Annual Report 2004-2005 - Forensicare

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HOW WE MEASURED OUR INPATIENT PERFORMANCE IN 2004-2005 (Our Performance Measures are established annually by Department of Human Services and can therefore vary from year to year. Comparative annual data is shown for the 3-year period from 2002-2003, as measures have remained unchanged in this period. Performance Measures Performance Targets Outcomes Outcomes Outcomes % Change 2004-2005 2003-2004 2002-2003 2002-03 - 2004-05 Bed Occupancy Rate 98% 99.12% 99.4% 97.2% ↑2% Percentage of patients who have a physical examination completed within 48 hours of admission 95% 100% 100% 100% - Unplanned readmission rate within 28 days 2% 3%* 1.4% 1.4% ↑114.3% Number of admissions 176 146 149 142 ↑2.8% Number of individual patients Target not required 139 130 131 ↑6.1% Total number of separations Target not required 137 147 119 ↑15.1% Number of assessments performed for other agencies, including public mental health services 10 11** 25 16 ↓31.3% Number of psychiatric and psychological reports prepared for Victorian courts 76 109 111 120 ↓9.2% Number of escapes from Thomas Embling Hospital 0 0 0 0 - Percentage of patient leave episodes involving a patient absconding 0% 0.02%+ 0% 0% - Number of category one incidents (other than patient absconding) Target not required 1 4 4 ↓75% Proportion of direct care staff undertaking aggression management training within 6 weeks of commencement 100% 99.26% 99% 99% ↑.3% * The increase in the unplanned readmission rate reflects the pressure on inpatient beds at Thomas Embling Hospital, and the frequent need to return patients to prison to accommodate prisoners waiting for a bed who are in greater need for inpatient care. ** Community Forensic Mental Health Services assumed responsibility for providing assessments for public mental health services during 2004-2005. + This represents one patient leave episode involving an abscond. THOMAS EMBLING HOSPITAL PROFILE 2004-2005 2003-2004 2002-2003 % Change (100 beds) (100 beds) (100 beds) 2002-03 – 2004-05 AVERAGE OCCUPANCY RATE Acute Program (men) – Argyle, Atherton 99.28% 99.4% 97.2% ↑2.1% Acute Program (women) – Barossa 97.18% 97.9% 93.9% ↑3.5% Continuing Care Program – Canning, Bass 99.93% 99.9% 96.8% ↑3.2% Intensive Rehabilitation Program – Daintree 99.79% 100% 96.9% ↑3% LEGAL STATUS ON ADMISSION Security Patients Mental Health Act, s16(3)(b) – Restricted Hospital Order (transferred from prison) 78% 81.5% 74.5% ↓4.7% Sentencing Act, s.93(1)(e) – Hospital Security Order (transferred from court) 0.7% 4% 7.5% ↓90.7% Forensic Patients Crimes (Mental Impairment and Unfitness to be Tried) Act 8.3% 9% 6% ↑38.3% Involuntary Patients Mental Health Act, s.12 – Involuntary Patients (transferred from other hospitals) 13% 4.5% 9% ↑44.4% Sentencing Act, s.93(1)(d) – Hospital Order (transferred from court) - 1% 2% ↓- 18
SNAPSHOT OF TOTAL PATIENT POPULATION 30 June 2005 30 June 2004 30 June-2003 % Change (100 patients) (100 patients) (100 patients) June 2003 - June 2005 PATIENT DIAGNOSIS Schizophrenia 92% 62% 66% ↑39.4% Affective disorders 6% 13% 18% ↓66.7% Adjustment disorders - 4% 1% - Brief psychotic episode - 9% 2% - Personality disorder 1% 3% 5% ↓80% Other - 9% 8% - LEGAL STATUS Security Patients Mental Health Act, s16(3)(b) – Restricted Hospital Order (transferred from prison 36+ 43+ 44+ ↓18.2 Forensic Patients Crimes (Mental Impairment and Unfitness to be Tried) Act 52* 49 44 ↑18.2% Involuntary Patients Mental Health Act, s.12 – Involuntary Patients (transferred from other hospitals) 5 4 3 ↑66.7% Other Sentencing Act, s.93(1)(d), Hospital Order; and s.93(1)(e), Hospital Security Order. (transferred from court) 6 4 9 ↓33.3% + Includes multiple patients on track for a mental impairment outcome. * includes 1 patient who was returned to Thomas Embling Hospital following suspension of Extended Leave. HOW WE MEASURED OUR PRISON PERFORMANCE IN 2004-2005 (Service delivery outcomes for services provided at Melbourne Assessment Prison are detailed in the contract between Victorian Institute of Forensic Mental Health and Department of Justice. The performance measures listed here show service delivery information maintained by Forensicare). PERFORMANCE MEASURE Outcomes Outcomes Outcomes % Change 2002-03 2004-2005 2003-2004 2002-2003 – 2004-05 Melbourne Assessment Prison Number of services provided– . reception assessments 3,886 3,568 3,885+ - . psychiatric referrals 5,661 4,689 4,225+ ↑34% . psychiatric and psychological reports prepared for court 199 190 197 ↑1% Acute Assessment Unit – bed occupancy rate 97.45%* 97%* 93.6%* ↑4.1% January – June 2003 Average no. of days between certification and transfer to Thomas Embling Hospital 8** 24 15.9 ↓49.7% Average number of prisoners waiting for admission to Acute Assessment Unit 7.5 5 5 ↑50% + Due to a problem experienced with an external computer system, this information covers actual data collected for the period 1 October 2002 – 30 June 2003. The data for the months of July – September 2002 is an average of the nine-month period for which data is available. * The bed occupancy rate at the Acute Assessment Unit reflects a lower-than experienced rate. Occupancy rates at the Melbourne Assessment Unit are based on actual bed vacancies at midnight each day. If a prisoner is discharged from the Acute Assessment Unit late in the afternoon, and a replacement prisoner not transferred in to the Unit until the following morning, the bed is shown as a vacancy in prison records. Records maintained by Forensicare indicate an almost 100% occupancy rate. ** This decrease is the result of a change in policy by Forensicare regarding admission practices to Thomas Embling Hospital whereby prisoners are admitted to the hospital within 72 hours post-certification. 19
Page 1 and 2: Victorian Institute of Forensic Men
Page 3 and 4: Our Vision ….. to become an inter
Page 5 and 6: COMPOSITION OF REVENUE FIVE YEAR CO
Page 7 and 8: Initiatives Achievements Performanc
Page 9 and 10: LOOK HOW WE HAVE GROWN… As an org
Page 11 and 12: Chief Executive Officer’s Report
Page 13 and 14: My thanks …. Successful organisat
Page 15 and 16: Clinical Director’s Report The Th
Page 17 and 18: Nursing Practice Director’s Repor
Page 19: The implementation of the Carer Par
Page 23 and 24: JARDINE TRANSITION PROGRAM The comm
Page 25 and 26: Consolidating and Strengthening Cli
Page 27 and 28: Professional Education Strategic ob
Page 29 and 30: 20-23 June 2005, Annual Meeting of
Page 31 and 32: Research Strategic objectives • U
Page 33 and 34: RESEARCH IN PROGRESS AT 30 JUNE 200
Page 35 and 36: Strategic objectives • Provide hi
Page 37 and 38: SUPPORT FOR PEOPLE WITH A SERIOUS M
Page 39 and 40: The recommendations included in the
Page 41 and 42: INFORMATION MANAGEMENT Due to our r
Page 43 and 44: ENVIRONMENTAL MANAGEMENT Environmen
Page 45 and 46: Units of water consumed 2004/2005 2
Page 47 and 48: THE GOVERNING BODY - THE VICTORIAN
Page 49 and 50: COUNCIL COMMITTEES Five committees
Page 51 and 52: New Zealand Standard on Risk Manage
Page 53 and 54: LEGISLATIVE COMPLIANCE BUILDING AND
Page 55 and 56: Michael Daffern, Principal Psycholo
Page 57 and 58: Financial Overview FINANCIAL MANAGE
Page 59 and 60: 2004-2005 Financial Statements for
Page 70 and 71:
2004-2005 Financial Statements for
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
STATEMENT OF CORPORATE INTENT - 200
Page 80 and 81:
GLOSSARY 78 Acute Assessment Unit /
Page 82 and 83:
INDEX 80 A Academic Centre - 34 Acc
Page 84:
Victorian Institute of Forensic Men
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Annual Report 2004-2005 - Forensicare

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