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Is headspace making a difference to young people’s lives?

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3. Access and Engagement with Centres<br />

Table 3.3 Types of relationship problems reported by <strong>headspace</strong> clients<br />

Main problem reported Number Percentage<br />

1. I'm having problems with family 2,660 65.2<br />

2. I’m having problems with my boyfriend, girlfriend or partner 476 11.7<br />

3. Other problems with relationships 389 9.5<br />

4. I'm having problems with bullying 214 5.2<br />

5. I'm having problems with friends 211 5.2<br />

6. I’m concerned about my sexuality or gender issues 118 2.9<br />

7. I’m having problems with cyber bullying 13 0.3<br />

Total 4,081 100<br />

Source: Authors calculations from hCSA data.<br />

Primary presenting issue<br />

The primary presenting issue is recorded by service providers in<strong>to</strong> the following categories:<br />

• Mental health and behaviour:<br />

• Physical health<br />

- Anxiety symp<strong>to</strong>ms<br />

- Depressive symp<strong>to</strong>ms<br />

- Suicidal thoughts/behaviour<br />

• Vocational assistance<br />

- <strong>Is</strong>sues in engaging with education/training<br />

- Assistance in engaging with employment.<br />

This data is not a formal diagnosis of a mental disorder, but rather an assessment of the primary<br />

issue at presentation. Formal diagnosis of a mental disorder by an appropriately qualified clinician is<br />

available for only a small proportion of <strong>headspace</strong> clients (Rickwood et al., 2014), and consequently,<br />

this data is not included in the evaluation.<br />

Service providers’ assessment of <strong>young</strong> peoples’ primary presenting issues were largely consistent<br />

with self-reported reasons for attending. The overwhelming majority of <strong>young</strong> people entered<br />

<strong>headspace</strong> with mental health and behavioural problems (74%; Figure 3.9). The next largest<br />

group presented with situational problems (such as conflict in the home or at school; 12%). A<br />

small proportion of <strong>young</strong> people were assessed as having problems associated with sexual and<br />

reproductive health (3%) or alcohol or drug use (3%) as their primary presenting issue. More than<br />

half of the clients whose primary presenting issue was sexual and reproductive health were aged<br />

between 16-19 years.<br />

Problems related <strong>to</strong> physical health were identified as the primary presenting issue for only 167<br />

clients. However, many more <strong>young</strong> people received physical health services through <strong>headspace</strong>. In<br />

2013/14, 6,315 occasions of service were for physical health services. Although <strong>young</strong> people were<br />

unlikely <strong>to</strong> come <strong>to</strong> <strong>headspace</strong> with a primary physical health problem, given the presence of GP<br />

services within many centres and the multi-disciplinary nature of <strong>headspace</strong> and trust built up with<br />

<strong>headspace</strong> centres, it is reasonable that <strong>young</strong> people sought and received physical health services<br />

at <strong>headspace</strong>. These services may also help prevent or address comorbid health problems.<br />

Six per cent of <strong>young</strong> people presented at <strong>headspace</strong> for ‘other’ issues 22 , including attention deficit<br />

disorder, adjustment disorder, developmental disorder, communication disorder and other types of<br />

disorders (Figure 3.9).<br />

22<br />

Categorisation within the <strong>headspace</strong> administrative dataset.<br />

Social Policy Research Centre 2015<br />

<strong>headspace</strong> Evaluation Final Report<br />

28

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