4.7 Tasmania

• Table TAS1: Indicators of mental health reform in Tasmania
• Figure TAS1: Overall spending on mental health
• Figure TAS2: Change in spending mix
• Figure TAS3 : Changes in inpatient services
• Figure TAS4: Changes in ambulatory care
• Figure TAS5: Direct care workforce
• Figure TAS6: Inpatient and residential beds
• Figure TAS7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000
• Figure TAS8: Readmission to hospital within 28 days of discharge
• Figure TAS9: Rates of pre-admission community care
• Figure TAS10: Rates of post-discharge community care
• Figure TAS11: Average treatment days per three month community care project
• Figure TAS12: Percentage of population receiving state or territory community mental health services
• Figure TAS13: Percentage of population receiving MBS-subsidised mental health services
• Figure TAS14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services
• Figure TAS15: Mental health outcomes for people who receive treatment from state or territory services
• Figure TAS16: Proportion of total mental health workforce accounted for by consumer and carer workers
• Figure TAS17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards
• Figure TAS18: Percentage of mental health consumers living in stable housing

Table TAS1: Indicators of mental health reform in Tasmania

Table TAS1 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

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
State spending on mental health services ($millions)	47	98	116	4,188
State spending per capita ($)	99	198	227	189
Per capita spending rank (1=highest to 8=lowest)	3	2	1
Average annual per capita spending growth since preceding milestone year (%)		4.9	4.8	4.1

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B. Service mix

% total service expenditure	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
Community services	34	62	59	55
Stand-alone psychiatric hospitals	47	-	-	13
Colocated general hospitals	19	38	41	32

C. Inpatient services

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
Total hospital beds	245	1128	127	6,755
Per capita expenditure on inpatient care ($)	65	74	87	81
Inpatient beds per 100,000	52	26	25	30
Acute inpatient beds per 100,000	21	20	20	20
Non acute inpatient beds per 100,000	30.6	5.5	5.3	9.7
Stand-alone psychiatric hospitals as % of total beds	67	-	-	31
Average cost per patient day ($)	372	968	1,140	842

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D. Community services

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
Ambulatory care - % total service expenditure	18	34	33	41
Ambulatory care - per capita expenditure ($)	18	65	71	74
NGOs - % total service expenditure	3.2	11.3	13.5	9.3
NGOs - per capita expenditure ($)	3	22	29	17
Residential services - % total service expenditure	12.1	22.4	19.2	6.0
Residential services - per capita expenditure ($)	12	43	41	11
Residential services - adult beds per 100,000 - 24 hour staffed	7.7	20.0	19.5	6.0
Residential services - adult beds per 100,000 - non-24 hour staffed	n.a.	23.9	24.6	5.0
Residential services - older persons' beds per 100,000 - 24 hour staffed	85	57	40	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.	5	5	22

E. Direct care workforce

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
Number full-time equivalent (FTE) staff	424	629	675	24,292
FTE per 100,000	90	127	132	108
FTE per 100,000 - ambulatory services	20	39	42	47

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F. Implementation of national service standards

% service expenditure covered by level 1 services:

• Tasmania
  • 1992-93 - ..
  • 2007-08 - 55
  • 2010-11 - 48
• Australia 2010-11 - 84

G. Consumer and carer participation

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
% services with level 1 consumer committee representation	-	43	3-	55
% total mental health workforce accounted for by consumer workers	n.a.	0.005	0.07	0.28
% total mental health workforce accounted for by carer workers	n.a.	-	0.07	0.18

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H. Medicare subsidised mental health services

	Tasmania 1992-93	Tasmania 2007-08	Tasmania 2010-11	Australia 2010-11
% population seen - all MBS funded providers (psychiatrists, GPs, allied health)	n.a.	4.1	6.1	6.9
% population seen - GPs	n.a.	3.1	4.7	5.4
% population seen - consultant psychiatrists	1.2	0.9	1.0	1.3
% population seen - clinical psychologists	-	0.8	1.3	1.1
% population seen - registered psychologists and other allied health professionals	-	1.1	1.8	2.1
Total MBS mental health related benefits paid per capita ($)	n.a.	24	32	38

I. PBS-funded pharmaceuticals (including RPBS)

Total PBS/RPBS benefits paid per capita ($):

• Tasmania
  • 1992-93 - 4
  • 2007-08 - 38
  • 2010-11 - 44
• Australia 2010-11 - 38 Top of page

Figure TAS1: Overall spending on mental health

Text version of figure TAS1

Per capita ($), constant prices 2010-11

	Tasmania	National
1992-93 Baseline year	99	97
1993-94	104	95
1994-95	106	99
1995-96	115	101
1996-97	116	108
1997-98 End 1st plan	115	112
1998-99	118	115
1999-2000	114	119
2000-01	120	123
2001-02	129	127
2002-03 End 2nd plan	125	133
2003-04	125	138
2004-05	138	145
2005-06	165	153
2006-07	187	160
2007-08 End 3rd plan	198	168
2008-09	200	172
2009-10	219	181
2010-11 Mid 4th plan	227	189

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Figure TAS2: Change in spending mix

Text version of figure TAS2

	Psych hospitals	General hospitals	Ambulatory	Residential	NGO
1992-93 Baseline year	46	19	18	12	3
1997-98 End 1st plan	37	27	34	15	4
2002-03 End 2nd plan	0	50	40	30	5
2007-08 End 3rd plan	0	74	65	43	10
2010-11 Mid 4th plan	0	87	71	41	15

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Figure TAS3 : Changes in inpatient services

Text version of figure TAS3

	Expenditure (%)	FTE (%)	Beds (%)	Days (%)
1992-93 Baseline year	0	0	0	0
1993-94	0	-1	2	-10
1994-95	-4	-2	-2	-9
1995-96	-2	7	-4	-10
1996-97	-1	1	-18	-24
1997-98 End 1st plan	-1	-3	-18	-37
1998-99	1	-12	-28	-34
1999-2000	-6	-20	-29	-40
2000-01	-9	-10	-44	-42
2001-02	-21	-1	-40	-64
2002-03 End 2nd plan	-23	-15	-37	-45
2003-04	-23	0	-43	-46
2004-05	-23	-11	-47	-47
2005-06	-15	-7	-49	-52
2006-07	8	13	-49	-54
2007-08 End 3rd plan	20	10	-48	-54
2008-09	23	11	-47	-51
2009-10	42	14	-48	-54
2010-11 Mid 4th plan	46	16	-48	-53

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Figure TAS4: Changes in ambulatory care

Text version of figure TAS4

	Expenditure (%)	FTE (%)
1992-93 Baseline year	0	0
1993-94	26	1
1994-95	50	14
1995-96	86	23
1996-97	92	10
1997-98 End 1st plan	90	15
1998-99	92	10
1999-2000	84	12
2000-01	91	28
2001-02	138	57
2002-03 End 2nd plan	126	57
2003-04	139	73
2004-05	175	71
2005-06	257	108
2006-07	275	106
2007-08 End 3rd plan	281	101
2008-09	304	114
2009-10	314	123
2010-11 Mid 4th plan	327	125

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Figure TAS5: Direct care workforce

Text version of figure TAS5

	Tasmania	National
1992-93 Baseline year	90	80
921993-94	88	78
1994-95	92	79
1995-96	96	79
1996-97	92	82
1997-98 End 1st plan	88	81
1998-99	87	84
1999-2000	82	85
2000-01	92	86
2001-02	104	90
2002-03 End 2nd plan	97	91
2003-04	105	93
2004-05	102	95
2005-06	124	99
2006-07	131	102
2007-08 End 3rd plan	127	103
2008-09	128	105
2009-10	133	105
2010-11 Mid 4th plan	132	108

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Figure TAS6: Inpatient and residential beds

Text version of figure TAS6

Beds per 100,000 population

	Tas acute	Tas non-acute	Tas residential	National all bed types
1992-93 Baseline year	21	31	15	50
1997-98 End 1st plan	21	22	13	41
2002-03 End 2nd plan	23	9	20	41
2007-08 End 3rd plan	20	5	36	41
2010-11 Mid 4th plan	20	5	33	40

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Figure TAS7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000

Text version of figure TAS7

	Acute	Non-acute
1992-93 Baseline year	21	31
1993-94	22	31
1994-95	23	28
1995-96	22	28
1996-97	21	22
1997-98 End 1st plan	21	22
1998-99	25	13
1999-2000	24	13
2000-01	20	10
2001-02	21	10
2002-03 End 2nd plan	23	9
2003-04	23	6
2004-05	22	4
2005-06	20	6
2006-07	20	5
2007-08 End 3rd plan	20	5
2008-09	21	5
2009-10	20	5
2010-11 Mid 4th plan	20	5

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Figure TAS8: Readmission to hospital within 28 days of discharge

Text version of figure TAS8

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11
Tasmania	12.8	13.6	16.7	14.2	15.7	15.1
National	15.5	15.1	15.5	14.7	14.1	14.7

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Figure TAS9: Rates of pre-admission community care

Text version of figure TAS9

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11
Tasmania	-	-	14	14	21	30
National	43	45	43	43	45	47

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Figure TAS10: Rates of post-discharge community care

Text version of figure TAS10

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11
Tasmania	-	-	20	22	29	44
National	45	46	47	47	50	54

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Figure TAS11: Average treatment days per three month community care project

Text version of figure TAS11

	2005-06	2006-07	2007-08	2008-09	2009-10	2010-11
Tasmania	4.7	4.1	5.9	6.0	5.2	5.5
National	6.0	6.1	6.5	6.1	6.3	6.4

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Figure TAS12: Percentage of population receiving state or territory community mental health services

Text version of figure TAS12

	2006-07	2007-08	2008-09	2009-10	2010-11
Tasmania	1.7	1.9	1.9	1.9	2.0
National	1.6	1.5	1.5	1.5	1.6

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Figure TAS13: Percentage of population receiving MBS-subsidised mental health services

Text version of figure TAS13

	2006-07	2007-08	2008-09	2009-10	2010-11	2011-12
Tasmania	2.6	4.1	4.8	5.4	6.1	6.2
National	3.1	4.8	5.7	6.2	6.9	7.1

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Figure TAS14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services

Text version of figure TAS14

	2009-10	2010-11
Tasmania	46.0	44.7
National	40.4	40.1

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Figure TAS15: Mental health outcomes for people who receive treatment from state or territory services

Text version of figure TAS15

	No significant change	Significant deterioration	Significant improvement
People discharged from hospital	20	4	76
People discharged from community care	44	3	53
People in ongoing community care	57	17	26

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Figure TAS16: Proportion of total mental health workforce accounted for by consumer and carer workers

Text version of figure TAS16

	Tas consumer workers	Tas carer workers	National both
2002-03 End 2nd plan	0.00	0.00	0.35
2003-04	0.00	0.00	0.37
2004-05	0.00	0.00	0.36
2005-06	0.00	0.00	0.37
2006-07	0.00	0.00	0.38
2007-08 End 3rd plan	0.00	0.00	0.41
2008-09	0.08	0.08	0.42
2009-10	0.07	0.07	0.44
2010-11 Mid 4th plan	0.07	0.07	0.46

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Figure TAS17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards, 2010-11

Text version of figure TAS17

	Tasmania	National
Level 1 - meets all standards	48.0	84.0
Level 2 - meets some standards	52.0	8.0
Level 3 - review booked/ in progress	0.0	4.3
Level 4 - does not meet criteria for levels 1-3	0.0	3.6

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Figure TAS18: Percentage of mental health consumers living in stable housing

Text version of figure TAS18

	2007-08	2008-09	2009-10	2010-11
Tasmania 15-64 years	70	76	76	74
Tasmania 65+ years	67	66	72	70
National 15-64 years	77	78	78	78
National 65+ years	79	81	83	82

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