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

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6. The Costs of headspace Figure 6.1 Main type of service provided at each visit, 2013/14 financial year Note: Main service type is reported by the service provider for each occasion of service. Main service type has not been reported for approximately 3.5% of occasions of service within the 2013/14 financial year. It is important to note that young persons can receive more than one type of treatment at a particular service and that results reported relate to the main service received. Source: Authors’ calculations from hCSA administrative data While the majority of the main service types provided were for mental health, it is important not to conclude that only two-thirds of headspace services were mental health related. This is because consideration must be given to both the primary and secondary issue that young people were assessed as initially presenting with. For example, of the 122,125 (63%) mental health occasions of service provided at centres within the 2013/14 financial year, approximately 80% were provided to young people whose primary issue was reported to be mental health and behavioural issues (Table 6.1). A further 12% of mental health services were provided to young people whose primary presenting issue was reported to be situational problems. The majority of engagement and assessment type services were also for those young people whose primary presenting issue was mental health and behavioural (79.5%), followed by situational problems (12.1%). Table 6.2 below, which compares young people’s primary presenting issue with their secondary presenting issue, shows the complexity and interaction of issues addressed by staff at headspace centres. Of those occasions of service where a young person presented with a primary issue recorded as mental health and behavioural, 17.4% also had a secondary issue related to situational problems such as conflict in the home, bullying at school or were at risk of becoming homeless. Further, many occasions of service were provided to young people whose primary presenting issue was not recorded as mental health and behavioural, but whose secondary issue was identified as such. For example, of the total 93,584 occasions of service where the secondary presenting issue was recorded as mental health and behavioural, only 17,623 services did not have mental health and behavioural as the primary presenting issue. As indicated in some of the qualitative data presented earlier, this shows the interaction between mental health and other problems for young people. The administrative data (hCSA) shows that a young person visiting headspace for treatment (which constitutes on average 5 occasions of service) can receive any number of combinations of services and present with varying primary and secondary issues over the course of their headspace treatment, with the services all working together to improve the emotional, social and mental wellbeing of the young person. Given this analysis, and taking into account the overarching and holistic goals of the headspace service model, all headspace occasions of service are considered to be either directly or indirectly related to the overall wellbeing of young people in terms of their emotional, social and mental health. Within the 2013/14 financial year, headspace centres across Australia delivered 194,968 occasions of service and all of these are considered to be in-scope for the cost per unit estimate. Social Policy Research Centre 2015 headspace Evaluation Final Report 102
6. The Costs of headspace Table 6.1 Main service type provided by primary issue the young person presents with at each visit, 2013/14 financial year Primary Issue Engagement and assessment Physical health Sexual health Vocational Mental health Main service type Alcohol and/or drugs Group work General assistance Familybased intervention Dietary counselling Unmatched Missing Mental health and behavioural 79.5 25.5 4.1 14.7 82.8 27.5 69.6 49.2 53.3 1.2 47.3 0.9 Physical health 1.0 67.1 3.7 0.3 0.5 0.3 0.1 2.0 0.2 0.0 1.6 0.0 Sexual health 0.9 4.3 89.0 0.3 0.5 0.3 0.3 1.9 0.2 0.0 1.0 0.0 Vocational assistance 1.4 0.1 0.0 79.8 1.3 0.8 2.4 8.9 4.2 0.0 2.1 0.0 Alcohol and/or drugs 2.9 0.9 0.2 0.2 1.2 66.1 1.0 1.5 0.2 0.0 1.1 0.1 Situational 12.1 0.6 0.5 2.9 12.1 4.1 12.7 26.0 37.7 0.0 14.4 0.1 Other 1.0 0.4 0.1 0.4 0.9 0.3 0.7 1.4 2.0 0.0 0.7 0.0 Unmatched 1.3 1.1 2.3 0.7 0.8 0.8 13.2 9.1 2.2 98.8 31.7 0.0 Missing 0.0 0.0 0.0 0.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 100 100 100 100 100 100 100 100 100 100 100 100 N 44,469 6,315 2,823 2,091 122,125 2,192 3,094 2,060 589 82 2,072 7,056 Note: Main service type and primary issue upon presentation is reported by the service provider for each occasion of service. Main service type and primary issue upon presentation has not been reported for approximately 3.5% of occasions of service within the 2013/14 financial year. Source: Authors calculations from hCSA Social Policy Research Centre 2015 headspace Evaluation Final Report 103
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Is headspace making a difference to
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Authors This report was written by
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5. Service Delivery Model 73 5.1 Wh
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Table 6.1 Table 6.2 Table 6.3 Main
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Figure 4.9 Figure 4.10 Figure 4.11
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Executive Summary headspace 1 aims
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Executive Summary or very high leve
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Executive Summary through mental he
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value to society of the improvement
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1. Introduction people in Australia
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2. Evaluation Methodology 2.1 Aims
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2. Evaluation Methodology Evaluatio
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2. Evaluation Methodology Table 2.3
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2. Evaluation Methodology Represent
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3. Access and Engagement with Centr
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4. Outcomes of headspace Clients Th
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Appendix B Evaluation of the curren
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Appendix B Level of funding availab
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Appendix B provide a method for ide
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Appendix B centres and Localities i
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Appendix B for greater flexibility
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Appendix B Additional consideration
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Appendix B of achieving more effici
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Appendix B • Used the simulation
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Appendix C information relating to
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Appendix C Regarding gender, in bot
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Appendix C Figure C5 Total number o
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Appendix C Table C1 Information Sum
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Appendix C Data Cleaning and Analys
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Appendix C groups. The age and sex
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Appendix C Figure C8 Demographic ch
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Appendix C The KeySurvey software s
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Appendix C different client groups.
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Appendix D Round State Centre Name
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Appendix E Characteristics HS clien
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Table E4 Cell Sizes for Figure 3.4
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Appendix F Figure F1 Changes in K10
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Appendix F three SEIFA quintiles. A
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Appendix F Occasion of service inte
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Appendix F Table F1 Cell sizes for
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Appendix G Supplementary material f
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Appendix G Table G3 Round 3 (10 cen
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Appendix G Table G7 Round 7 (10 cen
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State (youth population) a headspac
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Appendix G Table G12 Round 11(16 ce
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Table G16 Additional youth populati
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Round Region State Additional youth
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Appendix G Figure G1 Percentage of
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Appendix G Table G22 Australians 18
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Appendix G Synthetic small area est
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Appendix G Figure G16 Estimated pre
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Appendix G Figure G22 SA1s within 1
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Appendix G Table G25 Centres alloca
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References Atkins, D.C., Bedics, J.
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References Smith, E., Jones, T., Wa
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