Examining service utilisation and impact among consumers of a national mental health stepped care programme in Australia: a protocol using linked administrative data

Rachel Cole; Mary Kynn; Angela Carberry; Rhian Jones; Sanjoti Parekh; Emma Whitehead; Jane Taylor; Katharina Merollini

doi:10.1136/bmjopen-2023-072404

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Examining service utilisation and impact among consumers of a national mental health stepped care programme in Australia: a protocol using linked administrative data

Journal article

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Peer reviewed

Examining service utilisation and impact among consumers of a national mental health stepped care programme in Australia: a protocol using linked administrative data

Rachel Cole, Mary Kynn, Angela Carberry, Rhian Jones, Sanjoti Parekh, Emma Whitehead, Jane Taylor and Katharina Merollini

BMJ Open, Vol.13(7), pp.1-10

2023

DOI: https://doi.org/10.1136/bmjopen-2023-072404

PMID: 37419645

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Abstract

health policy

organisation of health services

primary health care

Introduction: Mental well-being is a global public health priority with increasing mental health conditions having substantial burden on individuals, health systems and society. 'Stepped care', where services are provided at an intensity to meet the changing needs of the consumer, is the chosen approach to mental health service delivery in primary healthcare in Australia for its efficiencies and patient outcomes; yet limited evidence exists on how the programme is being rolled out and its impact in practice. This protocol outlines a data linkage project to characterise and quantify healthcare service utilisation and impacts among a cohort of consumers of a national mental health stepped care programme in one region of Australia. Methods and analysis: Data linkage will be used to establish a retrospective cohort of consumers of mental health stepped care services between 1 July 2020 and 31 December 2021 in one primary healthcare region in Australia (n=approx. 12 710). These data will be linked with records from other healthcare service data sets (eg, hospitalisations, emergency department presentations, community-based state government-delivered mental healthcare, hospital costs). Four areas for analysis will include: (1) characterising the nature of mental health stepped care service use; (2) describing the cohort's sociodemographic and health characteristics; (3) quantifying broader service utilisation and associated economic costs; and (4) assessing the impact of mental health stepped care service utilisation on health and service outcomes. Ethics and dissemination: Approval from the Darling Downs Health Human Research Ethics Committee (HREA/2020/QTDD/65518) has been granted. All data will be non-identifiable, and research findings will be disseminated through peer-reviewed journals, conference presentations and industry meetings.

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Title: Examining service utilisation and impact among consumers of a national mental health stepped care programme in Australia: a protocol using linked administrative data
Authors: Rachel Cole (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Public Health
Mary Kynn (Author) - Curtin University
Angela Carberry (Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Rhian Jones (Author) - Sunshine Coast Health Network
Sanjoti Parekh (Author) - Abt Associates Pty Ltd (Australia)
Emma Whitehead (Author) - Sunshine Coast Health Network
Jane Taylor (Author) - University of the Sunshine Coast, Queensland, School of Health - Public Health
Katharina Merollini (Author) - University of the Sunshine Coast, Queensland, School of Health - Public Health
Publication details: BMJ Open, Vol.13(7), pp.1-10
Publisher: BMJ Group
Date published: 2023
DOI: 10.1136/bmjopen-2023-072404
ISSN: 2044-6055
PMID: 37419645
Copyright note: This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Grant note: Bupa Foundation
Organisation Unit: School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Cancer Research Cluster; School of Health - Public Health
Language: English
Record Identifier: 99741798802621
Output Type: Journal article

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Web Of Science research areas: Psychiatry

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