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Mental Health: Service use in New Zealand 2005/06 (provisional)

This provisional Mental Health: Service use in New Zealand 2005/06 information presents a summary of provisional mental health data in New Zealand for the year ended June 2006. The data were drawn from the National Mental Health Information Collection, and cover secondary mental health and alcohol and drug services funded by the Government. These figures must be regarded as provisional, because some data from some District Health Boards may not have been loaded yet.

The final figures will be presented in the Mental Health: Service use in New Zealand 2005/06 publication, due for release later in 2009.

District Health Boards saw 92,031 mental health clients in 2005/06, of which just over half were male (51.8 percent). Just over 19 percent identified as Māori, 4.2 percent as Pacific peoples and 2.7 percent as Asian. Community teams saw 49,930 clients, representing 54.3 percent of all clients seen. General practitioners were the most common source of referrals to mental health services, followed by self or relative referrals.

Provisional data 2005/06

Clients seen: demographic data
Clients seen, by age group and sex, 2005/06 (provisional)
Clients seen, by ethnic group and sex, 2005/06 (provisional)
Clients seen, bednights and contacts by team type, 2005/06 (provisional)
Clients seen by team type and 10-year age group, 2005/06 (provisional)

Referrals, by referral source and sex
Referrals, by referral source and sex, 2005/06 (provisional)

Specific groups of services
The mental health services most used in 2005/06 were:

• community
• inpatient
• alcohol and drug
• forensic
• kaupapa Māori
• child and youth teams.

Clients seen: demographic data

Table 1: Clients seen, by age group and sex, 2005/06 (provisional)

	Age Group
	Total	0–19	20–64	65+
Male	47,700	11,952	32,527	3221
Female	43,330	9018	30,467	4845
Total	92,031	20,970	62,995	8066

Source: Mental Health Information National Collection


Table 2: Clients seen, by ethnic group and sex, 2005/06 (provisional)

	Total		Male		Female
	Number	%	Number	%	Number	%
Māori	17,701	19.2	9784	20.5	7916	17.9
Pacific	3902	4.2	2372	5.0	1530	3.5
Asian	2483	2.7	1068	2.2	1415	3.2
Other	67,945	73.8	34,476	72.3	33,469	75.5
Total	92,031	100.0	47,700	100.0	44,330	100.0

Source: Mental Health Information National Collection


Table 3: Clients seen, bednights and contacts by team type, 2005/06 (provisional)

Team type	Team type description	Clients seen	Bednights	Contacts
01	Inpatient team	7737	271,304	3344
02	Community team	49,930	2505	912,100
03	Alcohol and drug team	18,839	8234	175,090
04	Child, adolescent and family team	14,627	5328	176,169
05	Forensic team	3670	51,212	36,968
06	Kaupapa Māori team	3606	13	67,568
13	Psychogeriatric team	5629	24,295	75,690
14	Youth specialty team	2608	5839	50,314
17	Needs assessment and service co-ordination team	2716	454	16,564
07	Pacific Island team	1269	...	24,732
10	Alcohol and drug kaupapa Māori team	1216	...	8486
15	Maternal mental health team	1660	1099	14,905
	All other team types	4610	16,439	86,139
Total		118,117	386,722	1,648,069

Source: Mental Health Information National Collection
Note: The total number of clients seen is not the same as the total in Tables 1 and 2 because clients can, and do, receive treatment from more than one team type during the year


Table 4: Clients seen by team type and 10-year age group, 2005/06 (provisional)

Age group	Inpatient	%	Community	%	Alcohol and drug	%	Child, adolescent and family	%	Forensic	%	Kaupapa Māori	%
0-9	3	0.0	92	0.2	1	0.0	3369	23.0	2	0.1	109	3.0
10-19	416	5.4	4054	8.1	1385	7.4	10,838	74.1	460	12.5	580	16.1
20-29	1817	23.5	10,374	20.8	4483	23.8	165	1.1	1120	30.5	823	22.8
30-39	2165	28.0	12,745	25.5	5823	30.9	119	0.8	1067	29.1	957	26.5
40-49	1759	22.7	11,078	22.2	4705	25.0	84	0.6	702	19.1	701	19.4
50-59	983	12.7	6755	13.5	1786	9.5	42	0.3	243	6.6	290	8.0
60-69	440	5.7	3042	6.1	498	2.6	9	0.1	57	1.6	100	2.8
70+	154	2.0	1790	3.6	158	0.8	1	0.0	19	0.5	46	1.3
Total	7737	100.0	49,930	100.0	18,839	100.0	14,627	100.0	3670	100.0	3606	100.0

Source: Mental Health Information National Collection

Referrals, by referral source and sex

Table 5: Referrals, by referral source and sex, 2005/06 (provisional)

Referral source	Total		Male		Female
	Number	%	Number	%	Number	%
General practitioner	19,398	28.5	8480	24.6	10,918	32.6
Self or relative referral	14,005	20.6	7415	21.5	6590	19.6
Other	8918	13.1	4532	13.1	4386	13.1
Hospital referral (non-psychiatric)	5942	8.7	2578	7.5	3364	10.0
Police	3732	5.5	2395	6.9	1337	4.0
Justice	3439	5.1	2898	8.4	541	1.6
Adult community mental health services	3076	4.5	1500	4.3	1576	4.7
Psychiatric inpatient	2467	3.6	1289	3.7	1178	3.5
Accident and emergency	2243	3.3	890	2.6	1353	4.0
Education sector	1280	1.9	689	2.0	591	1.8
All other sources	3547	5.2	1843	5.3	1704	5.1
Total	68,047	100.00	34,509	100.00	33,538	100.00

Source: Mental Health Information National Collection
Note: Only referrals from sources external to the mental health services of the health agency (District Health Boards, in this publication) are reported to the National Collection. For example, a referral from police to a mental health team is reported, while a referral from an inpatient team to a community team within the same District Health Board is not reported.

Specific groups of services

Community teams
Community teams saw more clients than any other team type, reporting 49,930 clients seen in 2005/06 (42.3 percent of total clients seen at least once).

Table 6: Clients seen and contacts by community teams, by most frequently used services, 2005/06 (provisional)

Service code	Service description	Clients seen	Contacts	Average contacts per client
T06	Mental health individual treatment attendances	42,167	628,150	14.9
T01	Mental health crisis attendances	21,720	100,713	4.6
T08	Mental health care co-ordination contacts	17,726	102,945	5.8
T32	Mental health contact with family/whānau	4654	15,760	3.4
T07	Mental health group programme attendances	2325	13,316	5.7
T09	Early psychosis intervention attendances	922	9616	10.4
T22	Mental health day treatment programme attendances	850	18,825	22.1
T10	Support needs assessment attendances	573	854	1.5
T23	Mental health day activity programme attendances	429	17,569	41.0
T31	Home-based care contacts	382	3,837	10.0

Source: Mental Health Information National Collection
Note: Services are either bednights or contacts. The services in this table are contacts.


Inpatient teams
The service most commonly received by inpatient team clients in 2005/06 was an acute inpatient service.

Table 7: Clients seen, bednights and contacts by inpatient teams, by most frequently used services, 2005/06 (provisional)

Service code	Service description	Clients seen	Bednights	Contacts	Average bednights or contacts per client
T03	Mental health acute inpatient occupied bednights	6313	143,050	…	22.7
T02	Mental health intensive care inpatient occupied bednights	2587	34,742	…	13.4
T06	Mental health individual treatment attendances	925	…	2674	2.9
T04	Mental health sub-acute inpatient occupied bednights	593	17,735	…	29.9

… = not applicable
Source: Mental Health Information National Collection
Note: Services are either bednights or contacts.


Alcohol and drug teams
Alcohol and drug teams saw 15.9 percent of all mental health clients in 2005/06, and are the second most highly used (after community teams).

Table 8: Clients seen, bednights and contacts, by alcohol and drug teams by most frequently used services, 2005/06 (provisional)

Service code	Service description	Clients seen	Bednights	Contacts	Average contacts or bednights per client
T06	Mental health individual treatment attendances	16,994	…	99,684	5.9
T08	Mental health care co-ordination contacts	5631	…	28,804	5.1
T18	Methadone treatment specialist service attendances	4086	…	44,652	10.9
T07	Mental health group programme attendances	2555	…	12,408	4.9

… = not applicable
Source: Mental Health Information National Collection
Note: Services are either bednights or contacts.


Child, adolescent and family teams
Child, adolescent and family teams saw more clients in the 0-19 age group than any other team type, with 97.1 percent of their clients aged under 20.

Table 9: Bednights, contacts, and number of clients seen aged 0-19, by team type, 2005/06 (provisional)

Team type code	Team type description	Clients seen	Bednights	Contacts
04	Child, adolescent and family team	14,207	5317	172,955
02	Community team	4146	…	27,128
14	Youth specialty team	2396	5540	43,271
03	Alcohol and drug team	1386	126	5469
06	Kaupapa Māori team	689	…	7959

… = not applicable
Source: Mental Health Information National Collection
Note: Clients can receive a service from more than one team.


Forensic teams
Forensic teams saw just over three percent of all mental health clients seen in 2005/06. Approximately sixty percent of clients seen by forensic teams are in the 20 - 30 age group. Young people in the 10-19 age group make up a larger percentage (12.5 percent) of forensic team clients than in any other highly used team except child, adolescent and family teams and kaupapa Māori teams.

Table 10: Bednights, contacts and clients seen by forensic teams by most frequently used services, 2005, (provisional)

Service code	Service description	Clients seen	Bednights	Contacts	Average contacts or bednights per client
T06	Mental health individual treatment attendances	2846	…	20,964	7.4
T08	Mental health care co-ordination contacts	1973	…	11,565	5.9
T15	Court liaison attendances	1341	…	3535	2.6

… = not applicable
Source: Mental Health Information National Collection
Note: Services are either bednights or contacts.


Kaupapa Māori teams
Table 11 below shows that 2873 Māori clients saw a kaupapa Māori team at least once (16.2 percent of all Māori clients seen across all mental health services). Community teams and alcohol and drug teams were the most common teams seen by Māori clients, with Kaupapa Māori teams the third most common team type.

Table 11: Clients seen, bednights and contacts for clients in the Māori ethnic group, by team type, 2005, (provisional)

Team type code	Team type description	Clients seen	Bednights	Contacts
02	Community team	8863	755	175,760
03	Alcohol and drug team	4167	1398	31,529
06	Kaupapa Māori team	2873	11	60,413
04	Child, adolescent and family team	2784	2032	32,442
01	Inpatient team	2013	75,136	881
05	Forensic team	1392	24,230	16,519
10	Alcohol and drug kaupapa Māori team	1057	...	7583
17	Needs assessment and service co-ordination team	563	...	3975
14	Youth specialty team	462	1436	7345

… = not applicable
Source: Mental Health Information National Collection


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