Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program Evaluation-of-headspace-program
Appendix B Use of alternative ASGS boundaries - Urban Centres and Localities Key messages • This alternative model aims to improve access with the use of Urban Centres and Locality (UCL) boundaries in non-metropolitan areas. The UCL boundaries may better capture service hubs compared to SA3s, which are used in the current model. • There are 1,592 UCLs in non-metropolitan Australia, and less than 200 of these locations have youth populations exceeding 1,000 persons. Some of these already have access to headspace services. • If centres are allocated allowing all UCLs to be in-scope, with no lower limit on region size, the number of headspace centres created would be large. As in alternative model 1 (data driven approach), this would make the implementation of this model prohibitively expensive. • If a lower limit of 1,000 youth population was set, 22 areas currently without headspace services would be in-scope for centre allocation. This would include 5 new centres in metropolitan areas and 17 new centres in non-metropolitan UCL regions. • If a lower limit of 3,500 youth population was used, which is the size of the current smallest headspace centre under the current allocation model used by the Department, 5 additional sites could be allocated in metropolitan areas and 2 in nonmetropolitan areas. • Additional information regarding capacity, existing services, travel routes, and cost of centres which vary from the traditional model would allow the number of centres, and the cost of implementation, to be estimated. Rationale The use of SA3s as the unit of allocation for centres in regional areas may not be optimal. ABS data show that SA3s are typically functional areas of regional cities, and large urban transport and service hubs. As previously outlined, these areas are often large, particularly in rural and remote areas and, as a result, may not represent service catchment areas of realistic travel distances for headspace service access. An alternative geographic classification, which falls outside the main ASGS structure, is the Urban Centres and Localities (UCL) classification. The ABS classification states that ‘Urban centres and localities (UCLs) are geographical units that statistically describe Australian population centres with populations exceeding 200 persons.’(ABS, 2011) These units are created via the aggregation of contiguous SA1s and are designed for the purpose of data release from the census of population and housing. Areas are defined based on their population size. Areas with a population of 1,000 or more are considered Urban Centres. Areas which have populations greater than 200 and an urban population below 1,000 are classified as Localities. These areas represent rural populations. Centre allocation based on the UCL boundaries may result in a closer approximation of realistic service catchment areas for headspace services in non-metropolitan areas. However, in metropolitan areas, the use of UCL boundaries results in areas with very large populations, which are unlikely to be serviceable by a single headspace centre. For example, the single urban centre of Sydney contains more than 700,000 12-25 year olds and a total population of almost 4 million. This alternative model of allocation therefore assigns centres to UCLs in non-metropolitan areas and SA4s in metropolitan areas. This definition of access was based on discussions with hNO. Defining catchment areas Across Australia, there are a total of 684 urban centres, 1,128 localities and 27 special purpose UCLs. As outlined above, centres in metropolitan areas could be assigned centres at the SA4 level, and those areas in non-metropolitan areas assigned centres based on the UCL geographies. Urban Social Policy Research Centre 2015 headspace Evaluation Final Report 158
Appendix B centres and Localities in non-metropolitan areas which are within approximately an hour’s travel time of existing headspace centres could be considered to have access to services. Allocation of centres The youth population could be weighted using the current headspace weighting method, as described earlier. Therefore, greater weight would be assigned to those areas with higher levels of disadvantage, as defined by SEIFA, and remoteness, determined using ARIA. As a result, those living in more remote areas, or in areas with low socio-economic status, are prioritised in the allocation of additional centres. UCLs with very small populations could be excluded from the allocation model. Alternative service delivery modes could be considered for these areas. Centre capacity Again, centre capacity provides an important component for youth access to services and an important lever which could be altered in the current model. For example, varying the headspace grant centre funding, to tie more closely to centre demand, may allow for more efficient and equitable delivery of services particularly when allocating centres to small UCLs. There are 1,592 UCLs regions in non-metropolitan areas in Australia. Almost all UCLs have youth populations of less than 3,500 12-25 year olds (3.6%) and only 10% of UCLs in non-metropolitan areas have youth populations greater than 1,000 12-25 year olds. While we lack detailed information on efficient service capacity, it is possible that areas with small youth populations would not support full headspace sites and smaller centres may be required. If a lower limit of 1,000 youth population was set, 22 areas would be in-scope for centre allocation. This would include 5 new centres in metropolitan areas and 17 centres to UCL regions. If a lower population limit was set at 3,500, as is the case in the current allocation model, 5 additional sites could be allocated in metropolitan areas and 2 in non-metropolitan areas. It is important to note that the allocation of centres is highly dependent on the current availability of mental health services, and potential lead agencies in the area. In the current model, this is described within the ‘human intelligence component’. However, this cannot be considered within the evaluation. Although we lack sufficient data to determine an upper limit of service capacity for headspace centres, the question of centre capacity remains crucial to any efficient expansion of the headspace model. Evaluation UCLs are likely to represent a better definition of a functional town and greater likelihood of access for youth within the geographic unit, when compared to SA3s. The use of administrative boundaries to define access is associated with some clear administrative benefits. For example, ASGS boundaries are relatively stable over time, well-identified, and have defined populations. This increases the ease of implementation of the model of centre allocation. However, in some cases, areas, and in particular SA4s, contain large populations which require more than one headspace centre to meet the demand for services and allow for equitable access to services. This alternative model does not address the issue of excess demand for single headspace centres in large population SA4 areas; see Alternative Model 1 above for a possible solution to that access issue. In addition, if this model was extended to its geographic limit, a large number of areas with small population sizes would be allocated a centre. As outlined in the centre capacity section above, a lower limit of region size, in addition to the introduction of alternatives to traditional centres (e.g. smaller centres operating on a part-time basis), needs to be considered to prevent this model being prohibitively expensive due to the number of centres required whilst still improving youth access A further consideration is that previous analyses suggest that young people are unlikely to travel large distances to headspace and, as a result, the use of a 1 hour of travel cut-point for access in nonmetropolitan areas is unlikely to correspond with a fair definition of service access. It is possible that non-metropolitan areas with small populations could be better serviced by alternative methods of service delivery, such as fly-in fly-out services or online service provision. These are discussed further below. Social Policy Research Centre 2015 headspace Evaluation Final Report 159
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Appendix B<br />
Use of alternative ASGS boundaries - Urban Centres and Localities<br />
Key messages<br />
• This alternative model aims <strong>to</strong> improve access with the use of Urban Centres and<br />
Locality (UCL) boundaries in non-metropolitan areas. The UCL boundaries may better<br />
capture service hubs compared <strong>to</strong> SA3s, which are used in the current model.<br />
• There are 1,592 UCLs in non-metropolitan Australia, and less than 200 of these<br />
locations have youth populations exceeding 1,000 persons. Some of these already<br />
have access <strong>to</strong> <strong>headspace</strong> services.<br />
• If centres are allocated allowing all UCLs <strong>to</strong> be in-scope, with no lower limit on region<br />
size, the number of <strong>headspace</strong> centres created would be large. As in alternative<br />
model 1 (data driven approach), this would make the implementation of this model<br />
prohibitively expensive.<br />
• If a lower limit of 1,000 youth population was set, 22 areas currently without<br />
<strong>headspace</strong> services would be in-scope for centre allocation. This would include 5 new<br />
centres in metropolitan areas and 17 new centres in non-metropolitan UCL regions.<br />
• If a lower limit of 3,500 youth population was used, which is the size of the<br />
current smallest <strong>headspace</strong> centre under the current allocation model used by the<br />
Department, 5 additional sites could be allocated in metropolitan areas and 2 in nonmetropolitan<br />
areas.<br />
• Additional information regarding capacity, existing services, travel routes, and cost of<br />
centres which vary from the traditional model would allow the number of centres, and<br />
the cost of implementation, <strong>to</strong> be estimated.<br />
Rationale<br />
The use of SA3s as the unit of allocation for centres in regional areas may not be optimal. ABS data<br />
show that SA3s are typically functional areas of regional cities, and large urban transport and service<br />
hubs. As previously outlined, these areas are often large, particularly in rural and remote areas and,<br />
as a result, may not represent service catchment areas of realistic travel distances for <strong>headspace</strong><br />
service access.<br />
An alternative geographic classification, which falls outside the main ASGS structure, is the Urban<br />
Centres and Localities (UCL) classification. The ABS classification states that ‘Urban centres and<br />
localities (UCLs) are geographical units that statistically describe Australian population centres with<br />
populations exceeding 200 persons.’(ABS, 2011) These units are created via the aggregation of<br />
contiguous SA1s and are designed for the purpose of data release from the census of population<br />
and housing. Areas are defined based on their population size. Areas with a population of 1,000 or<br />
more are considered Urban Centres. Areas which have populations greater than 200 and an urban<br />
population below 1,000 are classified as Localities. These areas represent rural populations.<br />
Centre allocation based on the UCL boundaries may result in a closer approximation of realistic<br />
service catchment areas for <strong>headspace</strong> services in non-metropolitan areas. However, in metropolitan<br />
areas, the use of UCL boundaries results in areas with very large populations, which are unlikely<br />
<strong>to</strong> be serviceable by a single <strong>headspace</strong> centre. For example, the single urban centre of Sydney<br />
contains more than 700,000 12-25 year olds and a <strong>to</strong>tal population of almost 4 million. This<br />
alternative model of allocation therefore assigns centres <strong>to</strong> UCLs in non-metropolitan areas and<br />
SA4s in metropolitan areas. This definition of access was based on discussions with hNO.<br />
Defining catchment areas<br />
Across Australia, there are a <strong>to</strong>tal of 684 urban centres, 1,128 localities and 27 special purpose<br />
UCLs. As outlined above, centres in metropolitan areas could be assigned centres at the SA4 level,<br />
and those areas in non-metropolitan areas assigned centres based on the UCL geographies. Urban<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
158