Table A1.
Glossary of DESDE-LTC Main types of care (MTC), descriptions and common terms.
| Broad Category | Description | Other Common Terms | Main Type of Care (MTC) |
|---|---|---|---|
| Residential | Facilities which provide beds overnight for users for a purpose related to the clinical and social management of their health condition | Accommodation, Hospital, Residential | R |
| Hospital | ACUTE. Users are admitted to hospital typically within 24 h because of their crisis condition. Surveillance level and length of stay varies depending on the code | High Dependency Inpatient; Acute Care Unit; Intensive Care Unit; Psychiatric Assessment and Planning Unit; Specialised Acute Mental Health Units for Older People or Specialised Hospitals for Older People | R1–R3 |
| Hospital | NON-ACUTE. Facilities which do not satisfy acute conditions. It can be time limited or indefinite depending on the code. | Sub-acute; Community Care Units; Extended Care Mental Health Rehabilitation Unit; Extended Treatment | R4, R6 |
| Alternative to hospital | ACUTE. Facilities providing acute residential care outside the location of a registered hospital | Crisis homes | R0, R3.1 |
| Alternative to hospital | NON-ACUTE. Facilities with 24 h medical support on site. It can be time limited or indefinite depending on the code | Therapeutic Communities | R5, R7 |
| Community | HIGH INTENSITY. Facilities with 24 h (non-medical) support. Length of stay (4weeks to indefinite) varies depending on the code. | Step up-Step Down (SUSD); Prevention and Recovery Care (PARC); Rehabilitation residences; Supported accommodation; Specialised Residential Aged Care | R8, R11 |
| Community | MEDIUM AND LOW INTENSITY. Facilities with a range of support that varies from daily to fewer to 5 days a week depending on the code. Length of stay (4 weeks to indefinite) varies depending on the code. | Psychiatric Hostel; Group Houses; Supported Accommodation | R9, R10, R12, R13 |
| Day services | Facilities available to several users at a time that provide some combination of planned treatment for users’ needs, with regular opening hours during which they are normally available, and expect users to stay at the facilities beyond the periods during which they have face-to-face contact with staff. | Day services | D |
| Day | ACUTE HEALTH. Users are admitted to the service to because of their crisis condition. Admittance varies typically from 72 h to 4 weeks, depending on the code | Day Hospital services (non-existent in Australia) | D0–D1 |
| Day | NON-ACUTE HEALTH. Typically, at least 20% of staff are qualified health professionals with at least a four year university degree. Depending on the code it can be high (equivalent to 4 half days) or low intensity | Recovery Services; Rehabilitation Services, Therapeutic Day services, Outpatient ECT services, | D4.1, D8.1 |
| Day | WORK-RELATED. Facilities which provide users with the opportunity to work. The salary varies depending on the code: normal wage; 50% of typical wage; not paid or symbolic pay. | Disability Enterprises; Social firms; Workers Coop; Occupational centres; Integration workplace; sheltered work | D2–D3, D6–D7 |
| Day | OTHER. Facilities providing education, social or other non-health-related care. Depending on the code it can be high (equivalent to 4 half days) or low intensity. Structured (activities available more than 25% o opening hours) or non-structured. | Social Clubs; Club Houses; Vocational training; psychiatric drop-in centre, Day centres | D4.2–D4.4, D8.2–D8.4, D5, D9, D10 |
| Outpatient | Facilities providing contact between staff and users for some purpose related to management of their condition that are not provided as a part of delivery of residential or day and structured activity care teams, as defined below. | Community or ambulatory care; psychosocial support | O |
| Health | ACUTE MOBILE. The service provides assessment and initial treatment in response to a health-related crisis, typically same day response during working hours or at least within 72 h after the care demand. At least 50% of contacts take place outside the service (e.g., user’s home). Depending on the code it can be 24 h or limited hours. | Crisis and Assessment Teams; Assertive Community Treatment | O1.1, O2.1 |
| Health | ACUTE NON-MOBILE. The service provides assessment and initial treatment in response to a health-related crisis, the purpose is to treat the user in the service, in no case mobile attention exceeds 50% of overall activity. Depending on the code it can be 24 h or limited hours. | Emergency Units or Depts, Psychiatric Emergency; Psychiatric Liaison | O3.1, O4.1 |
| Health | NON-ACUTE MOBILE. The service does not fulfil criteria for acute care. At least 50% of contacts take place outside the service (e.g., user’s home). Depending on the code it can be high intensity (3 times/week), medium intensity (once a fortnight), low intensity (once a month or less) | Mobile Support and Treatment Team; Community Outreach, Specialised Community Mental Health Teams for Older People | O5.1, O6.1, O7.1 |
| Health | NON-ACUTE NON-MOBILE. The service does not fulfil criteria for acute care. The purpose is to treat the user in the service, in no case mobile attention exceeds 50% of overall activity. Depending on the code it can be high intensity (3 times/week), medium intensity (once a fortnight), low intensity (once a month or less) | Outpatients; Specialised Outpatient Clinics for Older People; Clinic services, Dual Diagnosis; Community Care/Continuing Care, | O8.1, O9.1, O10.1 |
| Social | NON-ACUTE NON-MOBILE. As in non-acute non mobile health but providing other type of care different than health (social, work) | Daily Living, Living Skills Development or Support eg: Art therapy classes, financial or budgeting support (centre based) | O8.2, O9.2, O10.2 |
| Social | NON-ACUTE MOBILE. As in non-acute mobile health but providing other type of care different than health (social, work) | Personal Helpers and Mentors; Psychosocial outreach support | O5.2, O6.2, O7.2 |
| Social | ACUTE NON-MOBILE. As in acute non mobile health but providing other type of care different than health (social, work) | Family and sexual violence crisis services | O3.2, O4.2 |
| Social | ACUTE MOBILE NON-HEALTH. As in acute mobile health but providing other type of care different than health (social, work) | O1.2, O2.2 | |
| Accessibility | Facilities which main aim is to facilitate accessibility to care for users with a specific condition | A | |
| Services that facilitates the access to information; Services that facilitates physical mobility; services that facilitates personal accompaniment; Services that facilitates case coordination; Services that facilitates access to employment or housing. | Partners In Recovery (now ceased), Tenancy Support | A1–A5 | |
| Information | Facilities that provide users from the defined target group with information and/or an assessment of their needs. Does not entail subsequent monitoring/follow-up or direct care provision | I | |
| Guidance and assessment. Information | Telephone triage; Intake & Assessment; Support helplines; Lifeline; Hotline, Information services; Leaflets; Websites | I1–I2 |