Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program
Evaluation-of-headspace-program
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3. Access and Engagement with Centres<br />
Table 3.3 Types of relationship problems reported by <strong>headspace</strong> clients<br />
Main problem reported Number Percentage<br />
1. I'm having problems with family 2,660 65.2<br />
2. I’m having problems with my boyfriend, girlfriend or partner 476 11.7<br />
3. Other problems with relationships 389 9.5<br />
4. I'm having problems with bullying 214 5.2<br />
5. I'm having problems with friends 211 5.2<br />
6. I’m concerned about my sexuality or gender issues 118 2.9<br />
7. I’m having problems with cyber bullying 13 0.3<br />
Total 4,081 100<br />
Source: Authors calculations from hCSA data.<br />
Primary presenting issue<br />
The primary presenting issue is recorded by service providers in<strong>to</strong> the following categories:<br />
• Mental health and behaviour:<br />
• Physical health<br />
- Anxiety symp<strong>to</strong>ms<br />
- Depressive symp<strong>to</strong>ms<br />
- Suicidal thoughts/behaviour<br />
• Vocational assistance<br />
- <strong>Is</strong>sues in engaging with education/training<br />
- Assistance in engaging with employment.<br />
This data is not a formal diagnosis of a mental disorder, but rather an assessment of the primary<br />
issue at presentation. Formal diagnosis of a mental disorder by an appropriately qualified clinician is<br />
available for only a small proportion of <strong>headspace</strong> clients (Rickwood et al., 2014), and consequently,<br />
this data is not included in the evaluation.<br />
Service providers’ assessment of <strong>young</strong> peoples’ primary presenting issues were largely consistent<br />
with self-reported reasons for attending. The overwhelming majority of <strong>young</strong> people entered<br />
<strong>headspace</strong> with mental health and behavioural problems (74%; Figure 3.9). The next largest<br />
group presented with situational problems (such as conflict in the home or at school; 12%). A<br />
small proportion of <strong>young</strong> people were assessed as having problems associated with sexual and<br />
reproductive health (3%) or alcohol or drug use (3%) as their primary presenting issue. More than<br />
half of the clients whose primary presenting issue was sexual and reproductive health were aged<br />
between 16-19 years.<br />
Problems related <strong>to</strong> physical health were identified as the primary presenting issue for only 167<br />
clients. However, many more <strong>young</strong> people received physical health services through <strong>headspace</strong>. In<br />
2013/14, 6,315 occasions of service were for physical health services. Although <strong>young</strong> people were<br />
unlikely <strong>to</strong> come <strong>to</strong> <strong>headspace</strong> with a primary physical health problem, given the presence of GP<br />
services within many centres and the multi-disciplinary nature of <strong>headspace</strong> and trust built up with<br />
<strong>headspace</strong> centres, it is reasonable that <strong>young</strong> people sought and received physical health services<br />
at <strong>headspace</strong>. These services may also help prevent or address comorbid health problems.<br />
Six per cent of <strong>young</strong> people presented at <strong>headspace</strong> for ‘other’ issues 22 , including attention deficit<br />
disorder, adjustment disorder, developmental disorder, communication disorder and other types of<br />
disorders (Figure 3.9).<br />
22<br />
Categorisation within the <strong>headspace</strong> administrative dataset.<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
28