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

Evaluation-of-headspace-program Evaluation-of-headspace-program

05.12.2016 Views

3. Access and Engagement with Centres Many staff members contrasted headspace with more traditional, clinical settings and felt that young people were drawn to headspace precisely because of the centres’ non-clinical presentation, which they described as welcoming, relaxed and engaging. This was confirmed by a young male who described how he felt about his local centre: I love this place, I feel comfortable, I can just – I don’t know, I feel almost at home …I used to come here all the time, even if I wasn’t here for appointments I’d go down to [the centre] and they’d have like youth events and stuff, and now I come here every Thursday … I don’t know, it’s just like the look of it, I guess it – they have plush lounges, and it’s not all really that business like, it just looks comfortable (Male, 15 years) In the Satisfaction Survey, where clients were asked to report responses on a 5-point Likert scale (strongly agree to strongly disagree), 89.5% of respondents agreed or strongly agreed that they felt comfortable within their headspace centre, 1.7% of respondents reported feeling uncomfortable, with the remaining 8.9% of respondents indicating neutral feelings. Staff that are friendly, non-judgemental and that ‘click’ with you In addition to the physical appeal of headspace centres, many stakeholders highlighted the key role played by headspace personnel in actively engaging young people. A number of young people who were interviewed spoke about how staff made them feel at ease: Staff are here to help you, they’re not – they’re paid but they’re here to help you, it’s a little bit hard to explain, they’re paid but they actually enjoy their job here (Male, 18 years) A young female client was keen to emphasise how staff were welcoming and understanding: These people are not biased, you know, they are understanding, they genuinely want to help people. They recognise that mental illness is not a good thing to live with, that you need to have help if you need help and they’re very open. I’ve seen people when I’ve been in the waiting room or whatever, and I’ve seen people just walk in and say “I need to speak to someone. Can I speak to someone?”, and someone will be found for them – I’ve seen that happen three times, I think. It’s very efficient but it’s also very relaxed at the same time, you know, you don’t feel like you can’t come here if you just need to which is important (Female, 18 years) headspace staff members’ vibrancy, ability to engage and show interest in the young people attending headspace sites were noted as being particularly important. Further, the importance of the relationship between the young person and their counsellor was highlighted by both young people and their parents. Both groups described situations where the young person had initially dropped out because they did not ‘click’ with their counsellor, only to return a number of months later, and successfully engage after being allocated a new counsellor that they did ‘click’ with. Findings from the Satisfaction Survey indicate that even though young people reported high levels of satisfaction for centres and the help they received, young people are most highly satisfied with headspace staff. Ninety-three per cent of respondents strongly agreed or agreed with the statement that they felt listened to by staff; almost 90% of respondents strongly agreed or agreed with the statement that their worries and views were taken seriously by staff; and around 85% of respondents felt that they were involved in decisions concerning their care and were able to raise concerns with staff. Free or low cost service The fact that headspace services are provided free or for a small gap payment was also key to the appeal and accessibility of the service. I’m glad that a service like this exists because that was another concern I think I had. I wasn’t sure if I’d have to pay anything and I didn’t have any money when I first approached them (Female, 24 years). And the service is free which is just – I don’t have to – when I get older, and hopefully it’s still here, I won’t have to pay for it. Well mum doesn’t have to pay for it so that’s just a blessing really (Male, 18 years). Social Policy Research Centre 2015 headspace Evaluation Final Report 30

3. Access and Engagement with Centres Wide range of services A number of headspace staff and service providers felt that providing a wide range of services through the sites broadened headspace’s appeal because this helped to detract from the mental health focus of the service, which could be stigmatising for young people. Consequently, the provision of additional, non-mental health-related support services was considered important for enabling young people to visit and become familiar with headspace in a non-stigmatising context. Whilst there’s still the stigma there, we’ve gone a long way at kind of conveying to people that this is a place where you can get help for all kinds of different things (Psychologist) Innovative modes of engagement Several staff members spoke of how innovative modes of engagement also heightened headspace’s appeal to young people. Involvement in community events, visiting schools and music events were seen as crucial for raising community awareness of headspace and for promoting the service to young people. The wide range of youth-friendly events organised by the sites clearly facilitated young people’s engagement with and awareness of the service: They sometimes have – I haven’t been to them, but they have skating events, gaming events and the ones I’ve been to were mainly music events where my friends singing, or playing guitars or something, so I went along to support them. (Male, 18 years) The adoption of information and communication technology, such as free Wi-Fi, iPads, and the use of social media including Facebook, was also noted by some as important for engaging young people. Other less frequently noted factors that staff and service providers considered important for broadening headspace’s appeal to young people included: flexibility with appointments, extended opening hours, a focus on quick response, group support (e.g. drumming, drama groups), reminder calls about appointments, follow-up calls to check up on young people, consultation with the Youth Reference Group concerning headspace promotional material, no geographical boundaries, no need for a referral and high quality service. Factors that hinder engagement While stakeholders were largely overwhelmingly positive about headspace’s accessibility, they also identified a range of factors that may hinder young people’s access to and engagement with headspace. Distance from a centre The economic evaluation of headspace, which included an analysis of centre expansion models, determined a strong relationship between the use of headspace services and the distance of a centre from a clients’ home. The full analysis (reported in Appendix B) shows that there was a rapid decline in the probability of young people accessing services as the distance to a headspace centre increased. In addition, there was a correlation between knowledge of headspace and proximity to a headspace centre. Again, with increasing distance there was a substantial decline in knowledge of headspace services. As shown in Figure 3.10, the majority of headspace clients live within 10 kilometres of a centre. Social Policy Research Centre 2015 headspace Evaluation Final Report 31

3. Access and Engagement with Centres<br />

Wide range of services<br />

A number of <strong>headspace</strong> staff and service providers felt that providing a wide range of services<br />

through the sites broadened <strong>headspace</strong>’s appeal because this helped <strong>to</strong> detract from the mental<br />

health focus of the service, which could be stigmatising for <strong>young</strong> people. Consequently, the<br />

provision of additional, non-mental health-related support services was considered important for<br />

enabling <strong>young</strong> people <strong>to</strong> visit and become familiar with <strong>headspace</strong> in a non-stigmatising context.<br />

Whilst there’s still the stigma there, we’ve gone a long way at kind of conveying <strong>to</strong> people that<br />

this is a place where you can get help for all kinds of different things (Psychologist)<br />

Innovative modes of engagement<br />

Several staff members spoke of how innovative modes of engagement also heightened <strong>headspace</strong>’s<br />

appeal <strong>to</strong> <strong>young</strong> people. Involvement in community events, visiting schools and music events were<br />

seen as crucial for raising community awareness of <strong>headspace</strong> and for promoting the service <strong>to</strong><br />

<strong>young</strong> people. The wide range of youth-friendly events organised by the sites clearly facilitated <strong>young</strong><br />

<strong>people’s</strong> engagement with and awareness of the service:<br />

They sometimes have – I haven’t been <strong>to</strong> them, but they have skating events, gaming events<br />

and the ones I’ve been <strong>to</strong> were mainly music events where my friends singing, or playing<br />

guitars or something, so I went along <strong>to</strong> support them. (Male, 18 years)<br />

The adoption of information and communication technology, such as free Wi-Fi, iPads, and the use of<br />

social media including Facebook, was also noted by some as important for engaging <strong>young</strong> people.<br />

Other less frequently noted fac<strong>to</strong>rs that staff and service providers considered important for<br />

broadening <strong>headspace</strong>’s appeal <strong>to</strong> <strong>young</strong> people included: flexibility with appointments, extended<br />

opening hours, a focus on quick response, group support (e.g. drumming, drama groups), reminder<br />

calls about appointments, follow-up calls <strong>to</strong> check up on <strong>young</strong> people, consultation with the Youth<br />

Reference Group concerning <strong>headspace</strong> promotional material, no geographical boundaries, no need<br />

for a referral and high quality service.<br />

Fac<strong>to</strong>rs that hinder engagement<br />

While stakeholders were largely overwhelmingly positive about <strong>headspace</strong>’s accessibility, they<br />

also identified a range of fac<strong>to</strong>rs that may hinder <strong>young</strong> <strong>people’s</strong> access <strong>to</strong> and engagement with<br />

<strong>headspace</strong>.<br />

Distance from a centre<br />

The economic evaluation of <strong>headspace</strong>, which included an analysis of centre expansion models,<br />

determined a strong relationship between the use of <strong>headspace</strong> services and the distance of a<br />

centre from a clients’ home. The full analysis (reported in Appendix B) shows that there was a rapid<br />

decline in the probability of <strong>young</strong> people accessing services as the distance <strong>to</strong> a <strong>headspace</strong> centre<br />

increased. In addition, there was a correlation between knowledge of <strong>headspace</strong> and proximity <strong>to</strong><br />

a <strong>headspace</strong> centre. Again, with increasing distance there was a substantial decline in knowledge<br />

of <strong>headspace</strong> services. As shown in Figure 3.10, the majority of <strong>headspace</strong> clients live within 10<br />

kilometres of a centre.<br />

Social Policy Research Centre 2015<br />

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

31

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