Sixteen years of innovation in youth mental healthcare: Outcomes for young people attending Australia's headspace centre services
Australia's headspace initiative is world-leading in nation-wide youth mental healthcare reform for young people aged 12 to 25 years, now with 16 years of implementation. This paper examines changes in the key outcomes of psychological distress, psychosocial functioning, and quality of life for...
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| Veröffentlicht in: | PloS one 2023-06, Vol.18 (6), p.e0282040-e0282040 |
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| creator | Rickwood, Debra McEachran, Juliet Saw, Anna Telford, Nic Trethowan, Jason McGorry, Patrick |
| description | Australia's headspace initiative is world-leading in nation-wide youth mental healthcare reform for young people aged 12 to 25 years, now with 16 years of implementation. This paper examines changes in the key outcomes of psychological distress, psychosocial functioning, and quality of life for young people accessing headspace centres across Australia for mental health problems. Routinely collected data from headspace clients commencing an episode of care within the data collection period, 1 April 2019 to 30 March 2020, and at 90-day follow-up were analysed. Participants came from the 108 fully-established headspace centres across Australia, and comprised 58,233 young people aged 12-25 years first accessing headspace centres for mental health problems during the data collection period. Main outcome measures were self-reported psychological distress and quality of life, and clinician-reported social and occupational functioning. Most headspace mental health clients presented with depression and anxiety issues (75.21%). There were 35.27% with a diagnosis: overall, 21.74% diagnosed with anxiety, 18.51% with depression, and 8.60% were sub-syndromal. Younger males were more likely to present for anger issues. Cognitive behavioural therapy was the most common treatment. There were significant improvements in all outcome scores over time (P |
| doi_str_mv | 10.1371/journal.pone.0282040 |
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This paper examines changes in the key outcomes of psychological distress, psychosocial functioning, and quality of life for young people accessing headspace centres across Australia for mental health problems. Routinely collected data from headspace clients commencing an episode of care within the data collection period, 1 April 2019 to 30 March 2020, and at 90-day follow-up were analysed. Participants came from the 108 fully-established headspace centres across Australia, and comprised 58,233 young people aged 12-25 years first accessing headspace centres for mental health problems during the data collection period. Main outcome measures were self-reported psychological distress and quality of life, and clinician-reported social and occupational functioning. Most headspace mental health clients presented with depression and anxiety issues (75.21%). There were 35.27% with a diagnosis: overall, 21.74% diagnosed with anxiety, 18.51% with depression, and 8.60% were sub-syndromal. Younger males were more likely to present for anger issues. Cognitive behavioural therapy was the most common treatment. There were significant improvements in all outcome scores over time (P<0.001). From presentation to last service rating, over one-third had significant improvements in psychological distress and a similar proportion in psychosocial functioning; just under half improved in self-reported quality of life. Significant improvement on any of the three outcomes was shown for 70.96% of headspace mental health clients. After 16 years of headspace implementation, positive outcomes are being achieved, particularly when multi-dimensional outcomes are considered. A suite of outcomes that capture meaningful change for young people's quality of life, distress and functioning, is critical for early intervention, primary care settings with diverse client presentations, such as the headspace youth mental healthcare initiative.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0282040</identifier><identifier>PMID: 37390108</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Anxiety ; Australia - epidemiology ; Biology and Life Sciences ; Clients ; Cognitive ability ; COVID-19 ; Data collection ; Early intervention ; Evaluation ; Headspace ; Health care ; Health Care Reform ; Health problems ; Health risks ; Health services ; Humans ; Male ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Mental Health ; Mental health care ; Mental Health Services ; People and Places ; Primary care ; Psychiatric services ; Psychological aspects ; Psychological stress ; Quality of Life ; Self report ; Sexual health ; Social interactions ; Social Sciences ; Teenagers ; Young adults ; Youth</subject><ispartof>PloS one, 2023-06, Vol.18 (6), p.e0282040-e0282040</ispartof><rights>Copyright: © 2023 Rickwood et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Rickwood et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Rickwood et al 2023 Rickwood et al</rights><rights>2023 Rickwood et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c693t-a6e7dcd0c34bfe8ab24813632c2dfbfd07b0807380878641fbd5b906ffd170e23</citedby><cites>FETCH-LOGICAL-c693t-a6e7dcd0c34bfe8ab24813632c2dfbfd07b0807380878641fbd5b906ffd170e23</cites><orcidid>0000-0002-4227-0231</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313045/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313045/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37390108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Carrà, Giuseppe</contributor><creatorcontrib>Rickwood, Debra</creatorcontrib><creatorcontrib>McEachran, Juliet</creatorcontrib><creatorcontrib>Saw, Anna</creatorcontrib><creatorcontrib>Telford, Nic</creatorcontrib><creatorcontrib>Trethowan, Jason</creatorcontrib><creatorcontrib>McGorry, Patrick</creatorcontrib><title>Sixteen years of innovation in youth mental healthcare: Outcomes for young people attending Australia's headspace centre services</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Australia's headspace initiative is world-leading in nation-wide youth mental healthcare reform for young people aged 12 to 25 years, now with 16 years of implementation. This paper examines changes in the key outcomes of psychological distress, psychosocial functioning, and quality of life for young people accessing headspace centres across Australia for mental health problems. Routinely collected data from headspace clients commencing an episode of care within the data collection period, 1 April 2019 to 30 March 2020, and at 90-day follow-up were analysed. Participants came from the 108 fully-established headspace centres across Australia, and comprised 58,233 young people aged 12-25 years first accessing headspace centres for mental health problems during the data collection period. Main outcome measures were self-reported psychological distress and quality of life, and clinician-reported social and occupational functioning. Most headspace mental health clients presented with depression and anxiety issues (75.21%). There were 35.27% with a diagnosis: overall, 21.74% diagnosed with anxiety, 18.51% with depression, and 8.60% were sub-syndromal. Younger males were more likely to present for anger issues. Cognitive behavioural therapy was the most common treatment. There were significant improvements in all outcome scores over time (P<0.001). From presentation to last service rating, over one-third had significant improvements in psychological distress and a similar proportion in psychosocial functioning; just under half improved in self-reported quality of life. Significant improvement on any of the three outcomes was shown for 70.96% of headspace mental health clients. After 16 years of headspace implementation, positive outcomes are being achieved, particularly when multi-dimensional outcomes are considered. A suite of outcomes that capture meaningful change for young people's quality of life, distress and functioning, is critical for early intervention, primary care settings with diverse client presentations, such as the headspace youth mental healthcare initiative.</description><subject>Adolescent</subject><subject>Anxiety</subject><subject>Australia - epidemiology</subject><subject>Biology and Life Sciences</subject><subject>Clients</subject><subject>Cognitive ability</subject><subject>COVID-19</subject><subject>Data collection</subject><subject>Early intervention</subject><subject>Evaluation</subject><subject>Headspace</subject><subject>Health care</subject><subject>Health Care Reform</subject><subject>Health problems</subject><subject>Health risks</subject><subject>Health services</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental 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Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sixteen years of innovation in youth mental healthcare: Outcomes for young people attending Australia's headspace centre services</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-06-30</date><risdate>2023</risdate><volume>18</volume><issue>6</issue><spage>e0282040</spage><epage>e0282040</epage><pages>e0282040-e0282040</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Australia's headspace initiative is world-leading in nation-wide youth mental healthcare reform for young people aged 12 to 25 years, now with 16 years of implementation. This paper examines changes in the key outcomes of psychological distress, psychosocial functioning, and quality of life for young people accessing headspace centres across Australia for mental health problems. Routinely collected data from headspace clients commencing an episode of care within the data collection period, 1 April 2019 to 30 March 2020, and at 90-day follow-up were analysed. Participants came from the 108 fully-established headspace centres across Australia, and comprised 58,233 young people aged 12-25 years first accessing headspace centres for mental health problems during the data collection period. Main outcome measures were self-reported psychological distress and quality of life, and clinician-reported social and occupational functioning. Most headspace mental health clients presented with depression and anxiety issues (75.21%). There were 35.27% with a diagnosis: overall, 21.74% diagnosed with anxiety, 18.51% with depression, and 8.60% were sub-syndromal. Younger males were more likely to present for anger issues. Cognitive behavioural therapy was the most common treatment. There were significant improvements in all outcome scores over time (P<0.001). From presentation to last service rating, over one-third had significant improvements in psychological distress and a similar proportion in psychosocial functioning; just under half improved in self-reported quality of life. Significant improvement on any of the three outcomes was shown for 70.96% of headspace mental health clients. After 16 years of headspace implementation, positive outcomes are being achieved, particularly when multi-dimensional outcomes are considered. A suite of outcomes that capture meaningful change for young people's quality of life, distress and functioning, is critical for early intervention, primary care settings with diverse client presentations, such as the headspace youth mental healthcare initiative.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37390108</pmid><doi>10.1371/journal.pone.0282040</doi><tpages>e0282040</tpages><orcidid>https://orcid.org/0000-0002-4227-0231</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Anxiety Australia - epidemiology Biology and Life Sciences Clients Cognitive ability COVID-19 Data collection Early intervention Evaluation Headspace Health care Health Care Reform Health problems Health risks Health services Humans Male Medicine and Health Sciences Mental depression Mental disorders Mental Health Mental health care Mental Health Services People and Places Primary care Psychiatric services Psychological aspects Psychological stress Quality of Life Self report Sexual health Social interactions Social Sciences Teenagers Young adults Youth |
| title | Sixteen years of innovation in youth mental healthcare: Outcomes for young people attending Australia's headspace centre services |
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