{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:27:38Z","timestamp":1785410858962,"version":"3.56.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T00:00:00Z","timestamp":1680739200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2023,8]]},"abstract":"\n Objective<\/jats:title>\n To provide analysis and commentary on Australian state\/territory child and adolescent mental health service (CAMHS) expenditure, inpatient and ambulatory structure and key performance indicators.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n Data from the Australian Institute of Health and Welfare and the Australian Bureau of Statistics were descriptively analysed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Between 2015\u201316 and 2019\u201320, overall CAMHS expenditure increased by an average annual rate of 3.6%. Per capita expenditure increased at a higher rate than for other subspeciality services. CAMHS admissions had a higher cost per patient day, shorter length of stay, higher readmission rate and lower rates of significant improvement. Adolescents aged 12\u201317 had high community CAMHS utilisation, based on proportion of population coverage and number of service contacts. CAMHS outpatient outcomes were similar to other age-groups. There were high rates of \u2018Mental disorder not otherwise specified\u2019, depression and adjustment\/stress-related disorders as principal diagnoses in community CAMHS episodes.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n CAMHS inpatient admissions had lower rates of significant improvement and higher 14-day readmission rates than other ages. Australia\u2019s young population had a high outpatient CAMHS contact rate. Evidence-based modelling of CAMHS providers and outcomes may inform future service improvement.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10398562231165845","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T02:45:33Z","timestamp":1680835533000},"page":"445-451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Child and Adolescent Mental Health Services in Australia: A descriptive analysis between 2015\u201316 and 2019\u201320"],"prefix":"10.1177","volume":"31","author":[{"given":"Matthew","family":"Brazel","sequence":"first","affiliation":[{"name":"Academic Unit of Psychiatry and Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia;"},{"name":"The Canberra Hospital, Department of Psychiatry, Garran, ACT, Australia;"},{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9264-5310","authenticated-orcid":false,"given":"Stephen","family":"Allison","sequence":"additional","affiliation":[{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia;"},{"name":"College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6931-2913","authenticated-orcid":false,"given":"Tarun","family":"Bastiampillai","sequence":"additional","affiliation":[{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia;"},{"name":"College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia;"},{"name":"Department of Psychiatry, Monash University, Clayton, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4021-2924","authenticated-orcid":false,"given":"Stephen R","family":"Kisely","sequence":"additional","affiliation":[{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia;"},{"name":"School of Medicine, University of Queensland, Princess Alexandra Hospital, Woolloongabba, QLD, Australia;"},{"name":"Departments of Psychiatry, Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3351-6911","authenticated-orcid":false,"given":"Jeffrey CL","family":"Looi","sequence":"additional","affiliation":[{"name":"Academic Unit of Psychiatry and Addiction Medicine, The Australian National University School of Medicine and Psychology, Canberra Hospital, Canberra, ACT, Australia;"},{"name":"Consortium of Australian-Academic Psychiatrists for Independent Policy and Research Analysis (CAPIPRA), Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,6]]},"reference":[{"key":"bibr1-10398562231165845","volume-title":"NCMHWS","author":"Australian Government","year":"2021"},{"key":"bibr2-10398562231165845","volume-title":"State and territory population","author":"ABS. National","year":"2021"},{"key":"bibr3-10398562231165845","doi-asserted-by":"publisher","DOI":"10.1080\/02673843.2019.1596823"},{"key":"bibr4-10398562231165845","unstructured":"Lawrence D, Johnson S, Hafekost J, et al. The mental health of children and adolescents: report on the second Australian child and adolescent survey of mental health and wellbeing. Department of Health, Canberra, 2015."},{"key":"bibr5-10398562231165845","doi-asserted-by":"publisher","DOI":"10.1136\/ebmental-2021-300277"},{"key":"bibr6-10398562231165845","volume-title":"Health services in Australia-expenditure, facilities, community care and key performance indicators","author":"AIHW. 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