- Table WA1: Indicators of mental health reform in Western Australia
- Figure WA1: Overall spending on mental health
- Figure WA2: Change in spending mix
- Figure WA3 : Changes in inpatient services
- Figure WA4: Changes in ambulatory care
- Figure WA5: Direct care workforce
- Figure WA6: Inpatient and residential beds
- Figure WA7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000
- Figure WA8: Readmission to hospital within 28 days of discharge
- Figure WA9: Rates of pre-admission community care
- Figure WA10: Rates of post-discharge community care
- Figure WA11: Average treatment days per three month community care project
- Figure WA12: Percentage of population receiving state or territory community mental health services
- Figure WA13: Percentage of population receiving MBS-subsidised mental health services
- Figure WA14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services
- Figure WA15: Mental health outcomes for people who receive treatment from state or territory services
- Figure WA16: Proportion of total mental health workforce accounted for by consumer and carer workers
- Figure WA17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards
- Figure WA18: Percentage of mental health consumers living in stable housing
Table WA1: Indicators of mental health reform in Western Australia
Table WA1 is presented as 9 separate tables in this html version. It is a single table in the PDF version.Symbols used in table:
- 'n.a.' signifies that the indicator is not available because relevant national data were not collected.
- '..' indicates that the indicator is not applicable for the year on a comparable basis to other reported years.
- '-' indicates zero.
A. State government expenditure
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
State spending on mental health services ($millions) | 164 | 434 | 523 | 4,188 |
State spending per capita ($) | 98 | 203 | 225 | 189 |
Per capita spending rank (1=highest to 8=lowest) | 4 | 1 | 2 | |
Average annual per capita spending growth since preceding milestone year (%) | 5.0 | 3.6 | 4.1 |
B. Service mix
% total service expenditure | WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 |
---|---|---|---|---|
Community services | 28 | 54 | 53 | 55 |
Stand-alone psychiatric hospitals | 50 | 17 | 16 | 13 |
Colocated general hospitals | 23 | 29 | 30 | 32 |
C. Inpatient services
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Total hospital beds | 728 | 670 | 700 | 6,755 |
Per capita expenditure on inpatient care ($) | 71 | 92 | 101 | 81 |
Inpatient beds per 100,000 | 44 | 31 | 30 | 30 |
Acute inpatient beds per 100,000 | 24 | 25 | 23 | 20 |
Non acute inpatient beds per 100,000 | 19.9 | 5.8 | 7.3 | 9.7 |
Stand-alone psychiatric hospitals as % of total beds | 70 | 37 | 35 | 31 |
Average cost per patient day ($) | 488 | 897 | 1,017 | 842 |
D. Community services
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Ambulatory care - % total service expenditure | 22 | 46 | 44 | 41 |
Ambulatory care - per capita expenditure ($) | 22 | 93 | 95 | 74 |
NGOs - % total service expenditure | 2.5 | 6.5 | 8.7 | 9.3 |
NGOs - per capita expenditure ($) | 2 | 13 | 19 | 17 |
Residential services - % total service expenditure | 2.8 | 2.4 | 3.5 | 6.0 |
Residential services - per capita expenditure ($) | 3 | 5 | 8 | 11 |
Residential services - adult beds per 100,000 - 24 hour staffed | 8.1 | 3.8 | 4.9 | 6.0 |
Residential services - adult beds per 100,000 - non-24 hour staffed | n.a. | 5.6 | 14.0 | 5.0 |
Residential services - older persons' beds per 100,000 - 24 hour staffed | - | - | - | 23 |
Residential services - older persons' beds per 100,000 - non-24 hour staffed | n.a. | - | - | 0.4 |
Supported public housing places per 100,000 | n.a. | 31 | 62 | 22 |
E. Direct care workforce
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
Number full-time equivalent (FTE) staff | 1,475 | 2,536 | 2,852 | 24,292 |
FTE per 100,000 | 88 | 119 | 123 | 108 |
FTE per 100,000 - ambulatory services | 17 | 49 | 51 | 47 |
F. Implementation of national service standards
% service expenditure covered by level 1 services:- Western Australia
- 1992-93 - ..
- 2007-08 - 39
- 2010-11 - 49
- Australia 2010-11 - 84
G. Consumer and carer participation
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% services with level 1 consumer committee representation | 6 | 37 | 29 | 55 |
% total mental health workforce accounted for by consumer workers | n.a. | 0.05 | 0.12 | 0.28 |
% total mental health workforce accounted for by carer workers | n.a. | 0.03 | 0.03 | 0.18 |
H. Medicare subsidised mental health services
WA 1992-93 | WA 2007-08 | WA 2010-11 | Australia 2010-11 | |
---|---|---|---|---|
% population seen - all MBS funded providers (psychiatrists, GPs, allied health) | n.a. | 4.0 | 5.6 | 6.9 |
% population seen - GPs | n.a. | 3.0 | 4.4 | 5.4 |
% population seen - consultant psychiatrists | 0.9 | 1.0 | 1.0 | 1.3 |
% population seen - clinical psychologists | - | 1.0 | 1.4 | 1.1 |
% population seen - registered psychologists and other allied health professionals | - | 0.6 | 1.1 | 2.1 |
Total MBS mental health related benefits paid per capita ($) | n.a. | 23 | 30 | 38 |
I. PBS-funded pharmaceuticals (including RPBS)
Total PBS/RPBS benefits paid per capita ($):- Western Australia
- 1992-93 - 3
- 2007-08 - 30
- 2010-11 - 32
- Australia 2010-11 - 38 Top of page
Figure WA1: Overall spending on mental health
Text version of figure WA1
Per capita ($), constant prices 2010-11WA | National | |
---|---|---|
1992-93 Baseline year | 98 | 97 |
1993-94 | 101 | 95 |
1994-95 | 100 | 99 |
1995-96 | 108 | 101 |
1996-97 | 122 | 108 |
1997-98 End 1st plan | 135 | 112 |
1998-99 | 140 | 115 |
1999-2000 | 142 | 119 |
2000-01 | 147 | 123 |
2001-02 | 153 | 127 |
2002-03 End 2nd plan | 157 | 133 |
2003-04 | 168 | 138 |
2004-05 | 180 | 145 |
2005-06 | 187 | 153 |
2006-07 | 192 | 160 |
2007-08 End 3rd plan | 203 | 168 |
2008-09 | 208 | 172 |
2009-10 | 210 | 181 |
2010-11 Mid 4th plan | 225 | 189 |
Figure WA2: Change in spending mix
Text version of figure WA2
Psych hospitals | General hospitals | Ambulatory | Residential | NGO | |
---|---|---|---|---|---|
1992-93 Baseline year | 48 | 22 | 22 | 3 | 2 |
1997-98 End 1st plan | 40 | 36 | 47 | 2 | 8 |
2002-03 End 2nd plan | 33 | 47 | 65 | 3 | 9 |
2007-08 End 3rd plan | 35 | 58 | 93 | 5 | 11 |
2010-11 Mid 4th plan | 35 | 65 | 95 | 8 | 12 |
Figure WA3 : Changes in inpatient services
Text version of figure WA3
Expenditure (%) | FTE (%) | Beds (%) | Days (%) | |
---|---|---|---|---|
1992-93 Baseline year | 0 | 0 | 0 | 0 |
1993-94 | 1 | -1 | 0 | -6 |
1994-95 | 3 | -2 | -1 | -5 |
1995-96 | 5 | -3 | -1 | -8 |
1996-97 | 14 | 1 | 2 | -8 |
1997-98 End 1st plan | 17 | 4 | 0 | -9 |
1998-99 | 21 | 3 | -8 | -12 |
1999-2000 | 20 | -1 | -9 | -18 |
2000-01 | 21 | -5 | -12 | -19 |
2001-02 | 27 | -5 | -13 | -21 |
2002-03 End 2nd plan | 31 | -5 | -12 | -19 |
2003-04 | 42 | 1 | -12 | -16 |
2004-05 | 53 | 6 | -12 | -11 |
2005-06 | 54 | 10 | -11 | -12 |
2006-07 | 59 | 15 | -8 | -11 |
2007-08 End 3rd plan | 68 | 18 | -8 | -9 |
2008-09 | 77 | 24 | -7 | -9 |
2009-10 | 77 | 25 | -5 | -8 |
2010-11 Mid 4th plan | 98 | 29 | -4 | -5 |
Figure WA4: Changes in ambulatory care
Text version of figure WA4
Expenditure (%) | FTE (%) | |
---|---|---|
1992-93 Baseline year | 0 | 0 |
1993-94 | 22 | 5 |
1994-95 | 21 | 24 |
1995-96 | 54 | 67 |
1996-97 | 88 | 95 |
1997-98 End 1st plan | 134 | 119 |
1998-99 | 161 | 135 |
1999-2000 | 181 | 142 |
2000-01 | 216 | 168 |
2001-02 | 244 | 184 |
2002-03 End 2nd plan | 247 | 193 |
2003-04 | 275 | 189 |
2004-05 | 318 | 210 |
2005-06 | 384 | 246 |
2006-07 | 405 | 256 |
2007-08 End 3rd plan | 447 | 264 |
2008-09 | 477 | 278 |
2009-10 | 489 | 286 |
2010-11 Mid 4th plan | 511 | 307 |
Figure WA5: Direct care workforce
Text version of figure WA5
WA | National | |
---|---|---|
1992-93 Baseline year | 88 | 80 |
1993-94 | 86 | 78 |
1994-95 | 88 | 79 |
1995-96 | 93 | 79 |
1996-97 | 99 | 82 |
1997-98 End 1st plan | 103 | 81 |
1998-99 | 103 | 84 |
1999-2000 | 100 | 85 |
2000-01 | 101 | 86 |
2001-02 | 101 | 90 |
2002-03 End 2nd plan | 105 | 91 |
2003-04 | 104 | 93 |
2004-05 | 108 | 95 |
2005-06 | 114 | 99 |
2006-07 | 116 | 102 |
2007-08 End 3rd plan | 119 | 103 |
2008-09 | 121 | 105 |
2009-10 | 120 | 105 |
2010-11 Mid 4th plan | 123 | 108 |
Figure WA6: Inpatient and residential beds
Text version of figure WA6
Beds per 100,000 populationWA acute | WA non-acute | WA residential | National all bed types | |
---|---|---|---|---|
1992-93 Baseline year | 24 | 20 | 5 | 50 |
1997-98 End 1st plan | 25 | 16 | 4 | 41 |
2002-03 End 2nd plan | 26 | 7 | 4 | 41 |
2007-08 End 3rd plan | 25 | 6 | 6 | 41 |
2010-11 Mid 4th plan | 23 | 7 | 12 | 40 |
Figure WA7: Trends in provision of public sector specialised beds - acute and non-acute beds per 100,000
Text version of figure WA7
Acute | Non-acute | |
---|---|---|
1992-93 Baseline year | 24 | 20 |
1993-94 | 24 | 19 |
1994-95 | 25 | 17 |
1995-96 | 24 | 17 |
1996-97 | 25 | 17 |
1997-98 End 1st plan | 25 | 16 |
1998-99 | 28 | 9 |
1999-2000 | 27 | 8 |
2000-01 | 26 | 8 |
2001-02 | 26 | 7 |
2002-03 End 2nd plan | 26 | 7 |
2003-04 | 25 | 7 |
2004-05 | 25 | 7 |
2005-06 | 25 | 7 |
2006-07 | 24 | 8 |
2007-08 End 3rd plan | 25 | 6 |
2008-09 | 25 | 6 |
2009-10 | 25 | 6 |
2010-11 Mid 4th plan | 23 | 7 |
Figure WA8: Readmission to hospital within 28 days of discharge
Text version of figure WA8
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
WA | 11.9 | 11.7 | 12.3 | 12.1 | 12.1 | 13.0 |
National | 15.5 | 15.1 | 15.5 | 14.7 | 14.1 | 14.7 |
Figure WA9: Rates of pre-admission community care
Text version of figure WA9
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
WA | 53 | 57 | 60 | 59 | 61 | 63 |
National | 43 | 45 | 43 | 43 | 45 | 47 |
Figure WA10: Rates of post-discharge community care
Text version of figure WA10
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
WA | 49 | 52 | 54 | 57 | 60 | 59 |
National | 45 | 46 | 47 | 47 | 50 | 54 |
Figure WA11: Average treatment days per three month community care project
Text version of figure WA11
2005-06 | 2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|---|
WA | 4.5 | 4.5 | 4.6 | 4.8 | 4.9 | 5.0 |
National | 6.0 | 6.1 | 6.5 | 6.1 | 6.3 | 6.4 |
Figure WA12: Percentage of population receiving state or territory community mental health services
Text version of figure WA12
2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|---|
WA | 1.8 | 1.7 | 1.8 | 1.9 | 1.9 |
National | 1.6 | 1.5 | 1.5 | 1.5 | 1.6 |
Figure WA13: Percentage of population receiving MBS-subsidised mental health services
Text version of figure WA13
2006-07 | 2007-08 | 2008-09 | 2009-10 | 2010-11 | 2011-12 | |
---|---|---|---|---|---|---|
WA | 2.5 | 4.0 | 4.7 | 5.2 | 5.6 | 5.5 |
National | 3.1 | 4.8 | 5.7 | 6.2 | 6.9 | 7.1 |
Figure WA14: New clients as a proportion of total clients under the care of state or territory specialised public mental health services
Text version of figure WA14
2009-10 | 2010-11 | |
---|---|---|
WA | 41.7 | 41.7 |
National | 40.4 | 40.1 |
Figure WA15: Mental health outcomes for people who receive treatment from state or territory services
Text version of figure WA15
No significant change | Significant deterioration | Significant improvement | |
---|---|---|---|
People discharged from hospital | 22 | 4 | 75 |
People discharged from community care | 42 | 6 | 52 |
People in ongoing community care | 59 | 16 | 25 |
Figure WA16: Proportion of total mental health workforce accounted for by consumer and carer workers
Text version of figure WA16
WA consumer workers | WA carer workers | National both | |
---|---|---|---|
2002-03 End 2nd plan | 0.00 | 0.00 | 0.35 |
2003-04 | 0.00 | 0.04 | 0.37 |
2004-05 | 0.00 | 0.00 | 0.36 |
2005-06 | 0.00 | 0.02 | 0.37 |
2006-07 | 0.00 | 0.03 | 0.38 |
2007-08 End 3rd plan | 0.03 | 0.05 | 0.41 |
2008-09 | 0.02 | 0.14 | 0.42 |
2009-10 | 0.04 | 0.19 | 0.44 |
2010-11 Mid 4th plan | 0.04 | 0.12 | 0.46 |
Figure WA17: Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards, 2010-11
Text version of figure WA17
WA | National | |
---|---|---|
Level 1 - meets all standards | 48.9 | 84.0 |
Level 2 - meets some standards | 0.0 | 8.0 |
Level 3 - review booked/ in progress | 28.6 | 4.3 |
Level 4 - does not meet criteria for levels 1-3 | 22.5 | 3.6 |
Figure WA18: Percentage of mental health consumers living in stable housing
Text version of figure WA18
2007-08 | 2008-09 | 2009-10 | 2010-11 | |
---|---|---|---|---|
WA 15-64 years | 81 | 80 | 81 | 80 |
WA 65+ years | 83 | 83 | 81 | 85 |
National 15-64 years | 77 | 78 | 78 | 78 |
National 65+ years | 79 | 81 | 83 | 82 |