Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program
Evaluation-of-headspace-program
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Appendix B<br />
A summary of the strengths and weaknesses of the current and proposed methods of defining<br />
access, for the purpose of centre expansion, is included in Table B9.<br />
Table B9 Strengths and weaknesses of definitions of youth access <strong>to</strong> <strong>headspace</strong> for evaluation<br />
purposes<br />
Measure Strengths Weaknesses<br />
ASGS boundaries<br />
A <strong>young</strong> person is considered <strong>to</strong> have<br />
access <strong>to</strong> a <strong>headspace</strong> centre if they<br />
reside in the same SA3/ SA4 as the centre<br />
Distance <strong>to</strong> nearest centre<br />
A <strong>young</strong> person has access <strong>to</strong> a<br />
<strong>headspace</strong> centre if they live within a<br />
defined distance (10 kms metro, 30 kms<br />
non-metro) of the centre.<br />
Distance <strong>to</strong> nearest centre for <strong>young</strong><br />
people at risk of mental health distress<br />
As above, a <strong>young</strong> person has access<br />
<strong>to</strong> a <strong>headspace</strong> centre if they live within<br />
a defined distance (10 kms metro, 30<br />
kms non-metro) of the centre. However,<br />
access is evaluated based on the number<br />
of <strong>young</strong> people estimated <strong>to</strong> have a need<br />
for services rather than the <strong>to</strong>tal youth<br />
population.<br />
- Simple <strong>to</strong> determine access under<br />
this definition as population counts for<br />
areas are easily accessible via the ABS<br />
- Likely <strong>to</strong> better reflect true access <strong>to</strong><br />
services compared <strong>to</strong> models which<br />
are based on administrative boundaries<br />
- Relatively easy <strong>to</strong> calculate youth with<br />
access<br />
- May better reflect access for those<br />
who are more likely <strong>to</strong> seek services<br />
and allow for those areas likely <strong>to</strong> have<br />
greater demand <strong>to</strong> be prioritised in<br />
centre allocation<br />
- Does not reflect true access<br />
particularly in rural and remote<br />
areas in which regions are often<br />
geographically large and do not<br />
reflect service hubs<br />
- Distance does not reflect likely<br />
travel routes of transport hubs which<br />
could improve or prevent access.<br />
This weakness could be addressed<br />
with higher quality geographic data.<br />
- Requires small-area estimates<br />
of mental health problems. The<br />
methodology presented in this paper<br />
is indicative of a methodological<br />
approach, but does not reflect an<br />
optimal product.<br />
- Areas at high risk of mental health<br />
problems may already have greater<br />
availability of alternative services.<br />
This was not possible <strong>to</strong> evaluate due<br />
<strong>to</strong> a lack of data.<br />
- <strong>headspace</strong> does not exclusively<br />
provide services <strong>to</strong> those at risk of<br />
mental health distress. Therefore,<br />
this model may not accurately<br />
estimate demand.<br />
Centre service capacity<br />
Key messages<br />
• Centre capacity is largely constrained by the relatively inflexible <strong>headspace</strong> grant<br />
funding allocated <strong>to</strong> centres.<br />
• No information was available <strong>to</strong> the evaluation team regarding non-government<br />
funding. As a result, the impact of this additional funding of centre capacity via Lead<br />
Agency or Consortia sources is unknown.<br />
• Further analysis is required <strong>to</strong> determine whether funding flexibility could allow<br />
individual centres <strong>to</strong> provide access <strong>to</strong> <strong>young</strong> people in a more efficient manner.<br />
• The Department should consider whether future evaluations of <strong>headspace</strong> might<br />
allow evalua<strong>to</strong>rs access <strong>to</strong> some level of information around Lead Agency and<br />
Consortia contributions, where it is legal <strong>to</strong> do so. Even access <strong>to</strong> indicative data,<br />
with the Department’s approval, would allow a clearer interpretation of the evaluation<br />
observations and outcomes<br />
While proximity <strong>to</strong> a <strong>headspace</strong> centre and the distribution of mental health needs across the<br />
community are important demand side fac<strong>to</strong>rs which influence centre access, the capacity of<br />
centres <strong>to</strong> provide services <strong>to</strong> <strong>young</strong> people within their community may represent a limiting fac<strong>to</strong>r in<br />
delivering equity of access and is an important consideration in the assessment of unmet needs and<br />
future centre allocations.<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
148