This section contains data and information about the performance of mental health and addiction services, including how many people are accessing services. This is an an important part of ensuring we are on track with service delivery and meeting the needs that exist.
It also helps us better understand what is happening within New Zealand communities and identify any trends, which we can then respond to with service design and provision.
The Ministry of Health is committed to transparency and sharing available information publicly. There are three key areas that data falls into:
- System performance – this information shares how service providers are performing, and whether they are meeting nationally-set targets.
- Service use and suicide statistics – this information helps us understand the demand for services, and how many people are accessing new and existing services, as well as the rate of suicide within New Zealand.
- Regulatory reporting – this information helps us understand how existing legislation is being used to assess and treat people with mental health and addiction needs.
Information on the performance of New Zealand’s mental health and addiction system helps us understand whether nationally set performance measures are being met. The data includes details about how long people have had to wait to be seen by mental health and/or addiction services and the demographic breakdown of people accessing services.
National Service Framework Library
One of the main sources for mental health and addiction data is the National Service Framework Library. This site provides data on specialist mental health and addiction services, including:
- Number of people and population percentages engaging with specialist services
- Consumer experience and service quality rates (up to 2014)
- Waiting times.
- National Service Framework Library
Prior to 9 February 2021 responsibility for monitoring and advocacy for improvement to mental health and addiction services was held by the Health and Disability Commissioner.
The Mental Health and Wellbeing Commission took over the responsibility of providing system-level oversight of mental health and wellbeing, and holding the Government of the day and other decision-makers to account for the mental health and wellbeing of people in Aotearoa New Zealand.
The Health Quality & Safety Commission plays an important role in working with clinicians, providers and consumers to improve health and disability support services. In 2017, the Health Quality & Safety Commission commenced a five year national mental health and addiction quality improvement programme.
Expanding Access and Choice of Primary Mental Health and Addiction supports
A key component of the Wellbeing Budget 2019 was investment in a programme of work to ‘expand access and choice of primary mental health and addiction supports’ across New Zealand (known as Access and Choice). The programme comprises funding for the expansion of existing and creation of new primary mental health and addiction services; to support and expand existing workforces and grow and develop new mental health and addiction workforces; and for enablers such as implementation support, IT infrastructure, collaborative design and evaluation of services.
In terms of service delivery, the new and expanded services will provide timely access to support for anyone experiencing issues in life that are causing them distress. The establishment of these services started in late 2019 and will be phased over a five-year period. There are no criteria to access these services, no cost, and support is immediate and rapid. There are four main workstreams:
- Integrated Primary Mental Health and Addiction (IPMHA) services accessed through general practice
- Kaupapa Māori primary mental health and addiction services accessed primarily through kaupapa Māori non-government organisations and community providers
- Pacific primary mental health and addiction services accessed primarily through Pacific-led community based organisations
- Youth primary mental health and addiction services accessed through non-governmental, community based organisations and youth one-stop shops.
Commencing October 2021, data from these Access and Choice services will be published on this page by the 30th of each month. To start with, this will be limited to data relating to Integrated Primary Mental Health and Addiction services. Reporting will commence with data from August 2021, as this is the first month the majority of providers are using NHI based reporting, which allows greater confidence in demographic representation. There will be a lag between the end of the month and the publication of new data to allow services to report their data for the previous month to the Ministry, and for the Ministry to check, query and extract the data.
The Ministry is working with youth, Pacific and kaupapa Māori primary mental health and addiction service providers to improve reporting quality and consistency and include demographic data. It is usual for provider reporting for new services to take time to mature to the required standard, even for providers with robust data capture systems. The Ministry intends to start publishing data on youth, Pacific and kaupapa Māori services by the end of 2021.
- IPMHAS coverage and activity table (Excel, 43 KB)
- Kaupapa Māori, Pacific and youth primary mental health and addiction services (Excel, 61 KB)
Specialist Services use
Every year approximately 185,000 people are accessing specialist and NGO services for mental health or addiction issues. Understanding figures like these helps us understand trends about who is accessing services (eg by age and ethnicity) and which types of services people are accessing (eg DHB or NGO).
The Ministry publishes information on mental health and addiction specialist service use.
- Mental Health and Addiction: Service Use web tool
- Mental Health and Addiction: Service Use 2019/20 tables
- Mental Health and Addiction: Service Use 2018/19 tables
- Mental Health and Addiction: Service Use 2017/18 tables
- Mental Health and Addiction: Service Use 2016/17 tables
- Mental Health and Addiction: Service Use 2015/16 tables
- Mental Health and Addiction: Service Use 2014/15 tables
- Mental Health and Addiction: Service Use 2013/14 tables
The Office of the Chief Coroner publishes provisional suicide statistics annually. The information provided relates to deaths where suicide is suspected, but has not yet been confirmed by a coroner; some cases recorded here may eventually be found not to be suicides. These statistics, available since 2011, can be found on the Coronial Services of New Zealand website.
Confirmed suicide data is published on the Ministry of Health’s website. This data is based on the numbers of suicides confirmed by coroners, or where there is sufficient other evidence to conclude the death was a suicide.
There are two main pieces of legislation relating to mental health and addiction: the Mental Health (Compulsory Assessment and Treatment) Act and the Substance Addiction (Compulsory Assessment and Treatment) Act (SACAT).
The Ministry reports on the use of legislation which affects people with experience of mental illness and addiction.
People treated, or assessed, under the Mental Health (Compulsory Assessment and Treatment) Act
Every year approximately 10,000 people in New Zealand are subject to treatment or assessment under the Mental Health (Compulsory Assessment and Treatment) Act.
The Director of Mental Health is a statutory role under the Mental Health Act.
- Office of the Director of Mental Health and Addiction Services: 2020 Regulatory Report
- Office of the Director of Mental Health and Addiction Services Annual Report 2018 and 2019
- Office of the Director of Mental Health and Addiction Services Annual Report 2017
- Office of the Director of Mental Health and Addiction Services Annual Report 2016
- Office of the Director of Mental Health and Addiction Services Annual Report 2015
- Office of the Director of Mental Health and Addiction Services Annual Report 2014
More reports related to the use of legislation, including guidelines and earlier Annual Reports, can be found on the publications webpage.