Mental Health and Addiction: Service use 2013/14

Published online: 
23 November 2016

Summary

These tables provide information on mental health and addiction service use for the 2013/14 financial year (1 July 2013 to 30 June 2014) and highlight notable trends between 2001/02 and 2013/14. An overview of key findings can be found at the bottom of this webpage and in the accompanying spreadsheet containing the tables.

The tables include information on mental health and addiction care (services) provided by secondary organisations funded by the Ministry of Health. Specifically, these tables cover: demographic and geographic information, client referral pathways, the types of services provided, the outcome of the services and legal status and diagnosis information.

The tables do not include information on:

  • the provision of primary mental health care, such as care provided by general practitioners
  • secondary mental health services funded by other government departments e.g. funded by the Ministry of Social Development
  • problem gambling
  • people with a mental illness who do not access services.

The information was sourced from the Programme for the Integration of Mental Health Data (PRIMHD pronounced ‘primed’). The data was collected by district health boards (DHBs) and non-governmental organisations (NGOs).

Data quality and interpretation notes

The Ministry of Health, DHBs and NGOs are actively engaged in reviewing and improving the quality of PRIMHD data, but because there are some known issues yet to be addressed, numbers should be interpreted and reused with due consideration and care. Although it is not practical to record all known data quality issues on this webpage, the most important considerations have been detailed below.

If you need further detail or you are uncertain about the interpretation of the data in the tables please contact data-enquiries@moh.govt.nz.

Coding changes may cause artificial variance and trends

Observed variance and trends may be a result of differences in coding practices across service providers and time, for example, coding changes have influenced the number of crisis contact services reported by some DHBs.

To assist with activity (a synonym for services and care) coding in particular, the Ministry of Health has published Guide to PRIMHD Activity Collection and Use.  As this guide was published early 2016, the effect of the guide won’t be seen in PRIMHD until the publication of 2015/16 data. We suggest you consult this guide to aid interpretation.

A high level description of each of the activity types can also be found within the PRIMHD Codeset.

Increased NGO reporting will influence trends

Shifts or patterns in the data after 2008 may reflect the gradual inclusion of non-governmental organisations into the PRIMHD collection in addition to, or instead of, any trend in mental health service use or outcomes. This point is illustrated by the artificial trend within the chart below in which the crude rate of clients seen by NGOs in 2013/14 was more than seven times that reported in 2008/09. Although NGO data is still incomplete, the Ministry of Health considers it complete enough for comparison across time from 1/7/2012 onwards.

Crude rate of clients seen by NGOs, 2008/09 to 2013/14

Graph: Crude rate of clients seen by NGOs, 2008/09 to 2013/14

Notes:

  • Crude rate is per 100,000 population
  • All organisation types apart from district health boards have been included in the non-governmental organisation category. This includes charitable trusts and a very small number of private hospitals.

Completeness of data for older people

Mental health and addiction services for older people are funded as mental health and addiction services in the Northern and Midland regions. In the Southern and Central regions they are funded as disability support services. PRIMHD mainly captures mental health and addiction services, and occasionally captures data on disability support services. This means data on healthcare users aged over 65 (including psychogeriatric services) is incomplete.

Data in these tables is not directly comparable to data in other reports

For several reasons the numbers in the tables are not directly comparable with the numbers in the Office of the Director of Mental Health (ODMH) Annual Reports, amongst other reports. The ODMH reports are published for a different purpose and use a slightly different method to identify the report subject matter. Further to this the OMDH reports are for a different time period and occasionally include manual data submitted by DHBs.

Data is continually updated and revised

PRIMHD is a living data collection, which continues to be revised and updated as data reporting processes are improved. For this reason, previously published data may be liable to amendments. In particular, there was notable change made to the coding of team types as part of the HISO review of the PRIMHD Codeset. Team type data, extracted before 1/7/2014, should not be compared with the data within these tables.

To function as a national collection, PRIMHD requires integration with a wide range of patient management systems across hundreds of unique service providers. As the services adjust to PRIMHD, it is expected that the quality of the data will improve.

Key findings

Demographics

In 2013/14, a total of 158,158 clients were seen by mental health and addiction services. Of these, 83,267 (52.6%) were male, and 74,891 (47.4%) were female.

There were 133,447 clients seen by DHBs and 56,091 clients seen by NGOs. Some of these clients were seen by both DHBs and NGOs.

In 2013/14, the rate of Maori seen by DHBs was 4546.3 per 100,000 Māori population, a rise of 62.0% since 2001/02. In contrast the rate of non-Māori seen has risen more slowly (33.0% over the same time period).

Services provided

The most common type of team providing services to DHB clients was community teams, while the next most common team type was alcohol and drug teams. These two teams were also the most common team types providing services to NGO clients.

Activity type

In 2013/14, the most common type of activity (or service) provided by DHBs was ‘individual treatment attendances: family not present’. The most common type of activity provided by NGOs was ‘community support contacts’.

Deprivation

People living in the most deprived areas were 2.6 times more likely to be seen by mental health and addiction services than people living in the least deprived areas.

Long-term clients

As at 30 June 2014, there were 31,485 long term clients that were seen by mental health and addiction services for one year or more. Out of these clients, 20,313 were seen for two years or more.

Publishing information

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