Introduction

Welcome to the Mental Health Crisis Care Profile. This profile has been produced to support an intelligence driven approach to mental health crisis care planning.   It collates and analyses a wide range of publically available data on associated prevalence of mental health crisis, risk factors, access to care, treatment, and outcomes. It offers planners, providers and stakeholders the means to profile their area and benchmark against similar populations.

This profile is part of a system-wide drive towards using data to support the commissioning and delivery of effective mental health crisis care. The profile supports delivery of the action set out in the Crisis Care Concordat to provide information to assess the level of local need for crisis care, develop baseline assessments of current provision, perform gap analysis and monitor the effectiveness of responses to people who experience a mental health crisis.

We will continue to develop and expand the profile; future versions will include more data on crisis care as this becomes available.

Profile structure - data are presented under the domains of Risk factors, Pre-existing mental health condition, Access to support before crisis point, Urgent and emergency access to crisis care, Quality of treatment and care when in crisis, and Recovery and staying well.  Domains group data by geography (Clinical Commissioning Group, Sustainability and Transformation Plan, Local Authority, Region, Mental Health, or Ambulance trust) and then order data by topic (e.g. primary care followed by secondary care).

Profile content - data are drawn from many sources and vary by time period, population and presentation of values. Care should be taken with interpretation. Detailed metadata and any caveats are set out in the Definitions section.

Data quality - data items are included if viewed as robust, of sufficient quality, or offer an important element that could not be otherwise gained.  Each indicator has been assessed and labelled with its quality rank.

Supporting Documents

Recent updates

April 2017

To aid ease of use the Understanding Needs domain has been split into Risk Factors Associated With Developing a Mental Health Crisis and Prevalence of Pre-existing Mental Health Condition

Mental Health Trust (26 indicators) and Sustainability and Transformation Plan (21 indicators) geographies have been introduced. The MH Trust indicators alraedy exist in the Severe Mental Illness profile. The STP indicators already exist in the Crisis Care profile at CCG level

Four indicators have been updated in the Risk Factors domain:

  • Looked after children: rate per 10,000 <18 population
  • Unaccompanied Asylum Seeking Children looked after: count
  • Children leaving care: rate per 10,000 <18 population
  • Under 18 pregnancy: rate of conceptions per 1,000 females aged 15 – 17

 One indicator has been updated in the Pre-Existing Mental Health Condition domain:

  • Estimated prevalence of any mental health disorder: % GP registered population aged 5-16

 One indicator has been updated in the Access to Support domain:

  • IAPT referrals for BME patients: % of referrals (in quarter)

 One indicator has been updated in the Recovery and Staying Well domain

  • IAPT reliable improvement: % of people (in quarter) who have completed IAPT treatment who achieved "reliable improvement"

Five indicators have been retired from the profile

  • Emotional well-being of looked after children: average score
  • Repeat child protection cases: % of children who became subject of a child protection plan for a second or subsequent time
  • New child protection cases: Rate of children who became the subject of a child protection plan during the year, per 10,000 aged <18
  • Older people living alone: % of households occupied by a single person aged 65 or over
  • Prison population: Number

The Crisis Care catalogue has been updated to reflect these changes

March 2017

Three indicators in the Understanding Need domain have been updated:

  • Child hospital admissions for mental health conditions: rate per 100,000 aged 0 -17 years
  • Self-Harm (10-24 year): Hospital admissions - directly standardised rate per 100,000 of the population
  • Young people hospital admissions due to substance misuse: rate per 100,000 aged 15 - 24

February 2017

Three indicators in the Understanding Need domain have been updated:

  • Children under 16 in poverty: % of children aged 0-15
  • Supported asylum seekers: rate per 10,000 population
  • Emotional well-being of looked after children: average score

Seven indicators in the Access to Support domain have been updated:

  • Access to IAPT services: people entering IAPT (in month) as % of those estimated to have anxiety/depression
  • IAPT waiting times < 6 weeks from referral to first treatment: % of referrals (in month)
  • IAPT waiting times < 18 weeks from referral to first treatment: % of referrals (in month)
  • Concurrent contact with mental health services and substance misuse services for alcohol misuse: % people accessing substance misuse services
  • Treatment waiting time: % people waiting more than 3 weeks for alcohol treatment
  • Concurrent contact with mental health services and substance misuse services for drug misuse: % people accessing substance misuse services
  • Treatment waiting time: % people waiting more than 3 weeks for drug treatment

One indicator in the Quality of Treatment Domain has been updated:

  • IAPT DNAs: % of IAPT appointments (in month)

Two indicators in the Recovery and Staying Well domain has been updated:

  • Excess under 75 mortality rate in adults with serious mental illness
  • IAPT recovery: % of people (in month) who have completed IAPT treatment who are "moving to recovery" 

December 2016

Six indicators in the Understanding Need domain have been updated:

  • Learning disability QOF prevalence
  • Severe mental illness recorded QOF prevalence
  • Depression QOF prevalence
  • Dementia QOF prevalence
  • Long term mental health problems among GP survey respondents
  • Depression and anxiety among GP survey respondents

Two indicators in the Access to Support domain have been updated:

  • Exception rate for severe mental illness
  • IAPT use by BME groups

November 2016

 Four indicators in the Understanding Need domain have been updated:

  • Long term MH problem
  • Long-term unemployment
  • Statutory homelessness rate
  • Supported asylum seekers

 Three indicators in the Access to Support domain have been updated:

  • IAPT access rates
  • IAPT waiting times (6 weeks and 18 weeks)

One indicators in the Quality of treatment  domain has been updated:

  • IAPT DNAs

Two indicators in the Recovery and Staying Well domain have been updated:

  • Employment of people with mental health disorders
  • IAPT recovery rates

 

The NHS 111 Calls per Weekday & per Weekend day indicators have been changed to the average number of calls received per 100,000 people per day. This allows for better comparison between areas as the indicators are now adjusted for   population.

 

October 2016

- the Domestic Abuse indicator in the Understanding need domain has been updated with 2014/15 data.

September 2016

- The indicator quality assessment document has been added.


* Seven IAPT INDICATORS UPDATED

- Four indicators in the Access to Support domain, one in the Quality of Treatment domain and two in the Recovery and Staying Well domain have been updated for January to March 2016.

August 2016

First version released