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INDICATOR NAME
Name
Emergency Department as a First Contact for a Mental Health and Addictions (for children and youth)
Alternate Name
Percentage of children and youth 0 to 24 years old who did not receive mental health care from a family doctor, pediatrician or psychiatrist in the two years preceding a visit to the emergency department for a mental illness or addiction
 
INDICATOR DESCRIPTION
Description

This indicator measures the percentage of children and youth who did not receive mental health care from a family doctor, paediatrician or psychiatrist over the preceding two years, among children and youth aged 0 to 24 years  who visited the emergency department for a mental illness or addiction.
HQO Reporting tool/product
Public reporting
Dimension
Timely
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by the denominator times 100
Numerator (short description i.e. not inclusions/exclusions)

Number of children and youth (0 to 24 years) without any mental health and addictions (MHA)- related service contact in a 2 year look back period; includes only those who did not have an MHA-related outpatient visit to a psychiatrist, paediatrician or a general practitioner/family physician or an MHA-related emergency department (ED) visit (scheduled or unscheduled) or an MHA-related hospitalization in the 2 years preceding the index ED visit

Denominator (short description i.e. not inclusions/exclusions)

Number of children and youth with an incident (first in a calendar year) unscheduled emergency department visit for MHA
Adjustment (risk, age/sex standardization)- generalized
Age and sex standardized
Data Source
Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), Ontario Health Insurance Plan (OHIP) Claims History Database, Ontario Mental Health Reporting System (OMHRS), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
Reported Levels of comparability /stratifications (defined)
Age, Income, Region, Rurality, Sex
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Limitations include potential coding errors and a lack of clinical detail. The data does not capture MHA-related care provided in the community by non-physicians (e.g., nurse practitioners, psychologists, and social workers).
 
TAGS
Sector
Acute Care/Hospital, Community Support Services, Primary Care
Type
Outcome
Topic
Mental Health and Addiction
Dimension
Timely
Source
Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), Ontario Health Insurance Plan (OHIP) Claims History Database, Ontario Mental Health Reporting System (OMHRS), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
20/11/2018 15:50:00