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

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5. Service Delivery Model<br />

services, and the provision of more GP services. It is suggested that the service model could be<br />

improved <strong>to</strong> better meet the needs of <strong>young</strong> people by addressing these gaps.<br />

Twelve staff members across all five of the fieldwork sites believed that <strong>headspace</strong> should be<br />

providing family support for some <strong>young</strong> people. A number of reasons were provided for offering<br />

family services. Some staff argued that family support is required because a <strong>young</strong> person’s<br />

problems are often intertwined with family problems and hence cannot be treated in isolation. This<br />

was evident in the Parents and Carers Study where parents often talked about the whole family<br />

struggling <strong>to</strong> deal with problems such as multiple family members with mental health problems, family<br />

breakdown, and the suicide or death of a family member. Other staff members simply wanted <strong>to</strong> help<br />

families in crisis:<br />

We get a lot of parents in crisis on the phone; they don’t know where <strong>to</strong> go, they don’t know<br />

where <strong>to</strong> start if they’ve sort of just discovered that their son or daughter is self-harming<br />

or using drugs or something. They’re in complete crisis themselves as well as the <strong>young</strong><br />

person and they’ve just got nowhere <strong>to</strong> go. We sort of don’t have access <strong>to</strong> the funding<br />

<strong>to</strong> support the family, but because we’re human we try <strong>to</strong> do as much as we can<br />

(Administrative Officer)<br />

I think that’s a gap because it really means that when <strong>young</strong> people have come here and<br />

they’re feeling a lot better, if they’re going back in<strong>to</strong> the same environment, well what does<br />

that mean for that <strong>young</strong> person? (Service Manager)<br />

Moreover, some staff felt that the provision of family based services, and treating the <strong>young</strong> person in<br />

the family context, was required for <strong>headspace</strong> <strong>to</strong> offer a truly holistic preventative service.<br />

There is a rigidity about what <strong>headspace</strong> will provide <strong>to</strong> <strong>young</strong> people. There is a lack of<br />

family therapy skills, which is crucial <strong>to</strong> an early intervention service for this age group.<br />

(Clinical Leader)<br />

I think the more that there can be a focus on how do we produce or provide preventative<br />

interventions – so parenting groups would be a great place <strong>to</strong> start (Clinical Psychologist)<br />

Staff and other stakeholders also identified the provision of outreach services as a way <strong>to</strong> better<br />

meet the needs of some <strong>young</strong> people, particularly those located in more isolated areas.<br />

<strong>headspace</strong> is achieving some success in engaging <strong>young</strong> people with high levels of psychological<br />

distress; however, some enhancements could be made <strong>to</strong> better meet the needs of specific<br />

vulnerable groups. The profile analysis and qualitative data indicates that meeting the needs of CALD<br />

<strong>young</strong> people with mental health problems is a challenge that <strong>headspace</strong> is not yet meeting. Further,<br />

while a higher proportion of Indigenous <strong>young</strong> people than those in the general population are<br />

accessing <strong>headspace</strong> services, the qualitative data indicates that engaging with this is a challenge<br />

for some centres. Evaluation data suggests that engagement with more marginalised groups will<br />

require partnerships with community organisations, as well as ongoing relationship building activities<br />

that include local community members and leaders. Further research may be required <strong>to</strong> determine<br />

if specific Indigenous and CALD workforce development as well as changes <strong>to</strong> treatment practices<br />

(such as provision of outreach services, and/or increased capacity <strong>to</strong> see those that drop in <strong>to</strong><br />

centres without a pre-arranged appointment) would improve the engagement and outcomes of these<br />

highly vulnerable <strong>young</strong> people.<br />

Finally, while <strong>young</strong> people offered valuable insights in<strong>to</strong> the services that they have received at<br />

<strong>headspace</strong> and the impact of these, they were generally not able <strong>to</strong> suggest any changes <strong>to</strong> improve<br />

the service. This is because the overwhelming majority of those interviewed were satisfied with the<br />

treatment they had received:<br />

I couldn’t think of anything right now, <strong>to</strong> be honest. I think it’s great with what they’re doing<br />

already. Improvements – I couldn’t say that they need improvements, and the staff are all nice<br />

and I think it’s a great place (Female, 20)<br />

There wasn’t anything I didn’t like (Female, 13)<br />

Of the few <strong>young</strong> people that offered suggestions for improvement, one recommended that<br />

<strong>headspace</strong> should do more work in schools <strong>to</strong> make them more accessible; two <strong>young</strong> people<br />

suggested that the service should be advertised more; and another wanted the counsellor <strong>to</strong> exclude<br />

Social Policy Research Centre 2015<br />

<strong>headspace</strong> Evaluation Final Report<br />

79

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