Dementia care in hospitals: costs and strategies
This report estimates the cost of caring for people with dementia in New South Wales hospitals, and presents strategies and practices being implemented in Australia and internationally that might improve outcomes for people with dementia and reduce care costs. The average cost of hospital care for people with dementia was generally higher than for people without dementia ($7,720 compared with $5,010 per episode). The total cost of hospital care for these patients was estimated to be $462.9 million, of which around $162.5 million may be associated with dementia.
Development of a prototype Australian mental health intervention classification: a working paper
The prototype Mental Health Intervention Classification (MHIC) has been developed so that information on mental health interventions can be collected using a standard classification scheme. Adoption of the prototype will enable nationally comparable and consistent reporting of trends, patterns and best practice in the provision of mental health services.
People with dementia in hospitals in New South Wales 2006-07
This report examines the experiences of the 252,700 people aged 50 and over who stayed for at least one night in a New South Wales public hospital in 2006-07. Slightly more than 8% of patients (20,800 people) were identified as having dementia. Even allowing for age and sex differences, people with dementia had much higher hospitalisation rates than those without dementia: 26% compared with 12%. They also tended to stay longer in hospital and were more likely to enter or return to residential care on discharge from hospital, or to die in hospital.
Dementia in Australia
In 2011, there were an estimated 298,000 people with dementia. This number is expected to increase markedly over time, with projections suggesting it will reach around 400,000 by 2020 and 900,000 by 2050. Dementia is a leading cause of death, accounting for 6% of all deaths in 2010. Total direct health and aged care services expenditure on people with dementia was at least $4.9 billion in 2009-10.
The mental health of prison entrants in Australia: 2010
This bulletin reports on the mental health of prison entrants, based on data from the 2010 National Prisoner Health Census. In 2010:- Nearly one third of prison entrants reported that they had mental health issues (a rate 2.5 times higher than the general population)- 16% of prison entrants took medication for mental health issues- 3 in 4 prison entrants who were taking mental health medication also used illicit drugs during the previous 12 months
Perinatal depression: data from the 2010 Australian National Infant Feeding Survey
Data from the 2010 Australian National Infant Feeding Survey showed that 1 in 5 (20%) mothers of children aged 24 months or less had been diagnosed with depression. More than half of these mothers reported being diagnosed with depression during the perinatal period. Perinatal depression was more commonly reported among mothers who were younger (aged under 25), smokers, overweight/obese and from lower income households.
Comorbidity of mental disorders and physical conditions 2007
This report investigates the prevalence of mental illness in association with common chronic diseases and shows that in 2007: 12% of Australians aged 16-85 had a mental disorder and a physical condition at the same time; the most common comorbidity was anxiety disorder combined with a physical condition, affecting around 1.4 million (9%) Australian adults; people living in the most disadvantaged areas of Australia were 65% more likely to have comorbidity than those living in the least disadvantaged areas.
The Hospital Dementia Services Project: a study description
The Hospital Dementia Services Project is an innovative mixed-methods study funded by the National Health and Medical Research Council to investigate how health and aged care system factors influence care outcomes for hospital patients with dementia. People with dementia have comparatively high rates of hospitalisation and longer hospital stays which has an impact on their physical and mental wellbeing. The project focuses on patients aged 50 or over who had an overnight stay in a public hospital in New South Wales during 2006-07. This publication describes the project's objectives and design features.
Mental health services in Australia
Mental health services in Australia is an online resource that provides a detailed picture of the characteristics and activities of Australia’s mental health services. Producing this report online enables the data to be published progressively as it becomes available.
Mental health services - in brief 2011
Mental health services - in brief 2011 provides an overview on the characteristics and activity of Australia's mental health services, the availability of mental health resources, and the changes that have occurred in these over time. It is designed to accompany the more comprehensive data on Australia's mental health services available online at http://mhsa.aihw.gov.au.
Diabetes and poor mental health and wellbeing: an exploratory analysis
Diabetes and poor mental health and wellbeing are both common health conditions in Australia and contribute substantially to the overall burden of disease. A large proportion of people with diabetes are also living with poor mental health and wellbeing, with 41.6% of adult Australians with diabetes also reporting medium, high or very high levels of psychological distress. Australians with diabetes are significantly more likely than other Australians to have poor mental health and wellbeing.
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Dementia among aged care residents: first information from the Aged Care Funding Instrument
The Aged Care Funding Instrument (ACFI) is a new tool to appraise the care needs of permanent residents in residential aged care facilities. The ACFI appraisal was used to identify more than 104,400 permanent residents in 2008-09 who had a diagnosis of dementia. This equates to 53% of all residents with an ACFI appraisal in this financial year. Seventy per cent of residents with a dementia diagnosis were female reflecting their overall proportion in residential care. Approximately 79% of all residents with dementia were aged 70 years and over.
When musculoskeletal conditions and mental disorders occur together
The disability and chronic pain due to many musculoskeletal conditions may underlie the development or exacerbation of a variety of mental disorders. The report maps the extent of their relationship in the Australian population.
Mental health services in Australia 2007-08
Mental Health Services in Australia 2007-08 is the twelfth in the series of annual reports providing a detailed picture of the national response to the mental health care needs of Australians. Details from a wide range of data sources for the 2007-08 period, and where available 2008-09, are presented, as are changes over time. Expenditure on state and territory mental health services has been increasing on average by 6% per year (adjusted for inflation) since 2003-04, states and territories spent $3,323 million on these services in 2007-08. There were 4.6 million Medicare claims for subsidised psychiatrist, psychologist and other allied health professional services in 2008-09, an increase of 17.4% from the previous year.
Dementia and the take-up of residential respite care: an analysis using the PIAC cohort
In the current policy and service environment, respite care is a key service designed to provide support for carers and those they care for. Linked aged care program data for the Pathways in Aged Care (PIAC) cohort study allows analysis of the take-up of residential respite care by looking at 32,000 cohort members who had an approval of such care. This report presents detailed analysis of take-up rates and factors that affect the take-up of residential care. In particular the report investigates whether dementia, carer availability and English speaking background affect the take-up of residential care.
Dementia and the take-up of residential respite care
In the current policy and service environment respite care is a key service designed to provide support for carers and those they care for. Linked aged care program data for the Pathways in Aged Care (PIAC) cohort study allows analysis of the take-up of residential respite care by looking at 32,000 cohort members who had an approval of such care. This bulletin presents take-up rates and factors that affect the take-up of residential respite care. In particular, the bulletin investigates whether dementia, carer availability and English speaking background affect the take-up of residential respite care.
Aged care packages in the community 2007-08: a statistical overview
Aged care packages in the community 2007-08: a statistical overview provides information on the provision of three types of Australian Government funded aged care packages: Community Aged Care Packages, Extended Aged Care at Home packages, and Extended Aged Care at Home Dementia packages. These packages assist people who are eligible for residential aged care to remain in the community in their own homes. This report provides information on the availability of packages in Australia, the characteristics of outlets providing these packages, the care recipients at 30 June 2008 and the people who started or ceased receiving help during the year. At 30 June 2008 over 42,000 people were receiving help from an aged care package, and nearly 62,000 people had received help at some time during 2007-08.
Transitions in care of people with dementia: a systematic review of the literature
This systematic review assesses the evidence on the pathways people with dementia take into and through the health and aged care system, and the implications of these transitions for the quality of life of people with dementia and their families and carers. The review focuses on four distinct areas: predictors of care transition, description of care pathways, intervention to modify care pathways, and pathways taken by special population groups such as Aboriginal and Torres Strait Islander peoples.
Aged care packages in the community 2006-07: a statistical overview
Aged care packages in the community 2006-07: a statistical overview presents key statistics on the provision Australian Government funded aged care packages and the characteristics of care recipients. This publication covers packages provided through the Community Aged Care Packages (CACP) program, the Extended Aged Care at Home (EACH) program, and the Extended Aged Care at Home Dementia (EACH Dementia) program. These packages provide care to people in their own homes. CACPs provide care for people eligible for at least low-level residential aged care, while EACH and EACH Dementia packages provide a higher level of care to people eligible for high-level residential aged care. The report provides detailed statistics on the sociodemographic characteristics of care recipients and the patterns of the recipients' admissions and separations.The data presented in this report are a useful resource for those involved in policy development, policy review and the planning of aged care services, with a specific interest in the provision of these packages.
General practice activity in Australia 2006-07
This publication is the 21st in the General Practice Series produced by the Australian General Practice Statistics and Classification Centre, a Collaborating Unit of the Australian Institute of Health and Welfare and the University of Sydney. It reports the results of the ninth year of the BEACH program, April 2006 to March 2007. Data reported by 930 general practitioners on 93,000 GP-patient encounters are used to describe aspects of general practice in Australia: the general practitioners and their patients; the problems managed and the treatments provided. Changes that have occurred over the last nine years of the BEACH study, from 1998-99 to 2006-07 are investigated. In addition, changes in the management of type 2 diabetes and depression from 1998-99 to 2006-07 are considered in light of changes in policy The contribution of practice nurses to the GP-patient encounters in terms of their clinical activities, the problems they assist with and the Medicare items claimed are described in this report. Information on body weight to height ratio, smoking status and alcohol use for a subsample of patients is provided. Abstracts and research tools used in other BEACH substudies from 2006-07 are also included.
Aged care packages in the community 2005-06: a statistical overview
Aged care packages in the community 2005-06: A statistical overview presents key statistics on the levels of service provision of the Australian Government funded aged care packages. The programs providing these packages are the Community Aged Care Packages (CACP) Program, the Extended Aged Care at Home (EACH) Program and the Extended Aged Care at Home Dementia (EACH Dementia) Program. Previously published annually under the title Community Aged Care Packages in Australia, the new title reflects the expansion of the publication to include information on recipients of all three of these types of community age care packages. Detailed statistics on the socio-demographic characteristics of care recipients and the patterns of the recipients admissions and separations are provided. In addition, for the first time this report includes information on carers of EACH and EACH Dementia care recipients. The data presented in this report are a useful resource for those involved in policy development, policy review and the planning of aged care services, with a specific interest in these packages.
The burden of disease and injury in Australia 2003
'The burden of disease and injury in Australia 2003' provides a comprehensive assessment of the health status of Australians. The report measures mortality, disability, impairment, illness and injury arising from 176 diseases, injuries and risk factors using a common metric, the disability-adjusted life year or DALY, and methods developed by the Global Burden of Disease Study. Burden of disease analysis gives a unique perspective on health. Fatal and non-fatal outcomes are integrated, but can be examined separately as well. This report provides detailed estimates of the burden of mortality and disability for each disease and injury category by sex and age. It also assesses the burden attributable to each of 14 major risk factors, and inequalities in the disease burden associated with socioeconomic disadvantage.
Homeless SAAP clients with mental health and substance use problems 2004-05
Mental health and substance use problems are experienced by many Australians and research has indicated these problems are far more prevalent in the homeless population. This bulletin, the sixth thematic report from the Supported Accommodation Assistance Program (SAAP) National Data Collection (NDC), shows that a number of SAAP clients have mental health and/or substance use problems and provides an overview of the assistance given to these clients by the Program. SAAP is a major part of Australia's overall response to homelessness and represents a broader social safety net designed to help people in crisis in the community.
Dementia in Australia: national data analysis and development
Drawing together a wide range of data sources, the 'Dementia in Australia: national data analysis and development' report presents a profile of the Australian population with dementia, as well as discussing the characteristics and experiences of those caring for them. The report investigates current and projected prevalence and incidence of dementia, use of health and care services by those with dementia, and presents a new methodology for calculating expenditure on services associated with dementia. The evidence base about dementia in Australia is weakened by the variable quality and consistency of available data. The report also describes the sorts of data items recommended to improve the collection of dementia data.
National evaluation of the Aged Care Innovative Pool Dementia Pilot: final report
The evaluation report describes the range of new care choices for older Australians with dementia and their carers that emerged from the Innovative Pool Dementia Pilot and presents evidence that these new service offerings have helped clients to remain at home for as long as possible.