Is headspace making a difference to young people’s lives?
Evaluation-of-headspace-program
Evaluation-of-headspace-program
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
3. Access and Engagement with Centres<br />
et al., 2009) and remained so in this evaluation. This suggests that <strong>headspace</strong> needs <strong>to</strong> change its<br />
engagement and/or treatment practices <strong>to</strong> better meet the needs of this group. This type of change<br />
requires greater understanding of the barriers and facilita<strong>to</strong>rs of service access for CALD <strong>young</strong><br />
people, including the locations of centres relative <strong>to</strong> areas of higher CALD density, as well as the<br />
key issues that affect them. Interviews with <strong>headspace</strong> staff indicate that this is not a priority area<br />
(only 3 of 25 staff members interviewed spoke about CALD <strong>young</strong> people). Two interviewed workers<br />
expressed concern that they were not seeing many <strong>young</strong> refugees despite being located in an<br />
area where this would have been expected. They did, however, not know how <strong>to</strong> respond <strong>to</strong> this<br />
circumstance:<br />
Every now and then we get some clients with some level of language barrier and that have<br />
migrated here and are on their own and that sort of thing. Often in that case we do refer <strong>to</strong> a<br />
trans-cultural clinical service because there is that barrier and… we don’t have any<br />
interpreters.<br />
We don’t get very many of the African communities and we’ve got a lot of African people<br />
living locally.<br />
Another staff member questioned why CALD <strong>young</strong> people were not attending <strong>headspace</strong>:<br />
I haven’t had any referrals from non-English speaking backgrounds. Not really any referrals<br />
for <strong>young</strong> people from the various ethnic groups in the area. There’s a lot of Turkish families<br />
and there’s African families here now and they’re certainly not any of the <strong>young</strong> people that I<br />
have had referred <strong>to</strong> me over the time that I’ve been here. So I’m not sure what’s happening<br />
there.<br />
Although the vulnerability and under-representation of this group was acknowledged by some<br />
<strong>headspace</strong> staff, the majority did not comment on this issue, perhaps suggesting that staff do not<br />
know how <strong>to</strong> respond. Only one staff member suggested community engagement as a strategy for<br />
addressing the under-representation of CALD <strong>young</strong> people as <strong>headspace</strong> clients.<br />
Personal barriers<br />
Interviewees identified the mental and cognitive functioning of clients as a barrier <strong>to</strong> access and<br />
sustained engagement with <strong>headspace</strong> services. A number of <strong>young</strong> people talked about their<br />
reluctance <strong>to</strong> attend a centre because they were <strong>to</strong>o scared <strong>to</strong> talk face-<strong>to</strong>-face <strong>to</strong> a counsellor.<br />
Given that many of the <strong>young</strong> people who attend the service are dealing with crippling anxiety<br />
issues, <strong>making</strong> initial contact was often described as a huge challenge.<br />
The problem is themselves. It’s the going out and seeking help and wanting <strong>to</strong> get better. The<br />
problem is more <strong>to</strong> do with that than problems with the actual centre. (Male, 18 years)<br />
3.4 How do parents/carers facilitate or hinder <strong>young</strong> <strong>people’s</strong> access <strong>to</strong> and<br />
engagement with <strong>headspace</strong> services?<br />
Research has demonstrated that parents can play an important role in facilitating <strong>young</strong> <strong>people’s</strong><br />
access <strong>to</strong> mental health services and help-seeking behaviours (Wahlin & Deane, 2012). As<br />
discussed above, 40% of <strong>young</strong> people reported that they mostly attended <strong>headspace</strong> because of<br />
the influence of family or friends. This was further reinforced in the <strong>headspace</strong> Parents and Carers<br />
Study.<br />
Interviews with <strong>young</strong> people and parents/carers indicate that some <strong>young</strong> people were encouraged<br />
<strong>to</strong> attend <strong>headspace</strong> because of the actions of their parents. Six of the 50 <strong>young</strong> people interviewed<br />
(all were female and ranged in age from 13 <strong>to</strong> 24) described how their mother had made their first<br />
appointment with <strong>headspace</strong>:<br />
Mum found [<strong>headspace</strong>] online and then a few weeks after she made an appointment and<br />
I don’t know, I just started going from there… I didn’t even want <strong>to</strong> go in the first place<br />
because I thought that I was okay and there was nothing wrong with me and that mum was<br />
just over-reacting <strong>to</strong> me being upset (Female, 15 years)<br />
The Parents and Carers Survey data indicates, however, that while parents employed many<br />
Social Policy Research Centre 2015<br />
<strong>headspace</strong> Evaluation Final Report<br />
35