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

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1. Introduction There have been many changes to the program since the first evaluation, including: • the introduction of a new administrative dataset from January 2013 that collects data from both clients and service providers at each occasion of service (hCSA) • the introduction of a new financial dataset (hCFA) • an increase in government funding and number of headspace centres (from 30 to approximately 80 currently operational, with a further 20 funded to open by December 2016), and • the implementation of a new governance structure with headspace established as a company limited by guarantee with a Board of Directors. The second evaluation of headspace was conducted to determine if the program is meeting its funded objectives and to ensure that program enhancements as well as future funding and expansion decisions are evidence-based. 1.3 Report Structure This report is structured according to the four evaluation scope areas: access and engagement, client outcomes, the service delivery model, and the economic evaluation. Each scope area is designated a chapter within the report and findings are presented according to the specified research questions (refer Appendix A). The document comprises six chapters. Chapter 1 provides some background to the evaluation and the headspace program. Chapter 2 outlines the methodology used to evaluate headspace, with further and more technical information provided in Appendix C. Chapter 3 presents findings related to young people’s access and engagement with headspace. This chapter includes a comprehensive profiling of headspace clients. Chapter 4 presents findings related to young people’s outcomes in multiple areas following headspace treatment. Chapter 5 presents findings related to the headspace service delivery model. Chapter 6 presents the costs of headspace; and Chapter 7 summarises the key messages of the evaluation. As part of the evaluation an analysis was conducted to consider the costs of national expansion. This analysis is presented in Appendix B. Social Policy Research Centre 2015 headspace Evaluation Final Report 10
2. Evaluation Methodology 2.1 Aims of the evaluation The independent evaluation of headspace aimed to assess the extent to which the program is achieving its objectives, with a specific focus on: 1. the processes of program access and engagement for young people and how these can be enhanced 2. the effectiveness of the headspace program in achieving improved outcomes for clients across multiple areas (mental health, physical health, drug and alcohol use, and social and vocational participation) 3. the efficiency of the service delivery model, and 4. the costs and effectiveness of headspace. These four areas comprise the scope of the evaluation as specified in the Department’s original Request for Quotation. The evaluation methodology was designed to align with departmental requirements that highlight two evaluation purposes: to assess program effect, and to identify ways to enhance the program. Further, the evaluation was designed to answer key research questions that were developed from departmental specifications (provided in Appendix A). The multi-purpose evaluation and key research questions have informed the evaluation design which is multi-method and longitudinal (2013-2015). This report presents findings by key research questions where possible. 2.2 Evaluation data sources The evaluation draws upon both quantitative and qualitative data. Some of these data are drawn from sources which existed prior to the evaluation and others are primary data collected for the evaluation. Table 2.1 provides a summary of evaluation data sources. Table 2.1 Summary of evaluation data sources Name Source type/description Dates headspace Centres Services Application (hCSA) headspace Centres Finance Application (hCFA) Administrative data collected by headspace from clients and service providers Existing administrative data source Census of Population and Housing Secondary data source 2011 2013/14 financial year is evaluation reference period 2013/14 financial year is evaluation reference period Social Policy Research Centre 2015 headspace Evaluation Final Report 11
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6. The Costs of headspace One of th
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6. The Costs of headspace Table 6.1
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6. The Costs of headspace In-scope
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6. The Costs of headspace Revenue/
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6. The Costs of headspace Other gov
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7. Conclusion The evaluation of hea
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7. Conclusion treatment); however,
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7. Conclusion Overall the evaluatio
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Appendix A Evaluation scope areas h
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Appendix B The current model of hea
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Appendix B and each SA3 in non-capi
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Appendix B chapter 39 . To determin
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Appendix B Figure B5 Cost per young
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Appendix B The concept of access as
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Appendix B Figure B7 Heard of heads
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Figure B10 Proportion of headspace
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Appendix B Table B5 Females 18-25 y
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Appendix B following section. Figur
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Appendix B and less access to mains
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Appendix B Figure B17 Estimated pre
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Appendix B Figure B18 SA1s within 1
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Figure B20 Hypothetical allocation
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Appendix B The current model of cen
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Appendix B Current centre funding m
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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 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 Table G22 Australians 18
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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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