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

Evaluation-of-headspace-program

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y three percentage points, and 2.1 percentage points for the matched ‘other treatment’ group. Both<br />

changes are significant at the 1% level, and the effect size of the change over time within each<br />

group, as measured by Cohen’s d, shows a bigger effect for the ‘<strong>headspace</strong> treatment’ group (-0.34)<br />

than that observed for the matched ‘other treatment’ group (-0.24). These results were similar <strong>to</strong> the<br />

comparison between the ‘<strong>headspace</strong> treatment’ and the ‘no treatment’ group; however, a greater<br />

reduction in psychological distress occurred for <strong>young</strong> people who received <strong>headspace</strong> treatment.<br />

The <strong>difference</strong>-in-<strong>difference</strong> results demonstrate that the ‘<strong>headspace</strong> treatment’ group had a greater<br />

reduction in psychological distress over time when compared <strong>to</strong> the matched ‘other treatment’ group<br />

- 0.96 percentage points. This result is significant at the 5% level. The effect size of these <strong>difference</strong>s<br />

is relatively weak with Cohen’s d = -0.11.<br />

The distributional analysis shows an increase in the proportion of <strong>young</strong> people in both the<br />

‘<strong>headspace</strong> treatment’ group and matched ‘other treatment’ group in the low and moderate K10<br />

groups over the period, and a corresponding decrease in the very high K10 group. All changes are<br />

highly statistically significant. Difference-in-<strong>difference</strong> results show that only one of the four K10<br />

groupings reveals a stronger improvement for <strong>young</strong> people treated at <strong>headspace</strong> compared with<br />

those that received another mental health treatment. The proportion of the ‘<strong>headspace</strong> treatment’<br />

group with high levels of distress decreased 5.4 percentage points more than the ‘other treatment’<br />

group. This result is statistically significant at the 10% level and the effect size is -0.09.<br />

Incapacity<br />

A reduction in incapacity, as measured by days out of role and days cut back occurred for both the<br />

‘<strong>headspace</strong> treatment’ group and the matched ‘other treatment’ group (Table 4.8). The ‘<strong>headspace</strong><br />

treatment’ group had an average decrease in days out of role from 2.9 <strong>to</strong> 2.4, and days cut back from<br />

8.2 <strong>to</strong> 6.0 between Waves 1 and 2. Both <strong>difference</strong>s are significant at the 1% level. The matched<br />

‘other treatment’ group also experienced a decrease in the average days out of role (0.21, 5%<br />

significance) and days cut back; however, the decrease was smaller and insignificant for the days<br />

cut back indica<strong>to</strong>r. Effect sizes for the ‘<strong>headspace</strong> treatment’ group were larger than for the ‘other<br />

treatment’ group.<br />

The <strong>difference</strong>-in-<strong>difference</strong> results for these outcome indica<strong>to</strong>rs illustrate that the ‘<strong>headspace</strong><br />

treatment’ group did slightly better in terms of the reduction of days out of role and days cut back<br />

when compared <strong>to</strong> the matched group of <strong>young</strong> people that received an alternative mental health<br />

treatment between the survey waves. The <strong>difference</strong>-in-<strong>difference</strong>s for days out of role is -0.34<br />

percentage points greater for the ‘<strong>headspace</strong> treatment’ group and -2.01 greater for this group when<br />

assessing days cut back. Both results are significant at the 1% level; however, the commencing wave<br />

1 <strong>difference</strong>s for days cut back need <strong>to</strong> be considered when interpreting these results.<br />

The distribution results of changes in days out of role and days cut back are similar <strong>to</strong> that observed<br />

between the ‘<strong>headspace</strong> treatment’ and ‘no treatment’ group. An overall improvement in days out<br />

of role, particularly in the proportion of <strong>young</strong> people that report zero days incapacitated by mental<br />

health in the last 30 days was observed. This effect is much stronger for the ‘<strong>headspace</strong> treatment’<br />

group than the matched ‘other treatment’ group (Cohen’s d = 0.35 and 0.19 respectively). Differencein-<strong>difference</strong><br />

results show that the ‘<strong>headspace</strong> treatment’ group increased reports of zero days out<br />

of role by 7.8 percentage points more than the group that received ‘other treatment’. This result is<br />

statistically significant at the 5% level. A greater reduction in reports of between 15-28 days out of<br />

role is observed for the ‘<strong>headspace</strong> treatment’ group when compared <strong>to</strong> the ‘no treatment’ group –<br />

4.3 percentage points. This result is also statistically reliable and the effect size is estimated at -0.15.<br />

Days cut back show similar results, with greater improvements for the ‘<strong>headspace</strong> treatment’<br />

group when compared with the matched ‘other treatment’ group. As with the above analysis, clear<br />

<strong>difference</strong>s in the wave 1 distributions of each treatment group exist, again indicating that the<br />

‘<strong>headspace</strong> treatment’ group is likely <strong>to</strong> be experiencing more complex issues in relation <strong>to</strong> mental<br />

health, even with similar K10 distributions.<br />

Social Policy Research Centre 2015<br />

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

63

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