Nick Prendergat - The International Perspective on Youth Mental Health Services


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  • Young people come to headspace with a range of issues. Mostly they self-refer or are referred by their families. They rarely identify as having a mental health problem. They come because they feel down, trapped, stressed, bullied, have problems with relationships, have problems holding jobs or staying in school or have problems maintaining concentration. As one would expect, the language used is mainstream and is not easily translated into specific diagnostic criteria or categories. While these problems may seem small or even trivial to the older generation the consequences can be significant and may include family discord, isolation, decreased attendance at school and at work, self harm and, in its most extreme, suicide.
  • Nick Prendergat - The International Perspective on Youth Mental Health Services

    1. 1. headspace: getting the fit rightApril 2012Nick Prendergast
    2. 2. The Reality14% of 12-17 year olds and 27% of 18-25 year olds experienceMH problems each year75% of mental health problems emerge before the age of 25Up to 50% of substance use problems are preceded by mentalhealth issues in young peopleOverall, mental health and substance use disorders account for60-70% of the burden of disease among 15-24 year olds.
    3. 3. Standard System Approach Chronic and severe mental health and AOD problems Specialist and state based services Mild – Moderate mental health /AOD issues Universal access Early intervention and screening Schools, TAFEs, University, Work, Home
    4. 4. Key MessagesYoung people should have access to youth-specific servicesEarly intervention ensures timely treatment thus decreasing thedisruption to the young person’s life and preventing thedevelopment of chronic disabilitiesServices need to provide a range of evidence-based clinicalinterventions to respond to the diverse range of needs and goalsthat young people with mental health problems experience
    5. 5. A new paradigm in mentalhealth & AOD servicesBridging the gaps between; •General health care and specialist services •Commonwealth and State/Territory initiatives •Adult and child systems •Mental health and AOD servicesClient group = ALL young people, aged between 12-25Early intervention and early help seeking
    6. 6. A new paradigm in mentalhealth / AOD services • No ‘gate keeping’, no ‘screening out’ • Services designed and tailored to meet client demand • Locally relevant services • Fee structure - free, low cost or fee for service • Re-orienting and maximising the use of existing resources • Meaningful youth participation • Respectful family involvement
    7. 7. Headspace CentreModel
    8. 8. Integration, coordination andcommunity capacityIntegration and Co-ordination:•Common assessment, common management, improvedcoordination•Co-location•Referral pathways•Case review systemsCommunity capacity building:Service provider education and trainingCommunity awareness activitiesActively working with schools, TAFEs, Universities
    9. 9. Accessible youthfriendly servicesThe services must include the following:•General health•Mental health and counselling•Education, employment and other services•Alcohol and other drug servicesIdeally service should include a broad range of youth and healthservices to meet local needsIn kind sessions from consortium members and stakeholders
    10. 10. Co-location and sessionalservicesThe enhancement of the existing services and systems ofConsortium organisations and community partners:• Co-location of services• Sessional services• Effective and efficient links to off site services
    11. 11. Components of hWM & NMhDirect Service Delivery using a multidisciplinary approach• General practice, psychology, psychiatry, social work and occupational therapy.• Episode of Care modelCapacity Building• Scoping of available services and difficulties in accessing services• Improved coordination and mobilisation of existing resources• Identification of training needs• Coordination of training initiatives• Roll-out of community awareness raising strategiesResearch and Evaluation• Development of new tools for assessment and early intervention• Utilisation of existing neuropsychological and co morbidity expertise• Contribution to knowledge of evidence-based approaches
    12. 12. Total young people: hWM &NMh 2010-2011Quarter Young People Occasions of ServiceQ1 1046 3360Q2 1007 3645Q3 760 3155Q4 789 3768Total 3602 13928 Total unique young people 2010-2011: 2116*
    13. 13. Wait timesheadspace Western Melbourne average waiting period between referral & first occasion of service2010-2011
    14. 14. Pathways to careheadspace Western Melbourne referral sources Q4 2010-2011
    15. 15. How do young people find out about headspaceNational aggregate top 10 sources of information about headspace Q4 2010-2011
    16. 16. Demographic ProfileGender profile of all headspace Western Melbourne clients who received a service in Q4 2010-2011 (against national average)
    17. 17. Thank You Nick hWM ph: 61 3 5227 4016 NMh ph: 61 1300 880 218 Mob: 61 3 40109 1060