Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program Evaluation-of-headspace-program
4. Outcomes of headspace Clients Twenty-nine per cent improved in their functional classification and 16.6% declined. Where there were changes, young people mostly moved up or down one, rather than multiple, classification bands. There were similar changes in SOFAS classification bands for young people by gender and sexuality. All groups display similar results: approximately 54% remained in the same functional classification, around 29% moved up and 17% moved down. However, heterosexual females were slightly less likely to experience a change and LGBTI males were slightly more likely to improve (Figure 4.17). Figure 4.17 Proportion of young people who transitioned in SOFAS classification bands from first to last occasion of service by gender-sexuality Notes: SOFAS is generally reported by the service provider at each occasion of service. The data is right censored and some headspace clients may have had further treatment than what has been able to be observed within the data. Smaller numbers of clients are observed as the number of occasions of service increases. Cell sizes for these data can be found in Appendix F. LGBTI include young persons who reported their gender as trans or intersex and their sexuality as lesbian, gay, bisexual, questioning and other. Not all young people record their gender and sexuality within the hCSA data. Cell per cent of 28,284 young persons. Source: Authors calculations from hCSA data. Improvements in functioning that resulted in a transition between SOFAS classifications were slightly more likely as the number of occasions of service increased (Figure 4.18). Figure 4.18 Proportion of young people who transitioned in SOFAS classification bands from first to last occasion of service by total number of visits Social Policy Research Centre 2015 headspace Evaluation Final Report 58
4. Outcomes of headspace Clients Notes: SOFAS is generally reported by the service provider at each occasion of service. The data is right censored and some headspace clients may have had further treatment than what has been able to be observed within the data. Smaller numbers of clients are observed as the number of occasions of service increases. Cell sizes for these data can be found in Appendix F. Source: Authors calculations from hCSA data. 4.2 How do the outcomes of young people using headspace services differ from the outcomes of young people not using headspace services? Changes in young people’s mental health, physical health, drug and alcohol use and social inclusion were assessed using data collected from the young peoples’ surveys. Survey data was collected from a sample of headspace clients as well as two comparison groups: a sample of 12-17 year olds who participated in the Young Minds Matter study and a sample of 18-25 year olds sourced through a national online panel. The analysis compares findings for three specific groups: 1. the ‘headspace treatment’ group: young people who received services from a headspace centre 2. the ‘other treatment’ group: young people who reported receiving mental health services, but said these were not from a headspace service 3. the ‘no treatment’ group: young people who reported receiving no mental health services from either headspace or another service. The ‘headspace treatment’ group was recruited from headspace centres over a 6-month period: between 6 December 2013 to 6 June 2014. The ‘no treatment group’ was drawn from the comparison surveys and comprises of young people who have not sought any substantial headspace treatment and who also did not seek any treatment from any other health professionals between the two survey waves. The ‘other treatment’ group comprises of young people within the comparison surveys and includes all those who sought mental health support from a health professional other than headspace between Waves 1 and 2. The results presented below, first compare the ‘headspace treatment’ with the ‘no treatment’ group, and then the ‘headspace treatment’ with the ‘other treatment’ group. Changes in various outcomes are compared over the two survey waves. Those who only responded to one wave were excluded from the analysis. Further, during preliminary analysis, steps were taken to match the headspace survey intervention group to administrative data (hCSA) in order to assess the timing of the survey collection against the period of treatment at a headspace centre. This process uncovered 340 observations (32.3%) of young people who had completed their headspace treatment prior to the wave 1 collection data. These observations were excluded from the analysis. Finally, young people within the comparison surveys that sought a substantive headspace treatment between Wave 1 and Wave 2 were also excluded from the analysis (n=90). Propensity Score Matching A complexity of the DID methodology stems from the fact that those in the ‘headspace treatment’ group are often dissimilar in their observed and unobserved characteristics when compared to other young people within the comparison surveys. In order to mitigate these differences, a propensity score matching technique was applied to the datasets. It is, however, important to note the limitations of this technique, especially in accounting for unobserved differences between the groups. Results – headspace treatment compared with no treatment This section reports the changes in a number of outcomes between the two survey waves for the matched ‘headspace treatment’ and ‘no treatment’ groups. Changes between waves 1 and 2, including effect size and difference-in-differences of those treated at headspace and those without treatment, are reported. The statistical reliability of these changes is also assessed given that the data operationalised is a survey sample. Social Policy Research Centre 2015 headspace Evaluation Final Report 59
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4. Outcomes of <strong>headspace</strong> Clients<br />
Notes: SOFAS is generally reported by the service provider at each occasion of service. The data is right censored and<br />
some <strong>headspace</strong> clients may have had further treatment than what has been able <strong>to</strong> be observed within the data. Smaller<br />
numbers of clients are observed as the number of occasions of service increases. Cell sizes for these data can be found<br />
in Appendix F.<br />
Source: Authors calculations from hCSA data.<br />
4.2 How do the outcomes of <strong>young</strong> people using <strong>headspace</strong> services differ from the<br />
outcomes of <strong>young</strong> people not using <strong>headspace</strong> services?<br />
Changes in <strong>young</strong> <strong>people’s</strong> mental health, physical health, drug and alcohol use and social inclusion<br />
were assessed using data collected from the <strong>young</strong> peoples’ surveys. Survey data was collected<br />
from a sample of <strong>headspace</strong> clients as well as two comparison groups: a sample of 12-17 year olds<br />
who participated in the Young Minds Matter study and a sample of 18-25 year olds sourced through<br />
a national online panel.<br />
The analysis compares findings for three specific groups:<br />
1. the ‘<strong>headspace</strong> treatment’ group: <strong>young</strong> people who received services from a <strong>headspace</strong><br />
centre<br />
2. the ‘other treatment’ group: <strong>young</strong> people who reported receiving mental health services, but<br />
said these were not from a <strong>headspace</strong> service<br />
3. the ‘no treatment’ group: <strong>young</strong> people who reported receiving no mental health services<br />
from either <strong>headspace</strong> or another service.<br />
The ‘<strong>headspace</strong> treatment’ group was recruited from <strong>headspace</strong> centres over a 6-month period:<br />
between 6 December 2013 <strong>to</strong> 6 June 2014. The ‘no treatment group’ was drawn from the comparison<br />
surveys and comprises of <strong>young</strong> people who have not sought any substantial <strong>headspace</strong> treatment<br />
and who also did not seek any treatment from any other health professionals between the two survey<br />
waves. The ‘other treatment’ group comprises of <strong>young</strong> people within the comparison surveys and<br />
includes all those who sought mental health support from a health professional other than <strong>headspace</strong><br />
between Waves 1 and 2. The results presented below, first compare the ‘<strong>headspace</strong> treatment’ with<br />
the ‘no treatment’ group, and then the ‘<strong>headspace</strong> treatment’ with the ‘other treatment’ group.<br />
Changes in various outcomes are compared over the two survey waves. Those who only responded<br />
<strong>to</strong> one wave were excluded from the analysis. Further, during preliminary analysis, steps were taken<br />
<strong>to</strong> match the <strong>headspace</strong> survey intervention group <strong>to</strong> administrative data (hCSA) in order <strong>to</strong> assess<br />
the timing of the survey collection against the period of treatment at a <strong>headspace</strong> centre. This<br />
process uncovered 340 observations (32.3%) of <strong>young</strong> people who had completed their <strong>headspace</strong><br />
treatment prior <strong>to</strong> the wave 1 collection data. These observations were excluded from the analysis.<br />
Finally, <strong>young</strong> people within the comparison surveys that sought a substantive <strong>headspace</strong> treatment<br />
between Wave 1 and Wave 2 were also excluded from the analysis (n=90).<br />
Propensity Score Matching<br />
A complexity of the DID methodology stems from the fact that those in the ‘<strong>headspace</strong> treatment’<br />
group are often dissimilar in their observed and unobserved characteristics when compared <strong>to</strong> other<br />
<strong>young</strong> people within the comparison surveys. In order <strong>to</strong> mitigate these <strong>difference</strong>s, a propensity<br />
score matching technique was applied <strong>to</strong> the datasets. It is, however, important <strong>to</strong> note the limitations<br />
of this technique, especially in accounting for unobserved <strong>difference</strong>s between the groups.<br />
Results – <strong>headspace</strong> treatment compared with no treatment<br />
This section reports the changes in a number of outcomes between the two survey waves for<br />
the matched ‘<strong>headspace</strong> treatment’ and ‘no treatment’ groups. Changes between waves 1 and 2,<br />
including effect size and <strong>difference</strong>-in-<strong>difference</strong>s of those treated at <strong>headspace</strong> and those without<br />
treatment, are reported. The statistical reliability of these changes is also assessed given that the<br />
data operationalised is a survey sample.<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
59