 |
2004-05 | 20 | 4 |
2005-06 | 20 | 3 |
2006-07 | 19 | 3 |
2007-08 End 3rd plan | 20 | 3 |
2008-09 | 20 | 3 |
2009-10 | 20 | 3 |
2010-11 Mid 4th plan | 20 | 3 |
Figure VIC8: Readmission to hospital within 28 days of discharge
Text version of figure VIC8
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
VIC | 14.2 | 14.8 | 14.8 | 14.9 | 14.9 | 15.0 |
National | 15.5 | 15.1 | 15.5 | 14.7 | 14.1 | 14.7 |
Figure VIC9: Rates of pre-admission community care
Text version of figure VIC9
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
VIC | 52 | 52 | 49 | 49 | 48 | 51 |
National | 43 | 45 | 43 | 43 | 45 | 47 |
Figure VIC10: Rates of post-discharge community care
Text version of figure VIC10
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
VIC | 63 | 62 | 63 | 65 | 67 | 72 |
National | 45 | 46 | 47 | 47 | 50 | 54 |
Figure VIC11: Average treatment days per three month community care project
Text version of figure VIC11
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
VIC | 7.8 | 7.7 | 7.7 | 7.6 | 7.6 | 7.7 |
National | 6.0 | 6.1 | 6.5 | 6.1 | 6.3 | 6.4 |
Figure VIC12: Percentage of population receiving state or territory community mental health services
Text version of figure VIC12
2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|
VIC | 1.1 | 1.1 | 1.1 | 1.1 | 1.1 |
National | 1.6 | 1.5 | 1.5 | 1.5 | 1.6 |
Figure VIC13: Percentage of population receiving MBS-subsidised mental health services
Text version of figure VIC13
2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | 2011-12 | |
---|---|---|---|---|---|---|
VIC | 3.6 | 5.4 | 6.4 | 7.0 | 7.7 | 8.1 |
National | 3.1 | 4.8 | 5.7 | 6.2 | 6.9 | 7.1 |
Figure VIC14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services
Text version of figure VIC14
2009-10 | 2010-11 | |
---|---|---|
VIC | 24.3 | 24.3 |
National | 40.4 | 40.1 |
Figure VIC15: Mental health outcomes for people who receive treatment from state or territory services
Text version of figure VIC15
No significant change | Significant deterioration | Significant improvement | |
---|---|---|---|
People discharged from hospital | 23 | 44 | 57 |
People discharged from community care | 4 | 11 | 15 |
People in ongoing community care | 74 | 46 | 27 |
Figure VIC16: Proportion of total mental health workforce accounted for by consumer and carer workers
Text version of figure VIC16
VIC consumer workers | VIC carer workers | National both | |
---|---|---|---|
2002-03 End 2nd plan | 0.43 | 0.08 | 0.35 |
2003-04 | 0.57 | 0.15 | 0.37 |
2004-05 | 0.38 | 0.18 | 0.36 |
2005-06 | 0.37 | 0.22 | 0.37 |
2006-07 | 0.36 | 0.25 | 0.38 |
2007-08 End 3rd plan | 0.37 | 0.29 | 0.41 |
2008-09 | 0.30 | 0.25 | 0.42 |
2009-10 | 0.31 | 0.28 | 0.44 |
2010-11 Mid 4th plan | 0.30 | 0.30 | 0.46 |
Figure VIC17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards, 2010-11
Text version of figure VIC17
VIC | National | |
---|---|---|
Level 1 - meets all standards | 96.0 | 84.0 |
Level 2 - meets some standards | 0.0 | 8.0 |
Level 3 - review booked/ in progress | 2.0 | 4.3 |
Level 4 - does not meet criteria for levels 1-3 | 2.0 | 3.6 |
Figure VIC18: Percentage of mental health consumers living in stable housing
Text version of figure VIC18
2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|
VIC 15-64 years | 78 | 78 | 77 | 78 |
VIC 65+ years | 80 | 81 | 81 | 82 |
National 15-64 years | 77 | 78 | 78 | 78 |
National 65+ years | 79 | 81 | 83 | 82 |