march 2016 headspace information
TRANSCRIPT
StevenAdelsheim,MD,[email protected]
DevelopingAustralia’sheadspaceProgramintheUnitedStatesStanfordPsychiatry’sCenterforYouthMentalHealthandWellbeing
StanfordPsychiatry’sCenterforYouthMentalHealthandWellbeing� ExpandingClinicalSupport
� PartnershipswithSchoolsandCommunity
� TechnologyandSocialMediaExpansion
Incidence of Disease across the Lifespan
CourtesyP.McGorry,MD
EsPmatedCostofChild/AdolescentMentalDisordersin2015(basedonanalysisofUSNaPonalHouseholdSurveyonDrugUseandHealth)� 9MillionyoungpeopleintheUShavementalhealthproblems
� $20.5Billionwasspentondirectmentalhealthservicesforyoungpeople
� $120Billionwasspentondirectcosts+lossofearnings+disabilitycostsforchildrenandyouthages5-25(notevenincludingcostsofhomelessness,incarceraPon,co-morbidcondiPonsormortalitycosts)
DevelopingAConPnuumofCareforYouthMentalHealth
WHEREDOITURNTOFORHELP?
exisPngUSmodelsconsidered
School-BasedHealthCenters(SBHCs)
• AccesspopulaPoninschoolsandthroughhighschoolageonly• PrioriPzeprimarycareandreproducPvehealthwithlessaccesstomentalhealthservices
• HIPAA-FERPAissues
• PrioriPzereproducPvehealthduetoreimbursementpossibiliPes;minimalmentalhealthsupports
• Manyconnectedtoacademicmedicalcenters• LoweraccesstotransiPonageandyoungadultpopulaPons
AdolescentHealthCenters
FederallyQualifiedHealthCenters
(FQHCs)
• Generallytargetclinicalprogramstootheragesandnotstandaloneoradolescent-youngadultfriendly
• IntegraPonofprimarycareandmentalhealthinearlydevelopment• DohaveenhancedreimbursementratethroughMedicaid
headspace
• headspacecenters–aonestopshopofyouthhealthcare.Keyelementsofprimarycare,mentalhealth,alcoholanddrugandvocaPonalandeducaPonalsupportareallpresent.
• headspaceyouthearlypsychosisprogram(hYEPP)• strengthensexisPngprograms• currently4hubsand4spokes(target8hubs/24spokes)
• eheadspace–ConfidenPal,freeandsecureonlinespacewhereyoungpeopleortheirfamiliescanchat,emailorspeakonthephonewithaqualifiedyouthmentalhealthprofessional
• Schoolsupport–developedin2011andisaworldfirstserviceintheareaofsupportforschoolsaffectedbysuicide.
• morethan150,000youngpeoplehelped
• morethanonemillionservicesprovided
headspaceservicecomponents
headspacesites-Thefirststopinapublicmentalhealthsystemofcare� Standaloneonestopshopsforyoungpeopleages12-25� Provide4corecomponentsinyouthdevelopedandfriendlyenvironment:◦ Mentalhealthsupportforthosewithmild-moderateissues◦ PrimaryCareSupport◦ AlcoholandotherDrugearlyintervenPon◦ SupportededucaPonandemployment
HeadspacemodelsitesinternaPonally
� headspaceAustralia-89sites� headspaceDenmark-8sites� headspaceIsrael–1site� HeadstrongIreland-10Jigsawsites� Canada-BC-5sitesandsoonmoreinOntarioandQuebec
headspace National Youth Mental Health Foundation January 2016
Our approach
headspace Our approach
headspace has streamlined the system of support for young people
• “single door” approach integrated into existing community services
• offering holistic mental health and wellbeing services at the earliest stage possible
Our model is underpinned by
• youth participation
• family and friends
• the best available evidence
• and delivered by people who are passionate about what we do
Internationally recognised as a world first model
The headspace success story headspace success story
headspace has helped thousands of young people since our doors opened in 2006
• 85 centres and 2 funded outposts in operation (target 100)
• over 222,000 young people helped*
• over 1,326,000 services provided to young people*
• three other major programs; Youth Early Psychosis Program, eheadspace, and
headspace School Support program
*Statistics includes young people accessing services via centres and eheadspace from inception of these two
programs until 30 September 2015.
ConfidenPality
YouthAccessClinician
Plantogetyoubackontrack
IPadsurveyWhat to expect
Appropriate
headspace centres
headspace works
• wide range of health and wellbeing support, including • mental health • general health • alcohol and other drugs • sexual health • vocational support • educational support
• internal evaluations show that young people using services reported a
• 56% reduction in psychological distress • 62% improvements in quality of life
17
Campaigns
headspace centres
Campaigns
headspace centres
Videoadsheadspace
• hmps://www.youtube.com/watch?v=f8DQ-aCW_Xg
• hmps://www.youtube.com/watch?v=xt_70_JhR8A
• hmps://www.youtube.com/watch?v=Gjmu-IsnrhY
• hmps://www.youtube.com/watch?v=RM6jym0Eg0U
headspace Partnerships
headspace Partnerships
PartnershipswithnaPonalsportsteams!
� NormSmithMedalWinner2015!
� AFLGrandFinalMVP!� IndigenousplayerfromtheTiwiIslands
� PictureStephCurryonanaPonalmentalhealthclinicposter…
Com
munity A
wareness
32percentTheincreaseinAboriginalandTorresStraitIslanderyoungpeopleaccessingheadspacecentresinthe12monthssincethecampaignlaunched
1.6millionvisitstotheheadspacewebsitethisyear
61percentTotalheadspacebrandawarenessamongstyoungpeoplegrewfrom34percentsince2012
46percentPercentageoffamilyandfriendsthatrecogniseheadspacewhenprompted
Prepare, Respond, Recover headspace School Support (hSS) Australia's first school postvention service Suicide postvention services to Australian Secondary schools
26
headspace School Support
SchoolpostvenHonsupportisprevenHonoffutureharmandfurthersuicideSchoolpostvenHonisanintervenPonconductedaterasuicide,thatprovidescomprehensivesupporttoenPreschoolcommuniPesincludingyoungpeople,staffandparents.Thismustbetailoredtothecontext,evidencedbasedtoreducefurtherharm,andPmelytoaidrecovery.ThegreatestpredictorofeffecHvepostvenHonispreplanning.CurrentinternaPonalresearchindicatesthatyoungpeoplewhohaveexposuretosuicidecansignificantlyincreasetheriskofmentalillness,suicideideaPon,suicideamempt,anddeathbysuicide.Thismayleadtocontagion.
headspace school support
56 61
13 921
10
47
3
NSW Vic Tas SA WA NT QLD ACT
220suicideresponsesin2015
29%
16%
23%
31%
Schoolleader/staffmember
Otherpartners
headspacecentre
EducaPondepartment/sectorrep
WhonoHfiedschoolsupportofasuicide
headspace school support
eheadspace Creating a digital support for all young people
Key features
headspace centres
Individually tailored mental health interventions
• Webchat
• Telephone
• Vocational
• Family
• Live info sessions
• hYEPP 7 days a week 9am - 1am
Access and Support headspace centres
Since 2011: 45,000 young people 162,000 occasions of service
2015:
Approximatley 17,000 young people Approximately 63,000 occasions of service Demand increasing – minimal marketing 50% first time access to mental health support
NextStepsinheadspaceUSDevelopmentandImplementaPon
� PartnershipwithRWJonplanningprocesstodevelop3headspacesitesinUS
� DevelopmentofNaPonalandRegionalAdvisoryBoards� DevelopmentofNaPonalandLocalPublic/PrivateFunding
Partnerships� Developmentofcommunityclinicalandyouth
partnershipsforfirstsites� hmps://med.stanford.edu/psychiatry/about_us/special-
iniPaPves/youthwellbeing.html
