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

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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

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