Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program Evaluation-of-headspace-program
Contents Executive Summary 1 1. Introduction 8 1.1 headspace background 8 1.2 Evaluation background 9 1.3 Report structure 10 2. Evaluation Methodology 11 2.1 Aims of the evaluation 11 2.2 Evaluation data sources 11 2.3 Evaluation methods 12 2.4 Statistical analysis techniques 14 2.5 Evaluation limitations 16 2.6 Evaluation ethics 17 3. Access and Engagement with Centres 18 3.1 What is the current demand for headspace services? 18 3.2 What is the profile of young people accessing headspace services? Which groups are over/ under-represented? 19 3.3 What facilitates and hinders young people’s engagement with headspace services? 29 3.4 How do parents/carers facilitate or hinder young people’s access to and engagement with headspace services? 35 3.5 How are headspace services provided to young people in remote or regional areas? What facilitates and hinders the provision of extended services? 38 3.6 How does headspace increase awareness of mental health literacy among young people? To what extent have the number and type of young people accessing mental health services changed? 39 4. Outcomes of headspace Clients 41 4.1 How do young people’s outcomes change after using headspace services? 42 4.2 How do the outcomes of young people using headspace services differ from the outcomes of young people not using headspace services? 59 4.3 According to clients, service providers and parents/carers, how and why has headspace contributed to/not contributed to changes in client outcomes (across four outcomes areas)? 66 4.4 Summary 72 Social Policy Research Centre 2015 headspace Evaluation Final Report i
5. Service Delivery Model 73 5.1 What aspects of the headspace model are most and least effective in assisting headspace to meet its objectives? 73 5.2 To what extent is model fidelity important? 76 5.3 What are the risk and protective factors for headspace sustainability? 77 5.4 How could the headspace service model be improved to better meet the needs of young people? 79 5.5 How could the headspace service model be improved to better meet the needs of parents/carers in supporting young people? 80 5.6 How and to what extent are additional components of headspace (such as eheadspace, headspace National Office and Centre of Excellence) perceived as supporting headspace to meet its objectives? 83 5.7 To what extent are headspace services linked with other government funded programs? 88 5.8 To what extent are there referrals between headspace services and the broader service system? 89 5.9 How effective is the service model in providing an entry point into and connection to other services within the broader system? 92 5.10 What perceived impact has headspace had on the skill and confidence of GPs regarding the provision of youth mental health care? To what extent do they report changes to practices as a result? 93 5.11 How do service providers transition young people using headspace to adult services where appropriate? To what extent are young people supported in the transition process? 97 5.12 Summary 99 6. The Costs of headspace 101 6.1 What are the overall costs of headspace? 101 6.2 Summary 109 7. Conclusion 111 Appendices Appendix A Evaluation scope and research questions 116 Appendix B Centre expansion analysis and proposals for national coverage 118 Appendix C Evaluation methodology: supplementary information 168 Appendix D Centre listing rounds 1-4 186 Appendix E Additional tables for Chapter 3: Access and Engagement with Centres 188 Appendix F Supplementary analyses for Chapter 4: Outcomes of headspace Clients 192 Appendix G Supplementary material for national expansion analysis 205 References 251 Social Policy Research Centre 2015 headspace Evaluation Final Report ii
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5. Service Delivery Model 73<br />
5.1 What aspects of the <strong>headspace</strong> model are most and least effective in<br />
assisting <strong>headspace</strong> <strong>to</strong> meet its objectives? 73<br />
5.2 To what extent is model fidelity important? 76<br />
5.3 What are the risk and protective fac<strong>to</strong>rs for <strong>headspace</strong><br />
sustainability? 77<br />
5.4 How could the <strong>headspace</strong> service model be improved <strong>to</strong> better<br />
meet the needs of <strong>young</strong> people? 79<br />
5.5 How could the <strong>headspace</strong> service model be improved <strong>to</strong> better<br />
meet the needs of parents/carers in supporting <strong>young</strong> people? 80<br />
5.6 How and <strong>to</strong> what extent are additional components of <strong>headspace</strong><br />
(such as e<strong>headspace</strong>, <strong>headspace</strong> National Office and Centre of<br />
Excellence) perceived as supporting <strong>headspace</strong> <strong>to</strong> meet its<br />
objectives? 83<br />
5.7 To what extent are <strong>headspace</strong> services linked with other<br />
government funded programs? 88<br />
5.8 To what extent are there referrals between <strong>headspace</strong> services<br />
and the broader service system? 89<br />
5.9 How effective is the service model in providing an entry point in<strong>to</strong><br />
and connection <strong>to</strong> other services within the broader system? 92<br />
5.10 What perceived impact has <strong>headspace</strong> had on the skill and<br />
confidence of GPs regarding the provision of youth mental health<br />
care? To what extent do they report changes <strong>to</strong> practices as a<br />
result? 93<br />
5.11 How do service providers transition <strong>young</strong> people using<br />
<strong>headspace</strong> <strong>to</strong> adult services where appropriate? To what extent<br />
are <strong>young</strong> people supported in the transition process? 97<br />
5.12 Summary 99<br />
6. The Costs of <strong>headspace</strong> 101<br />
6.1 What are the overall costs of <strong>headspace</strong>? 101<br />
6.2 Summary 109<br />
7. Conclusion 111<br />
Appendices<br />
Appendix A Evaluation scope and research questions 116<br />
Appendix B Centre expansion analysis and proposals for national<br />
coverage 118<br />
Appendix C Evaluation methodology: supplementary information 168<br />
Appendix D Centre listing rounds 1-4 186<br />
Appendix E Additional tables for Chapter 3: Access and Engagement<br />
with Centres 188<br />
Appendix F Supplementary analyses for Chapter 4: Outcomes of<br />
<strong>headspace</strong> Clients 192<br />
Appendix G Supplementary material for national expansion analysis 205<br />
References 251<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
ii