- 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 |
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 |
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 ($) | 12 | 43 | 41 | 11 |
Residential services - adult beds per 100,000 - 24 hour staffed | 7.7 | 20.0 | 19.5 | 6.0 |
Residential services - adult beds per 100,000 - non-24 hour staffed | n.a. | 23.9 | 24.6 | 5.0 |
Residential services - older persons' beds per 100,000 - 24 hour staffed | 85 | 57 | 40 | 23 |
Residential services - older persons' beds per 100,000 - non-24 hour staffed | n.a. | - | - | 0.4 |
Supported public housing places per 100,000 | n.a. | 5 | 5 | 22 |
E. Direct care workforce
Tasmania 1992-93 | Tasmania 2007-08 | Tasmania 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Number full-time equivalent (FTE) staff | 424 | 629 | 675 | 24,292 |
FTE per 100,000 | 90 | 127 | 132 | 108 |
FTE per 100,000 - ambulatory services | 20 | 39 | 42 | 47 |
F. Implementation of national service standards
% service expenditure covered by level 1 services:- Tasmania
- 1992-93 - ..
- 2007-08 - 55
- 2010-11 - 48
- Australia 2010-11 - 84
G. Consumer and carer participation
Tasmania 1992-93 | Tasmania 2007-08 | Tasmania 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% services with level 1 consumer committee representation | - | 43 | 3- | 55 |
% total mental health workforce accounted for by consumer workers | n.a. | 0.005 | 0.07 | 0.28 |
% total mental health workforce accounted for by carer workers | n.a. | - | 0.07 | 0.18 |
H. Medicare subsidised mental health services
Tasmania 1992-93 | Tasmania 2007-08 | Tasmania 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% population seen - all MBS funded providers (psychiatrists, GPs, allied health) | n.a. | 4.1 | 6.1 | 6.9 |
% population seen - GPs | n.a. | 3.1 | 4.7 | 5.4 |
% population seen - consultant psychiatrists | 1.2 | 0.9 | 1.0 | 1.3 |
% population seen - clinical psychologists | - | 0.8 | 1.3 | 1.1 |
% population seen - registered psychologists and other allied health professionals | - | 1.1 | 1.8 | 2.1 |
Total MBS mental health related benefits paid per capita ($) | 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 2010-11Tasmania | 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 |
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 |
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 |
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 |
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 |
Figure TAS6: Inpatient and residential beds
Text version of figure TAS6
Beds per 100,000 populationTas 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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |