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

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6. The Costs of headspace Table 6.2 Primary issue by secondary issue young person presents with at each visit, 2013/14 financial year 34 Secondary Issue Mental health and behavioural Physical health Sexual health Vocational assistance Primary Issue Alcohol or other drug Situational Other Unmatched Missing Total Missing 16 1 3 0 0 3 0 3 7,005 7,031 Additional disorders 1,392 17 12 62 21 233 53 13 0 1,803 Alcohol or drugs 3,538 113 42 65 310 427 17 34 0 4,546 Mental health and behavioural 75,961 1,446 708 1,168 2,266 10,545 905 584 1 93,584 None of the above 31,646 3,113 1,957 1,512 947 5,336 430 2,208 1 47,150 Other 90 13 3 5 2 15 1 1 0 130 Physical health 924 147 140 5 18 24 7 12 0 1,277 Sexual and reproductive health 256 162 338 2 4 19 6 11 0 798 Sexual health 730 182 405 13 18 127 12 42 0 1,529 Situational 24,937 204 239 706 613 4,302 224 179 0 31,404 Vocational assistance 4,101 28 20 627 124 715 63 38 0 5,716 Total 143,591 5,426 3,867 4,165 4,323 21,746 1,718 3,125 7,007 194,968 Note: Primary and secondary issue upon presentation is reported by the service provider for each occasion of service. Primary and secondary 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 34 In contrast to table 6.1 above, results for this analysis are presented in total numbers to highlight the cell sizes. Social Policy Research Centre 2015 headspace Evaluation Final Report 104
6. The Costs of headspace In-scope government investment Government investment into headspace services is facilitated through a number of funding streams. Leveraging off the headspace platform, these funding streams include the headspace grant, MBS and other funding streams such as Access to Allied Psychological Services (ATAPS), the Mental Health Nurse Incentive Program (MHNIP) and the Rural Primary Health Services (RPHS). Out of the 194,968 occasions of service recorded in the 2013/14 financial year, 70,140 (36%) were directly funded by the headspace grant, and 88,691 (45.5%) occasions of service were funded out of MBS (Figure 6.2). The remaining 36,137 (18.5%) occasions of service were funded from a variety of other sources, including ATAPS (5.6%), MHNIP (1.8%) and the RPHS (1.0%). Figure 6.2 Direct funding source for headspace occasions of service, 2013/14 financial year Note: Funding source is reported by the service provider for each occasion of service. Funding source has not been reported for approximately 3.5% of occasions of service within the 2013/14 financial year. Source: Authors calculations from hCSA It is important to note that while a particular occasion of service may attract a certain funding stream, the overall course of treatment for a young person can have a large degree of heterogeneity. For example, a young person may initially visit headspace and receive an engagement and assessment service, with the service provider being funded by the headspace grant. The young person may then be referred to a psychologist within the centre with each occasion of service delivered being funded by the MBS. This same young person could then be referred to an alcohol and drugs specialist who is funded by headspace, or a mental health nurse who is funded by the MHNIP. Furthermore, individual services and treatment courses delivered at a headspace centre have been made possible by both direct (staffing) and indirect (operational) costs related to that service. These costs can be borne by multiple funding sources. For example, an occasion of service may attract the MBS for direct salary component, while other components related to the occasion of service such as the physical space and administrative support required and other indirect components may be funded from the headspace grant. Consequently, it is not practical or prudent to separate out government investment for a headspace treatment into the various funding streams. The headspace grant component that is directed towards centre operations (indirect costs) is an important component of valuing a headspace treatment against outcomes for young people. Social Policy Research Centre 2015 headspace Evaluation Final Report 105
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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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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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