Year in review 2018 2019 - Headspace
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2 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 3 Artwork by: Acknowledgement Josh Muir of Country Josh is a proud Yorta Yorta/ headspace would like to Gunditjmara man who holds his acknowledge Aboriginal and Torres culture strong and close to his Strait Islander peoples as Australia’s heart; it gives him his voice and his First People and Traditional identity. Muir’s artworks echo his Custodians. We value their cultures, culture in a contemporary setting, identities and continuing connection and his practice reflects his journey. to country, waters, kin and community. We pay our respects This piece captures values from the to Elders past and present and are headspace vision for reconciliation: committed to making a positive Celebration, Country, Diversity, contribution to the wellbeing of Culture, Healing, Respect and Equity. Aboriginal and Torres Strait Islander These values are the underlying young people, by providing services factors in what it takes to establish that are welcoming, safe, culturally the central Reconciliation icon: appropriate and inclusive. a Yarning circle, belonging and echoing throughout time as a ripple effect. Acknowledging our past, present and future with three spears. Wattle seed cornerstones support the piece to represent the importance of healing to reconciliation. headspace Reconciliation Action Plan Artwork 2019 by Josh Muir, Yorta Yorta / Gundijtmara
4 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 5 welcome to the 2018—2019 year in review 6 a message from 14 youth participation 20 headspace centre 28 headspace schools 33 clinical practice 40 new partners the CEO network 8 a message from 16 australian youth 24 30 34 42 eheadspace headspace early evaluation and our supporters the board chair advocates for psychosis research mental health 10 headspace 17 family and friends 26 headspace telehealth 31 thought leadership 36 headspace brand, 43 fundraising snapshot participation campaigns and engagement 12 about headspace 18 cultural practice 27 headspace 32 international 38 our partners and diversity work and study partnerships
6 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 7 a message from the CEO Thank you to everyone across Wait times programs, enables greater mental Thanks to partnerships with corporate Thank you Australia who helped almost health and wellbeing support for and community organisations like the Much of what has been achieved over A key priority area was to better 100,000 young people to visit a educators, students and their families. National Rugby League (NRL) and the last year would not have been understand wait times in headspace headspace centre, resulting in Riot Games, we were able to reach possible without the tremendous centres. In response to growing Stakeholder engagement close to half a million visits over even more young people. We are hard work, dedication and passion demand for services, headspace the 2018 – 2019 financial year. Stakeholder engagement has been incredibly grateful to all our corporate of headspace employees. Our undertook a national survey of another big focus as we developed partners, who enable us to amplify people are our greatest asset Despite the ongoing stigma headspace centres to uncover the and strengthened our relationships our messages and resources. and thanks to them, headspace associated with mental health and level of demand and key factors perceived to affect wait times. The with key network partners, including is a truly great place to work. seeking help, young people came Advocating for headspace release of this report helped inform primary health networks (PHNs), lead to headspace in record numbers I want to personally thank the talented a 2019 Federal Budget commitment agencies and consortium chairs, The last few months of this year have because they see headspace and passionate headspace National of $152 million over six years to and hosted workshops for state- been dominated by representing as a brand they connect with Executive team, who ensure that we help address these issues. We are based centre managers and clinical the value and role which headspace and a safe place to share with work collaboratively and support constantly seeking to ensure that all leads, GPs and the Aboriginal and plays in communities, with both someone they trust. Together with their committed teams to achieve young people can access headspace Torres Strait Islander staff network. the Federal Budget and Election the centre network and national our vision that all young Australians services and we will be implementing providing opportunities for much programs, we’ve worked towards We are committed to engaging are supported to be mentally healthy new strategies over the coming year public commentary. We are fortunate reducing stigma and reached more with Aboriginal and Torres Strait and engaged in their communities. to strengthen opportunities so that to enjoy long-term bipartisan support young Australians in their local Islander young people to support the right service is provided to the for our work, and we were pleased to Finally, as always, thank you to communities than ever before. their social and emotional wellbeing. right young person at the right time. see that mental health – particularly everyone from the national centre 7,691 young people who identified Youth participation for young people – was a focus with network – the centre teams, lead as Aboriginal and Torres Strait Accessing services many commitments to the headspace agencies, PHNs and consortium Young people, their families and Islander came to headspace centres network. We look forward to working chairs – who bring headspace friends, are integral to headspace We saw the headspace centre for 31,577 occasions of service. with the government, PHNs and to life every single day in local and everything we do. It was a busy network grow by 14 new sites, Cultural safety and security is of high the centre network to implement communities across Australia. year for youth participation as we including one outreach, three importance to headspace as is the and deliver on these investments. waved goodbye to our 2017 – 2019 satellites, four outposts and six support for more than 50 Aboriginal cohort of the headspace Youth centres. More than 50 per cent and Torres Strait Islander people We partnered with Orygen, the Jason Trethowan National Reference Group (hY NRG) of headspace centres are now working in headspace centres. National Centre of Excellence in CEO, headspace and said hi to the 2019 – 2021 group. operating in rural and regional areas. Youth Mental Health, on a joint hY NRG continue to have a profound Supporting priority groups submission to the Productivity As part of the headspace digital impact, contributing to campaigns, We commissioned a nationally Commission’s Inquiry into the Social strategy and national infrastructure, clinical governance and everything representative survey of young and Economic Benefits of Improving our development of new systems, in between. During the year we people aged 12 – 25, asking about Mental Health, and after consulting upgrade of old ones, service also established a new Australian their mental health and wellbeing. with young people, families and enhancements and integration Youth Ambassador program in We discovered that nearly one in three friends, and headspace centres we across centre and online services are partnership with other national mental young Australians were reporting high developed a headspace submission driving support for end-to-end user health organisations. We remain or very high levels of psychological to the Royal Commission into journeys and care. For instance, the incredibly inspired by the voices and distress but as high as 35 per cent Victoria’s Mental Health System. eheadspace service is now providing experience young people have in have never sought support from a Both of these are a once-in-a- a wider range of service offerings to shaping the future of headspace. mental health professional. These generation opportunity for mental young people, families and friends. insights formed the backbone of health reform and we will continue We made significant progress with many of our media and community to make a strong argument for early the implementation of the Be You awareness campaigns, including intervention and youth mental health. program in primary and secondary headcoach, a cyberbullying schools. This Beyond Blue initiative, initiative and headspace day. alongside our broader School’s
8 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 9 a message from the board chair The headspace Board is proud care for young people with more Reconciliation Action Plan for young people and their mental to see headspace services severe and complex conditions, seek health. During his time on the Board, We were proud to launch the continue to grow throughout the longer term contracts for primary Ian saw and played a significant headspace Reconciliation Action country, increasing access for health networks and implement role in the growth of headspace Plan (RAP) this year. The launch young people across Australia quality improvement initiatives. as the Government’s preferred of the headspace RAP reflects to youth-friendly and culturally youth mental health platform. We are incredibly thankful to the our commitment to working with appropriate mental health support. community Elders, children, young Government for allocating funds The Board would also like to thank Expansion of the network to help reduce wait times as people and all First Nations people, headspace CEO Jason Trethowan, part of the Federal Budget. Their to be led by them and to play our whose strong leadership has enabled 2018 – 2019 saw vital expansion important role in closing the health continued investment in headspace the organisation to secure much of the headspace network, with 14 gap for Aboriginal and Torres demonstrates both the value and needed funding, the headspace new services opening in locations Strait Islander people. Our vision the need for headspace. We know Executive team and the entire team spanning Melton (VIC) through for reconciliation is an equitable that increased investment in early at headspace National for a year of to Mandurah (WA), ensuring Australia where the 60,000 year old intervention is key to supporting outstanding success in supporting headspace reaches young cultures and continuing connection young people’s mental health the mental health of young people. people right across Australia. to Country of Aboriginal and Torres and we thank the Government Strait Islander peoples are respected I would like to acknowledge my fellow We also continued to see high levels for its continued commitment and celebrated. Thank you to the Board Directors whose service helps of satisfaction across eheadspace to youth mental health. Aboriginal and Torres Strait Islander us to achieve the best mental health (83 per cent), headspace centres Board engagement team members at headspace and outcomes for young people. Thank (86 per cent) and headspace Early all the members of the working you to Professor Patrick McGorry Psychosis (92 per cent). We know As part of the Board’s engagement group who came together to design AO, Ms Anne Murphy Cruise, young people are seeing the benefits with the services and staff we are an outstanding piece of work. Dr Annette Carruthers, Ms Katina of the service with research revealing proud to govern, we were fortunate Law, Dr John Harvey, Ms Amelia 62 per cent of young people attending to have Board meetings hosted Youth participation Walters and Mr Jarrad Hickmott. headspace get better. With increasing at headspace Bankstown (NSW), satisfaction and positive impact Orygen, the National Centre of This year, I’ve been honoured The headspace Board is firmly of headspace comes a growing Excellence in Youth Mental Health to commence my role as Board dedicated to continuing its work with, demand for the headspace service. (VIC), and headspace Fremantle (WA). Chair – a position I’m both grateful and for, all young people to ensure Experiences such as this enable for, and incredibly proud to hold. they have access to youth-friendly, Wait times the Board to meet with staff and In a true demonstration of the innovative, culturally-appropriate We acknowledge the barrier that young people and see services in headspace commitment to put and best practice mental health wait times create to help-seeking action. During our time in Western youth participation at the very core services. We are honoured to govern for young people and their families. Australia, we had the privilege of of the organisation, the Board also headspace as a world-leading We also know that wait times are a hearing a panel discussion about welcomed the appointment of organisation in youth mental health; period of high risk for young people. Aboriginal and Torres Strait Islander two new youth advisors – Amelia a role we are privileged to hold. Thanks to feedback from headspace youth mental health in the context Walters and Jarrad Hickmott. centre managers in late 2018, we of rural and remote communities. Lisa Paul, AO PSM Thank you have a better understanding of the Panellists offered valuable insights Board Chair, headspace level of demand and the key factors on the challenges working and On behalf of the headspace Board, that were perceived to affect wait living in regional and remote areas I would like to offer sincere thanks times. In addition to centre expansion, and also talked about the vital role and congratulations to Ian Marshman, we identified a need to increase that culture plays in improving the who finished up as Board Chair clinical workforce capacity, invest in mental health and wellbeing of this year. Ian, who held the position headspace digital and technology Aboriginal and Torres Strait Islander of Chair since 2016 and was a platforms, augment the existing young people, something of utmost Board member since 2009, is a headspace platform to provide better importance to headspace. tireless and dedicated advocate
10 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 11 INSIDE SPREAD INSIDE SPREAD INSIDE SPREAD INSIDE SPREAD headspace headspace 2,957,4022,957,402 524,800 524,800eheadspace eheadspace 2018-2019 2018-2019 services have been provided services youngprovided to have been people have to accessed young people have accessed since inception since inception Number of young Number people of young people Main issues Main issues young people through centres, online and phone services. support centres, young people through online online and phone through centres, support through centres, and phone services. services. online and phone services. accessing eheadspace accessing eheadspace 1% Vocational 1% Vocational headspace headspace centrescentres 2018-2019 2018-2019 2% Alcohol or other drugs 6% Other 2% Alcohol or other drugs 6% Other There are 110 centres across There Australia are 110 centres in metro, across regional Australia in metro, Main regional issues 7% Stress related 7% Stress related Main issues and rural areas. We alsoand have rural a number areas. We of satellite, also have outpost a number of satellite, outpost NT NT and outreach services. and outreach services. 235 235 5% Anger 5% Anger 27% 27% QLD QLD 5% Stress related 5% Stress related Situational Situational WA WA 5,710 5,710 2% Sexual health 2% Sexual health 3,082 3,082 30% 30% 2% Alcohol or other drugs 2% Alcohol or other drugs 2 NT 2 NT Anxiety Anxiety 2% Vocational 2% Vocational SA SA 1,073 1,073 2% Other 2% Other 2,321 2,321 3,816 21 QLD 3,816 21 QLD 23% 23% 2% Physical health 2% Physical health NSW NSW 20% 20% 22,022 22,022 9,172 9,172 Anxiety Anxiety 88,479 88,479 14% 14% Other Depression 14% Other Depression 13 WA 13 WA 14% 10% 10% mental health mental health 9,783 9,783 Situational Situational ACT ACT 9 SA SANSW 9 36 36 NSW 26% Other 26% mental health Other mental health and behaviour and behaviour 39,964 39,964 724 724 conditions conditions 6,181 6,181 28,625 28,625 Depression and behaviour Depression and behaviour 27,462 27,462 130,784 130,784 conditions conditions VIC VIC 9,045 9,045 1 ACT 1 ACT TAS TAS 1,507 2626 1,507 Unknown Locations = 958 Unknown 895 Locations = 958 895 VIC 5,795VIC 5,795 Age Age Satisfaction Satisfaction Number 27,259 Number of centres/satellites of centres/satellites 2 TAS 27,259 2 TAS Priority groups Priority groups 116,604 3,442 116,604 3,442 Number of young peopleNumber who of young people who 12–14 8% 12–14 8% accessed headspace centres 13,231 accessed headspace centres 13,231 Aboriginal and Aboriginal and 9% 9% 32,142 32,142 82,722 82,722 15–17 28% 15–17 28% Number of services provided Number of services provided Torres Strait Islander Torres Strait Islander young people young people services provided services provided Culturally and Culturally and accessed online and accessed to online young and people to young people Linguistically Diverse 10% Linguistically Diverse 10% 18–20 28%18–20 28% phone counselling phone counselling 99,892 99,892 426,135 426,135 LGBTIQA+ LGBTIQA+ 24% 24% 21–23 20% 21–23 20% 85%85% young people young people services provided services provided accessed headspace accessedto headspace young people to young people 24–25 9% 24–25 9% centres centres Gender Gender 25+ 7% 25+ 7% Age Age Satisfaction Satisfaction Gender Gender 18% 18% 12–14 30%12–14 30% Male Male Priority groups Priority groups 38% 38% 15–17 15–17 32% 32% Male Male 78% 78% 4% 4% Aboriginal and Aboriginal and 18–20 21% 18–20 21% Gender diverse Torres Strait Islander Gender diverse Torres4% Strait Islander 4% Female Female 87%87% 2% 2% or undisclosed or undisclosed Culturally and Culturally and 60% Gender 60% diverse Gender diverse 21–23 13% 21–23 13% Linguistically Diverse 6% Diverse Linguistically 6% Female Female or undisclosed or undisclosed 24–25 4% 24–25 4% LGBTIQA+ LGBTIQA+ 15% 15% NB: Above data reflective of services formally NB: Above announced data reflective and openof as services at 30 June formally 2019announced and open as at 30 June 2019 headspace Schools headspace Schools headspace Work headspace Work headspace Early headspace Psychosis Early Psychosis Career mentoring with Career mentoring with 2018-19 2018-19 and Study 2018-19 and Study 2018-19 work and study work and study 2018-19 2018-19 4,395 4,395 school principals, leadership schooland principals, leadership and wellbeing staff supported wellbeing and trained staff supported and trained 35,905 35,905 2,828 2,828 1,567 567 1,567 567 88% 88% 160 160 97% 3,077 97% 296,539 3,077 296,539 94% 94% students engaged school students principals engaged school principals educators and educators and young people young people satisfaction satisfactionyoung people young satisfaction people young people satisfaction young services peopleprovided services satisfaction provided satisfaction and leadership and leadership wellbeing staff wellbeing accessedstaff the service accessed the service accessed the service accessed the service accessed the service accessed to young thepeople service to young people
12 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 13 about headspace At headspace, we believe in the power of youth. Our vision is that all young Australians are supported to be mentally james’s healthy and engaged in their communities. story Each year, headspace provides early eheadspace headspace Work and Study James Bush, “When people got my pronouns intervention mental health services wrong, initially it hurt a lot, even if to 12 – 25 year olds. Since 2006, eheadspace is our online and phone headspace vocational programs a member of people didn’t mean it, it made me counselling service and is available offers free and confidential support headspace has provided nearly three for young people seven days a for young people needing help with our 2017 – 2019 feel sick in a way because that’s million services and supported more just not who I was. Now, it’s a lot than half a million young Australians week. eheadspace supports young work and study, career mentoring headspace better because I know that a lot of people who are not able to access a with industry professionals and to strengthen their wellbeing and headspace centre or would prefer to Individual Placement Support, which Youth National the time it’s just honest mistakes. 110 manage their mental health. In 2018 – 2019 alone, headspace supported get help online. Providing a secure integrates employment and vocational Reference Group “If there’s one piece of advice that and anonymous place to talk to a services with clinical mental health. I could give other young people over 130,000 young people. professional means many young (hY NRG), talks who might be going through people who wouldn’t ordinarily headspace Schools about when The headspace model understands something similar it’s that you’re seek help at a face-to-face service headspace Schools supports, not alone. There is always that adolescence and early are getting the help they need. headspace centres engages and partners with education he started to adulthood is a critical time in a someone out there to support you person’s life. Research highlights and health sectors across Australia, question his whether it’s your family, friends, headspace Telehealth that more than 75 per cent of mental to build the mental health literacy sexuality. someone online or someone health disorders begin before the headspace Telehealth provides and capacity of workforces, children, in the LGBTIQA+ community – age of 25. headspace provides a 12 – 25 year olds, in eligible regional young people, their families and “It was kind of hard talking you’ve always got someone holistic approach to supporting and rural areas, access to highly- wider school communities. Their about my sexuality with my you can turn to and talk to.” young people early in life through skilled psychiatrists via video programs and initiatives include family as I grew up in a small four core areas: mental health, consultations. These psychiatrists are primary and secondary school town and also because my Read more about our physical (including sexual) health, experts in youth mental health and service delivery partner for Be family were quite conservative. LGBTIQA+ campaign work and study support, and have experience working with young You, School Suicide Prevention I turned to my friends first and on page 37. alcohol and other drug services. people from various backgrounds. Activities, School staff and Principal they really helped me figure Mental Health and Wellbeing, and everything out and gave me the headspace centre network various programs, training and courage to talk to my family. A national network of 110 professional development packages. “For a while, I struggled to watch headspace centres operates across some of my friends and family headspace Early Psychosis metropolitan, regional and rural areas not know what to do or how of Australia, along with a range of The headspace Early Psychosis to act around me. But I really satellites, outreach and support. program supports young people believe that my family and I have experiencing, or at risk of developing, become a lot stronger after I psychosis. Based on evidence opened up about questioning developed by Orygen; the National my gender and when I said I Centre of Excellence in Youth wanted to begin transitioning. Mental Health, the program is delivered by select headspace centres and focuses on early intervention, providing young people and their families with timely access to specialist support.
14 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 15 youth Board Youth Advisors In late 2018, outgoing headspace Peer Support project Last year, thanks to recommendations participation National Board Chair, Ian Marshman, from hY NRG and the 2018 appointed two young people to headspace Forum, we kicked off be Youth Advisors to the Board. a new project aiming to better Through youth participation, we recognise Amelia Walters and Jarrad Hickmott, equip centres to develop and deliver peer support programs. that young people are experts in their both former hY NRG members, have since brought their perspectives Due to continue into 2020, the own lives and have the right to be actively and insights to the Board, and will project is exploring existing youth engaged in developing solutions to the issues affecting them. erika’s continue to provide meaningful contributions going forward. mental health peer support models in headspace centres and across the story Recognising the time it takes to sector. Involving ongoing participation fully understand and participate in of young people, headspace staff Board activities, their tenure has and centres, and subject matter “I signed up to headspace been extended to three years. experts, this work will result in an Career Mentoring because I was evidence-based, youth peer support headspace internships framework, guidelines and information unsure about what to do next in my work journey. I wanted to In 2018 – 2019 the headspace resources that can be implemented What is youth participation? Youth participation in practice headspace Youth National speak with someone who had Interns program offered four project- across the headspace network. Reference Group experience and qualifications based internships across a variety It’s important that we engage people The headspace network is committed in my field of interest. of departments at headspace who use headspace services, and to providing young people with In March 2019, the headspace Youth National. Interns worked in cultural “I love how I actually those around them, in decisions about meaningful opportunities to National Reference Group (hY NRG) “Together we worked on my headspace. Mounting evidence clearly participate in policy, governance, 2017 – 2019 cohort came together for practice, data strategy and got my own project, cover letter, resume writing, governance, information technology, indicates the widespread benefits of service and program design. All the final time at headspace National. interview presentation and skills and to see it end and online peer support. youth participation in mental health headspace centres engage young Over their time they provided at work including expectation to end. It had an care: it enables organisations to people in their work through youth invaluable expertise and advice, as setting and report writing. remain relevant, deliver appropriate reference groups, who provide well as being strong advocates for My mentor helped me with my objective and services, remain a trusted and feedback and advice. They’re also headspace and youth mental health. confidence – I have a stutter and wasn’t like other respected provider and improve involved in a range of activities, she encouraged me to meet service provision to priority groups. such as attending events, sitting During their 18-month term they sat with an advertising executive internships where on working groups and committees, Youth participation helps us to shift on interview panels and facilitating including the Clinical Quality and who also has a stutter. you come and presentations to students. the power imbalances that exist when Governance Board Subcommittee. “My mentor was very just find work.” working with young people, keeps us Meanwhile all staff at all levels They also attended and facilitated encouraging and helped me connected with those who already of headspace National have a workshops, joined a number of – Intern to see things from a different know about headspace, and helps us responsibility to make sure young eheadspace Group Chats, and perspective – more glass half full. reach those young people who don’t. people are meaningfully involved in sat on five interview panels that decisions affecting them. In order recruited headspace National staff. “Having worked with a mentor, to do this, headspace National I now feel more confident In May 2019, the newly appointed applying for work. It’s the employs a headspace Youth hy NRG 2019 – 2020 members first time I’ve secured a job National Reference Group. The came together in Melbourne for through applying and not group represents each state and their first meeting. This group of through networking. Before territory and work with headspace young people from across Australia this I’d always relied on to ensure young people’s voices and Jarrad Hickmott and Amelia have already been busy providing networking as I was doubtful Walters – headspace opinions remain front and centre. Board Youth Advisors their fresh perspectives and lived of my actual abilities. Through headspace National’s youth experience to inform our work. headspace Youth National Reference participation activities this year, young “This is the first time I’ve passed Group 2019 – 2020 people engaged in over 60 unique They have already contributed by probation. The advice my opportunities to have their say on sitting on the headspace day working mentor gave me was actual headspace projects and services. group, sharing their stories during industry experience and the GP training workshops, hosting I liked that we met regularly our Reconciliation Action Plan (RAP) on a structured basis.” launch, developing journey maps for how young people engage with Read more about headspace, and they’re getting ready headspace Career to host the 2020 headspace Forum. Mentoring on page 27.
16 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 17 australian family and friends youth advocates participation for mental health Family and friends play a significant role in the lives of young people who access In February 2019, 14 advocates from headspace services; approximately across the Australian youth mental one-third of all referrals to our services health sector were recruited to lead are from family and friends. a new youth participation initiative. Funded by the Department of Health, The advocates also had the Family inclusive practice and family In addition to reviewing our Being involved in the design and coordinated by headspace opportunity to workshop their ideas and friends participation are core approach, the current headspace and development of training National, the cross-sector initiative – with the guidance of leading youth aspects of the headspace approach. National Family and Friends workshops for Centre Managers Australian Youth Advocates for Mental suicide prevention and mental Over 2018 – 2019 we have reviewed Reference Group have continued and Clinical Leads. Health (AYAMH) – aims to promote health researchers. They brought the most effective way to involve to support in a number of ways: Sharing their lived experience youth mental health literacy, improve together these perspectives, family and friends. Increased at eating disorder training for Developing the Family & Friends help seeking, support young people’s alongside their own lived experiences effective participation in service headspace centre network GPs. Participation Strategy. capacity for self-care and reduce and those of their communities, development, delivery, evaluation and Participating in eheadspace Engaging in media interviews mental health stigma across Australia. to identify unmet needs in the continuous improvement will ensure Advocates in action Group Chats. and sharing their stories. youth mental health space. that headspace is better prepared The program also involves a to achieve positive outcomes Being a part of the 2018 targeted and community-informed With an agreed focus on with, and for, young people. headspace Day campaign. approach for Aboriginal and Torres storytelling, wellbeing, community Strait Islander communities. engagement and capacity Contributing to workshops to building, the advocates will be refresh the headspace brand. Co-designing a national initiative working into the next 12 months “AYAMH has been an The advocates bring a diverse range to design and deliver an initiative exciting opportunity to ann’s of experience in youth participation that addresses their learnings. raise the profile of youth roles across the sector as well as their Ann Gallagher, a mum “The cyberbullying had a From inception through participation across the from the headspace significant impact on my own lived experiences. They have recruitment and co-design, the mental health sector. daughter’s mental health and been co-designing a national initiative Family and Friends story group has been guided by a Collaborating with nine her ability to attend school. that will help improve mental health Reference Group, cross-sector steering committee We had to work really hard for and wellbeing of young Australians. other national mental experienced firsthand the comprising representatives from months with the school and Throughout the co-design Batyr, BeyondBlue, Black Dog health organisations impacts of cyberbullying, has enabled us to police to find an outcome that process, advocates identified key Institute, Butterfly Foundation, and the challenges kept her safe and enabled her challenges and hosted community Consumers Health Forum share knowledge and that young people, time and space to recover. consultations with over 140 young of Australia, Mind Australia, collaborate in ways that parents and schools Australians, including at two youth Orygen, ReachOut and SANE. hasn’t occurred before.” “Fortunately, my daughter opened have in responding to up to me about the experience suicide prevention forums held in the East and West Kimberley. – Dani Leever, Australian Youth these experiences. quite early on so I could be Advocate for Mental Health there for her and work with the “My daughter was cyberbullied by a former friendship group at her school school to try and help, but I when she identified the relationships know this isn’t always the case. as unhealthy for her, and tried to I would encourage parents to amicably break away from them. be aware of what goes on so The bullying took place in a number they can be there for their kids.” of online forums and platforms, and very quickly got out of hand. Advocates in action
18 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 19 bianca’s Bianca Graham, a Yawuru “A lot of time Indigenous people are Karajarri woman from misinterpreted or misrepresented, so I think it’s important to have story Broome, shares her experience of being an not only my voice, but other cultural practice Indigenous woman and a member of the 2019 – 2020 Indigenous young people be a part of community and national groups. and diversity headspace Youth National Reference Group (hY NRG). “Personally, I’m a really strong believer of making mental health services aware of cultural We are committed to improving the cultural “As an Indigenous person, I am appropriateness. I also want responsiveness and safety of our services honoured to be on the headspace to remove that stigma around Youth National Reference Group, to Indigenous mental health and and programs. We continue to seek input give a voice to other Indigenous especially Indigenous men’s mental from and listen to the perspectives of people but also to be recognised health. I want to do all this to show as a young Indigenous person on other young Indigenous people that, Aboriginal and Torres Strait Islander young a national mental health group. we deserve and we have every right people, communities and our workforce to be at the seat of those tables on a national and a community level.” to ensure this is embedded. Aboriginal and Torres Strait Aboriginal and Torres Strait We will commence the co-design, Reconciliation Action Plan Our vision for reconciliation Our need to hear these voices Islander workforce engagement Islander wellbeing and development and implementation is an equitable Australia where goes far beyond our organisational In June 2019, headspace launched participation of a campaign for Aboriginal and the 60,000 year old cultures operations, they go to the heart The team at headspace National our Innovate Reconciliation Action Torres Strait Islander young people and continuing connection of what it means to be Australian. coordinates the national network of We continued to engage with Plan (RAP), which affirms our and communities, focusing on to Country of Aboriginal and It is through a shared understanding Aboriginal and Torres Strait Islander Aboriginal and Torres Strait Islander commitment to reconciliation. reducing stigma and encouraging Torres Strait Islander peoples of the past that we can build a staff. The network continues to grow young people to ensure their voices help-seeking behaviour. The plan outlines concrete actions are respected and celebrated. fairer and more equitable future. each year, with over 50 members and perspectives are incorporated to develop further relationships, employed in a range of roles; into key headspace initiatives. This future Australia is united Through our RAP, we commit our founded in respect, with Aboriginal a significant jump from six in 2015. by the understanding of organisation and our people to Across our new hY NRG group and and Torres Strait Islander peoples In 2018, 27 members travelled to the Australian Youth Advocates our shared past, upholds listen more, to learn more, and to and creates opportunities to deepen for Mental Health (AYAMH), we the rights of Aboriginal grow more. Since its beginnings “The cup Melbourne for the annual Staff our understanding of Aboriginal and Network Workshop where they have eight Aboriginal and Torres and Torres Strait Islander 12 years ago, we have achieved Torres Strait Islander cultures, engage could engage and network with Strait Islander young people. peoples, and embraces self- a great deal, but in many ways, staff in reconciliation, and cement colleagues around the country and share stories and input into the You can read more stays full headspace as a culturally and safe employer for Australia’s First People. determination and diversity. our journey has just begun. strategic direction of programs and divisions of headspace National. about hY NRG and AYAMH on pages 14 and 16. when you Check out the incredible are able to Launching our Reconciliation Action Pan artwork created for the The headspace Aboriginal and We are in the process of appointing headspace RAP by Josh a National Aboriginal and Torres be around Torres Strait Islander Youth Mental Muir – a proud Yorta Health and Wellbeing Traineeship Strait Islander Advisory Group, which Yorta/Gunditjmara man will include representation from other mob, Program continued across on the inside cover. headspace Darwin, Townsville and the headspace network, industry Broome. The program gave four professionals, young people, Elders In particular, we understand the Aboriginal and Torres Strait Islander young people paid employment, and natural helpers to help inform future headspace initiatives. like being importance of self-determination and actively seek the voices and support and on-the job experience working in a youth engagement headspace has also been involved in a number of meetings across the around perspectives of Aboriginal and Torres Strait Islander peoples. capacity, while also undertaking a Certificate IV in Mental Health. Aboriginal and Torres Strait Islander mental health and suicide prevention family.” In our day-to-day work, this occurs through engagement with our – Aboriginal and Torres Strait Cultural Practice and Diversity team, sector to discuss priorities for Read about our partners’ Islander Staff Network staff and our amazing reference Aboriginal and Torres Strait Islander support of the traineeship Workshop attendee groups. Without these voices, youth empowerment and wellbeing. program on page 39. headspace cannot address the diverse needs of Australia’s First Peoples, and we acknowledge their important and significant input into our operations to date.
20 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 21 headspace centre network headspace centres are an important part of the broader headspace platform. Our continued engagement across the entire headspace partnership model, comprising centres, PHNs, lead agencies and consortia, is pivotal to addressing key challenges that centres are facing, such as increasing wait times and young people presenting with complexity. headspace Pilbara opening We finished the 2018 – 2019 year Pilbara outreach trial Stakeholder engagement The headspace network is Network partner engagement 14 with 110 sites, with an additional of the headspace network diverse with differing needs Opened in April 2018, with funding This year, we have focused on 40 planned by June 2020. One of our key strategic priorities and expectations, which means until June 2020, the headspace developing and strengthening our Pilbara service is an innovation trial is having a headspace network tailored engagement is required. Expansion of the centre network relationships with key network delivering headspace-type services in that is connected, engaged and In developing our engagement partners, including PHNs, lead 2018 – 2019 saw the establishment of feels part of headspace. Karratha, Port Hedland and Newman. new headspace approach, we consulted agencies and consortium chairs. 14 new headspace services, including It focuses on how the service services in 2019 extensively and received over These partners are integral to one outreach trial, three satellites, Over 2018 – 2019 we rolled out meets the needs of Aboriginal and 1,000 inputs from the network. the success of the network as four outposts and six centres: a new stakeholder engagement Torres Strait Islander young people In response to this feedback, we continue to work with them approach that allowed us to help 1. Outposts from headspace and families living in the region. we have invested significantly in through the commissioning and centres deliver services and build on Tamworth in Armadale, communications and face-to-face establishment processes of new The trial is being delivered by the skills and knowledge that lead Gunnedah, Moree and Narrabri engagement across 2018 – 2019 centres and satellite services. Lead Agency Anglicare WA, with agencies, PHNs and consortiums 2. Satellites in Gympie from input from a steering group with bring to support their centres. and continuing into 2019 – 2020. We invited representatives from headspace Maroochydore, representatives from the Western Engagement activities PHNs and lead agencies to engage Portland from headspace Australian Primary Health Alliance, in a range of new projects and events, Warrnambool, Lithgow from headspace National, Anglicare WA, A key part of this work is delivering including attending our state-based a comprehensive program of headspace Bathurst an independent consortium Chair “It was really face-to-face engagement activities stakeholder engagement workshops. 3. The establishment of the and headspace Pilbara employees. We have been working to create headspace Pilbara outreach useful to engage for our various stakeholders. additional spaces where they can Unlike all other headspace This year we hosted workshops innovation trial in regional services the Pilbara service with other centre for state-based centre managers share knowledge, expertise and Western Australia connect to, and learn from, other does not have a centre, and managers and and clinical leads, GPs and the headspace network partners. 4. Centres in Victoria – Melton employees deliver all services and Wonthaggi in schools, youth environments, clinical leads to Aboriginal and Torres Strait Islander staff network, with plans Enhancing Mental Health 5. Centre in Western on country and wherever young hear stories and to host a workshop for community Support in Schools Australia – Mandurah people feel comfortable. gain knowledge. awareness officers in late 2019. Our partnership with the Victorian 6. Centre in Northern Territory – Katherine And also to get to We have also introduced Government on the Enhancing Mental specific targeted stakeholder Health Support in Schools Initiative 7. Centre in New South Wales – Bega know so many staff communications, started upgrades continued throughout the year. This 8. Centre in South Australia – Whyalla from headspace to our intranet, and will focus on initiative provides enhanced mental “It’s great to see not only young IT and technology solutions for health services to young people This is the ninth round of headspace National.” services to be opened since people but community members – Centre Manager and Clinical online collaboration next year. The 2020 headspace Forum will in Victorian school communities through a regional phone service and headspace was established. of all ages welcoming headspace. Leads Workshop attendee provide further opportunities for headspace centres. This regional phone service is commissioned engaging our centre network and We’ve already been able to facilitating peer-to-peer collaboration. by headspace National, while the Victorian Primary Health Network support lots of young people.” Alliance commissions headspace – Cate Chaiyot, Centre Manager, Wonthaggi centres to provide these services.
22 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 23 hAPI 2 development and launch hAPI is the software we use to capture data about the young people we support, and range of the services we’re providing. A year ago we announced that a redeveloped hAPI was on its way. Firstly we undertook extensive consultation with centre managers, clinical leads, lead agency representatives and headspace Youth National Reference Group (hY NRG) members. We then moved into ongoing consultation about a revised Minimum Data Set (MDS): the headspace Melton centre opening essential questions that inform the backbone of headspace reporting. Centre demand We acknowledge the urgent need to address the wait times Significant iterative system headspace Adelaide Highlights from the centre Long wait times are a major and unmet need of young people development delivered a flexible from 2018 – 2019 barrier to help-seeking for young headspace Services Limited seeking to access mental health and highly configurable platform people and their families. With a wholly owned subsidiary of Recruited and hosted two services in Australia. We are working ready to meet future headspace young people seeking help at an headspace National operated Aboriginal and Torres Strait with the Government regarding needs. To make sure all centres unprecedented rate and with rising as Lead Agency for headspace Islander community engagement additional funding support and we were ready for the launch, 250 levels of complexity and acuity, we’re Adelaide for a final year, providing trainees for 12 month placements are collaborating with centres to champions were engaged across aware that headspace centres are quality care to young people in Expanded the Youth Ambassador identify and implement a range of the centre network, and the training experiencing major challenges in the state. From July 1, Sonder program into in-house activities, strategies to ensure young people are team rolled out numerous virtual and meeting the demand for services headspace Adelaide centre took over as Lead Agency, including client ‘Meet and Greets’ supported while waiting for services. face-to-face training workshops. and that wait times are growing. continuing to provide quality care Released Season Two of headspace Model hAPI 2 successfully launched to young people in Adelaide. headspace Sessions Podcast We surveyed headspace centre Integrity Framework in July 2019. managers in late 2018 to better It was a busy year as the (Adelaide), gaining 3,500 listens understand the frontline view of The headspace Model Integrity centre continued to deliver the The headspace Early Psychosis the level of demand and the key factors that were perceived to Framework (hMIF) ensures that centres maintain the core aspects of “From start to headspace Early Psychosis (formerly headspace Youth achieved superior fidelity against the Orygen early psychosis model affect wait times at centres. the headspace model while allowing finish, the hAPI Early Psychosis Program) in Supported the launch of the flexibility to innovate and provide addition to the four core streams national men’s campaign – We identified six key actions that would make a difference service responses for local issues. 2 project’s of the headspace model. headcoach – locally, including and help headspace centres During 2018 – 2019, we continued success was In 2018 – 2019 the primary care our #piesforguys activity in Rundle Mall, and engaged to meet the growing demand to assess and work with program provided services to for their service: headspace centres, supporting a collaborative 850 young people and delivered 200 people in various sports over 3,433 occasions of service. activities to gain a free pie 1. Increase clinical their certification for the model. effort of valued Additionally, the Early Psychosis Supported Osher Günsberg workforce capacity We reviewed the hMIF 2. Relocation to larger facilities or implementation, identifying what network Program also provided services to 451 young people, delivering over to share his personal stories of psychosis, mental health, expansions of existing facilities worked and what could be improved, by seeking input from centres, stakeholders 37,143 direct and indirect services. and wellbeing as part of his 3. Investment in headspace digital book launch in Adelaide and technology platforms lead agencies, PHNs, hMIF peer and headspace Arranged for local landmarks – assessors, and headspace National. 4. Augmenting the existing headspace platform to Using this feedback, we have been National.” Adelaide Oval, Adelaide Town Hall and Victoria Square – to be lit provide better care for young developing the next version of hMIF – Anna Hall, Executive Director, green as part of headspace day people with more severe which we aim to launch in 2020. Digital and Technology Services Won the National Live Music and complex conditions Award for All Ages Achievement 5. Longer term contracts for PHNs SA, alongside consortium 6. Implement quality partner Music SA, for the ‘Eat improvement initiatives. Your Greens’ music festival.
24 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 25 eheadspace During 2018 – 2019 eheadspace provided support to over 32,000 people. To expand the opportunities for young people and families to engage with great resources, we started implementation of some major changes to our online stepped care approach. No wrong door Personal ‘spaces’ gives people their In addition, eheadspace provided own private ‘space’ on our website, 32 Group Chat online sessions, The range of resources available which they can fill with resources that which are regular hourly sessions across the website complements the they identify as helpful. It’s available specifically for young people, support our clinical team provides 24/7 so users can access information and friends and family, to speak every day. Requests for support whenever they need and tailor it to anonymously with our mental from eheadspace continues to reflect their own mood and style. health professionals about topical grow and frequently occurs in a items and learn from others too. background of high acuity, risk and Try out personal spaces at We have some exciting plans to complexity. Regardless, our team headspace.org.au/eheadspace/ expand our online community is committed to providing the best spaces/personal/setup activities in the near future. quality support possible with a ‘no wrong door’ approach for everyone. A single website The most significant development was to integrate eheadspace into the one headspace website. This means people can simply come to headspace.org.au to find information, resources and access to dedicated support, such as eheadspace and headspace Work and Study. Interactive content – Decks and Spaces We have also increased the range of options to engage with. ‘Decks’ provides interactive self-guided content for young people to actively reflect on their needs, engage in skill building and set meaningful goals. Much of the content is based on Orygen’s Brief Interventions In Youth Mental Health Toolkit, which Decks in action is clinically valid, solutions-focused, and concludes with recommended resources for further reading.
26 headspace Year in Review 2018 – 2019 headspace Year in Review 2018 – 2019 27 headspace headspace work telehealth and study headspace Telehealth provides young people The past year has continued to highlight in regional and rural areas with access the unique and important work we to highly-skilled psychiatrists via video do in supporting young people with consultations. Since 2015, the telepsychiatry their work and study needs. service has given access to highly-skilled psychiatrists for bulk-billed assessment, diagnostic and management advice. Upskilling staff communities by overcoming barriers Linking work, study headspace Work and Study is ideally Recognising the that may be preventing people from Making mental and youth mental health suited to young people that are importance of education headspace Telehealth also builds the accessing a psychiatrist, due to health care history More than one in four young people either socially or regionally isolated and employment support expertise of local health services by cost or lack of service available. between the ages of 17 – 25 visiting or don’t have access to a headspace through headspace, the providing access to a psychiatrist This year, we conducted our headspace centres are disengaged centre vocational program. for tailored support – including case An exciting initiative is the first ever three-way “face- government injected review, thematic review (e.g. treatment introduction of webinars on specific to-face” video consultation, from both employment and education. headspace Career Mentoring $19.4 million into our of anxiety disorders), clinical review subjects where up to five sites can connecting a patient living vocational programs. In 2018 that was more than 9,000 The newest vocational offering, the or supervision and webinars. participate with a psychiatrist on in remote South Australia, young people. Our clinical services headspace Career Mentoring service, This is the biggest a specific topics, such as anxiety a psychiatrist in New South in headspace centres and eheadspace During 2018/2019, headspace which matches young people aged investment ever received and depression, medications Wales, and a Royal Flying offer a safe and unique entry point that Telehealth partnered with 17 – 25 with an industry mentor for vocational programs used in psychiatry to assist Doctor Service mental health provides an opportunity to engage Country South Australia PHN and from our corporate partners, has young people, or the treatment nurse located in Port Augusta. and is a reflection Northern Territory PHN to provide young people in employment and celebrated reaching the end of its 40 sessions to help people in for alcohol and other drugs. This educational support. of the great work of The patient was experiencing pilot. The service will continue, with helps to upskill staff by discussing headspace to create their local community access a debilitating back pain and 60 per cent of young people in the themes or issues that they’re Individual Placement and Support an integrated clinical psychiatrist and upskill their staff. depression, requiring a pilot evaluation gaining a job outcome regularly seeing in young people. Individual Placement and Support and vocational model. psychiatric assessment in during their time in the service. We Individuals or small groups can support of their complex (IPS) integrates employment and look forward to further integrating the access this service on a short-term mental and physical health vocational services with clinical knowledge and work of our mentoring or ongoing basis and the session needs. However, living mental health. 14 headspace partners to help headspace young is led by the psychiatrist, based on remotely in South Australia, centres have participated in an people with their work goals. the nature of their request and the the closest public face- initial trial of the model in centres, psychiatrist’s scope of expertise. to-face psychiatry was with the Department of Social It supports PHNs, headspace an 18-hour round trip, Services investing $17 million for centres and participating agencies requiring an overnight stay a two-year extension that will also local needs’ by reducing mental and costing a great deal. see the program rolled out to a health gaps in regional or rural further 10 headspace centres. But with the three-way consultation, the patient headspace Work and Study was able to receive a timely The headspace Work and Study “This partnership has helped us psychiatric assessment within service (formerly Digital Work and weeks of initial referral at no Study Service), which provides expand our reach of delivering cost, while still being able to employment and study support for continue their mental health psychiatry consults to rural care in the community. young people aged 15 – 25 through a digital platform including phone, and remote communities.” webchat and video conferencing, has also received $2.4 million to continue – Tania Manser from Country SA PHN the service until mid-2021. In operation for three years, we recently celebrated supporting our 1000th young person.
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