Mental Health and Addiction: Service use 2010/11

Summary

These tables are the latest release of routine mental health and addiction data.

Errata

These tables were updated on 3 March 2020. Seclusion data has been removed from these tables. An error was discovered in the way seclusion events were calculated. This error led to an undercount of seclusion events. We are in the process of publishing revised seclusion data that will be available in a stand alone dataset. For more information please contact: [email protected].

Please note these tables were also updated on 1 October 2014. The titles for the following tables were updated: Tables 3, 4, 5, 6, 9, 10, 21, 22. There were no changes to the data.

The information is broken down by age (including youth), sex, ethnicity, DHB of domicile and deprivation. Some key findings are as follows:

Demographics

• In 2010/11, 137,346 clients were seen by mental health and addiction services. Of these, 74,337 (54.1%) were male, and 63,009 (45.9%) were female.
• Of the ethnic groups reported here, Māori were the most likely to be seen by mental health and addiction services, with 4938.4 clients seen for every 100,000 Māori population, while Asians were the least likely to be seen with 910.6 clients seen for every 100,000 Asian population.
• There were 122,151 clients seen by DHBs and 33,794 clients seen by NGOs.  Some of these clients were seen by both DHBs and NGOs.
• Of the 137,346 clients seen in 2010/11, the majority (90.3%) were seen face-to-face.  The remaining 9.7% received services that involved care co-ordination contacts, contact with family/whanau, written correspondence, telephone calls and text messages.
• The rate of Māori seen by DHBs has risen in recent years from 2806.5 per 100,000 Māori population in 2001/02 to 4217.0 in 2010/11 (a rise of 33.4%), while the rate of non-Māori seen has risen more slowly from 2114.6 per 100,000 non-Māori population in 2001/02 to 2593.4 in 2010/11 (a rise of 18.5%).

Clients seen by organisation

• The most common type of team providing services to DHB clients was community teams, who provided services to 42.3% of clients seen by DHBs, while the next most common team type was alcohol and drug teams who provided services to 17.7% of DHB clients.  For NGOs, this pattern was reversed; the most common team type was alcohol and drug teams, who provided services to 24.3% of NGO clients, with community teams being the next most common team type, providing services to 22.1% of NGO clients.

Activity type

• The most common type of activity (or service) provided by DHBs in 2010/11 was ‘mental health individual treatment attendances: family not present’.  This activity type accounted for 40.3% of all DHB services provided.  In contrast, the most common type of activity provided by NGOs in 2010/11 were ‘community support contacts’, which accounted for 24.0% of all NGO services provided.

Team type

• For DHBs, the greatest number of bednights was provided by inpatient teams (62.6% of all DHB bednights), while for NGOs the greatest number of bednights was provided by residential teams (76.2% of all NGO bednights).
• The most common type of activity provided by community teams in 2010/11 was ‘mental health individual treatment attendances: family not present’ which accounted for 45.5% of all services provided by community teams. 1,816,968 services were provided by community teams in 2010/11, but 3.4% of these were not attended by clients.
• The most common type of activity provided by inpatient teams in 2010/11 was ‘mental health acute inpatient occupied bed days’ which accounted for 45.9% of all activities provided by inpatient teams.  303,191 services were provided by inpatient teams in 2010/11, but 0.1% of these were not attended by clients.
• The most common type of activity provided by alcohol and drug teams in 2010/11 was ‘mental health individual treatment attendances – family not present’ which accounted for 29.5% of all activities provided by alcohol and drug teams.  629,810 services were provided by alcohol and drug teams in 2010/11, but 5.7% of these were not attended by clients.
• The most common type of activity provided by child and youth teams in 2010/11 was ‘mental health individual treatment attendances – family not present’ which accounted for 29.3% of all child and youth activities.  440,567 services were provided by child and youth teams in 2010/11, but 4.9% of these were not attended by clients.
• The most common type of activity provided by forensic teams was ‘mental health medium secure inpatient occupied bed days’ which accounted for 30.3% of all forensic activities. 157,716 services were provided by forensic teams in 2010/11, but 0.3% of these were not attended by clients.
• The most common type of activity provided by kaupapa Māori teams was ‘mental health individual treatment attendances – family not present’ which accounted for 27.5% of all kaupapa Māori activities.  217,440 services were provided by kaupapa Māori teams, but 4.3% of these were not attended by clients.

Activity setting

• The two most common settings in which activities took place were ‘onsite’ and ‘telephone’.  Together they accounted for around two thirds of all activities in 2010/11.

Referrals

• Referrals to mental health and addiction teams were most likely to come from ‘self or relative referral’ (18.5%), or a ‘general practitioner’ (15.3%).
• Discharges from mental health and addiction teams were most likely to be to ‘no further referral’ (43.2%), or to a ‘general practitioner’ (17.5%).

Deprivation

• People living in the most deprived areas were 2.7 times more likely to be seen by mental health and addiction services than people living in the least deprived areas (5915.3 per 100,000 population compared to 2214.5 per 100,000 population).

Regular service users

• In 2010/11, 85 clients were regular inpatient service users, 649 were regular residential service users, and 18,031 were regular community service users.  This means they had at least one bednight every three months for two years or longer, with at least one of these bednights occurring in 2010/11.

Electroconvulsive therapy

• In 2010/11, 195 clients received a total of 2047 electroconvulsive therapy treatments, equating to an average of 10.5 treatments per client.  Electroconvulsive therapy (ECT) is a therapeutic procedure in which a brief pulse of electricity is delivered to a patient’s brain in order to produce a seizure.  For more information about ECT see the ‘Glossary’ worksheet.

Outcomes

• The percentage of clients seen for whom an outcome collection was completed on their behalf, has improved over time.  Between September 2008 and June 2011, this has improved from 58.8% to 77.2% in the inpatient setting, and from 35.7% to 47.8% in the community setting.  For more information about outcome collections, see the ‘Glossary’ worksheet.
• The distribution of mean total HoNOS scores shows the expected pattern:
• Clients had a higher mean score when they were admitted to an inpatient service compared to a community service
• Clients showed a reduction in the mean score between admission and discharge in both settings.
• Clients discharged from a community to an inpatient setting (i.e. ‘Discharge – other treatment setting’) still showed a relatively high mean score.
• The distribution of clinically significant HoNOS items also showed this same expected pattern.