Key concepts

Same day admitted mental health care

Key concept Description
Diagnostic group The classification of diagnostic groups is based on the ICD-10 principal diagnosis assigned to the episode of care at discharge. There are 8 clinical groupings of the ICD-10 diagnoses relating to mental and behavioural disorders. Further details of these diagnostic groups, can be found in the data source section.
Episode An episode of care in Private hospitals involves a period of care from admission to separation. Counts of episodes include only clinically substantive episodes of care. Episodes that are of brief duration (1 or 2 contacts only) and episodes during which contacts were sparse (average interval between contacts 6 weeks or greater) are excluded from the count. Consequently, the count of episodes can in some cases be less than the count of unique patients.
Mental health-related

A separation is classified as mental health-related if: 

  • it had a mental health-related principal diagnosis which, for admitted patient care, is defined as a principal diagnosis that is either a diagnosis that falls within the section on Mental and behavioural disorders (Chapter 5) in the International Statistical Classification of Diseases and Related Health Problems, 10th revision, Australian Modification (ICD-10-AM) classification (codes F00–F99) or a number of other selected diagnoses (Classification codes section has the full list of applicable diagnoses), or 
  • it included any specialised psychiatric care.
Principal diagnosis The principal diagnosis is the diagnosis established after study to be chiefly responsible for occasioning the patient’s episode of admitted patient care.
Procedure Procedure refers to a clinical intervention that is surgical in nature, carries an anesthetic risk, requires specialised training and/or requires special facilities or services available only in an acute care setting. Procedures therefore encompass surgical procedures and non-surgical investigative and therapeutic procedures, such as X-rays. Patient support interventions that are neither investigative nor therapeutic (such as anaesthesia) are also included.
Same day admitted mental health care

The definition of same day admitted mental health care is slightly different between the two data sources.

A separation for Public hospitals is classified as same day admitted mental health care if the following apply:

  • the separation was a same day separation (that is, admission and separation occurred on the same day),

An admission for Private hospitals is classified as same day admitted mental health care based on data reported as ‘Same day episode’ including:

  • Hospital-based same day admissions,
  • Single overnight for same day admissions for ECT,
  • Hospital-in-the-home or outreach care visits to patient’s homes recorded as same day admissions.
Separation Separation is the term used to refer to the episode of admitted patient care, which can be a total hospital stay (from admission to discharge, transfer or death) or a portion of a hospital stay beginning or ending in a change of type of care (for example, from acute care to rehabilitation). 'Separation' also means the process by which an admitted patient completes an episode of care by being discharged, dying, transferring to another hospital or changing type of care. Each record includes information on patient length of stay. A same-day separation occurs when a patient is admitted and separated from the hospital on the same date. An overnight separation occurs when a patient is admitted to and separated from the hospital on different dates.
Specialised psychiatric care A separation is classified as having specialised psychiatric care if the patient was reported as having spent 1 or more days in a specialised psychiatric unit or ward.
Without specialised psychiatric care A separation is classified as without specialised psychiatric care if the patient did not receive any days of care in a specialised psychiatric unit or ward. Despite this, these separations are classified as mental health related because the reported principal diagnosis for the separation is either one that falls within the Mental and behavioural disorders chapter (Chapter 5) in the ICD-10-AM classification (codes F00–F99) or is one of a number of other selected diagnoses (technical information).

Alternative text for figures for Same day admitted mental health-related care section

Figure SD.1

Vertical bar chart showing the rate (per 10,000 population) of same day public admitted mental health-related separations with specialised psychiatric care for all states and territories by type of hospital. The highest rate was for public acute hospitals (7.4) followed by public psychiatric hospitals (0.6). Refer to Table SD.4 Back to figure SD.1

Figure SD.2

Horizontal bar chart showing the rate (per 10,000 population) of same day public admitted mental health-related separations with specialised psychiatric care by age-group, sex, indigenous status, remoteness and SEIFA. Persons by age group: 0–4 years 0.7; 5–11 years 2.6; 12–17 years 7.2;18–24 years 11.7; 25–34 years 8.1; 35–44 years 7.6; 45–54 years 7.8; 55–64 years 5.5; 65–74 years 6.0; 75–84 years 10.6; 85 years and older 61.3. Persons by sex: males 6.7; females 9.3. Persons by indigenous status: Indigenous 11.4; Non-Indigenous 7.3. Persons by remoteness: major cities 9.4; inner regional 4.4; outer regional 3.7; remote and very remote 1.6. Persons by SEIFA: quintile one 7.1; quintile two 5.5; quintile three 8.8; quintile four 8.6; quintile five 9.2. (Refer to Table SD.6) Back to figure SD.2

Figure SD.3

Horizontal bar chart showing the percent of same day public admitted mental health-related separations with specialised psychiatric care for the 5 most frequently reported principal diagnoses. The 5 most common principal diagnoses: Depressive episode (F32) 21.3%; Other anxiety disorders (F41) 10.8%; Schizophrenia (F20) 8.7%; Reaction to severe stress and adjustment disorders (F43) 5.5%; Bipolar affective disorders (F31) 4.6%. Refer to Table SD.7. Back to figure SD.3

Figure SD.4

Vertical bar chart showing the proportion of same day public admitted mental health-related separations with specialised psychiatric care by legal status and hospital type. More than a fifth (20.3%) of all these separations were involuntary. By hospital type: Public acute 19.4% involuntary; Public psychiatric 31.4% involuntary. Refer to Table SD.5 Back to figure SD.4

Figure SD.5

Vertical bar chart showing the rate (per 10,000 population) of same day public admitted mental health-related separations without specialised psychiatric care for all states and territories. The aggregate rate for all public hospitals was 16.8 separations per 10,000 population. By state or territory: NSW 9.2; Vic 24.2; Qld 18.8; WA 9.0; SA 21.5; Tas 24.6; ACT 12.1; NT 65.4. Refer to Table SD.4 Back to figure SD.5

Figure SD.6

Horizontal bar chart showing the rate (per 10,000 population) of same day public admitted mental health-related separations without specialised psychiatric care by age-group, sex, indigenous status, remoteness and SEIFA. Persons by age group: 0–4 years 8.4; 5–11 years 1.8; 12–17 years 11.4;18–24 years 22.1; 25–34 years 19.1; 35–44 years 21.8; 45–54 years 20.9; 55–64 years 14.3; 65–74 years 15.8; 75–84 years 24.1; 85 years and older 26.4. Persons by sex: males 16.6; females 16.9. Persons by indigenous status: Indigenous 64.7; Non-Indigenous 15.2. Persons by remoteness: major cities 15.1; inner regional 15.4; outer regional 23.7; remote and very remote 39.3. Persons by SEIFA: quintile one 21.4; quintile two 17.6; quintile three 15.6; quintile four 15.1; quintile five 12.1. (Refer to Table SD.6) Back to figure SD.6

Figure SD.7

Horizontal bar chart showing the percent of same day public admitted mental health-related separations without specialised psychiatric care for the 5 most frequently reported principal diagnoses for all public hospitals: Mental and behavioural disorders due to use of alcohol (F10) 22.9%; Depressive episode (F32) 14.7%; Mental and behavioural disorders due to other psychoactive substance use (F11-19) 8.6%; Other anxiety disorders (F41) 8.0%; Schizophrenia (F20) 7.3%. Refer to Table SD.7. Back to figure SD.7

Figure SD.8

Column graph showing the rate of patients and episodes receiving same day private admitted mental health care. Patients per 10,000 population; NSW and ACT 6.9; Vic 8.6; Qld 9.2; WA, SA, Tas and NT 7.8; total 8.0. Episodes; NSW and ACT 6.3; Vic 8.3; Qld 9.0; WA, SA, Tas and NT 7.4; total 7.6. Refer to Table SD.13. Back to figure SD.8

Figure SD.9

Horizontal bar chart showing the rate of males and female patients (per 10,000 population) receiving same day private admitted mental health care by age group (years). Males; 12–17 0.5; 18–24 5.2; 25–34 6.0; 35–44 9.4; 45–54 9.7; 55–64 8.3; 65-74 6.8; 75–84 4.0; 85+ 3.1. Females; 12-17 2.2; 18–24 15.3; 25–34 12.4; 35–44 14.9; 45–54 14.9; 55–64 13.8; 65–74 9.6; 75–84 7.0; 85+ 4.0. Refer to Table SD.14. Back to figure SD.9

Figure SD.10

Horizontal bar chart showing the proportion of same day private admitted mental health care episodes, for the 5 most commonly reported mental health diagnostic groups for 2017–18. Major affective and other mood disorders 45.7%; Alcohol or other substance use disorders 16.0%, Anxiety and Adjustment Disorders 11.5%, Post-traumatic stress disorders 8.6%, personality disorders 6.9%. Refer to Table SD.15 Back to figure SD.10