headspace Broome: Improving Youth Wellbeing
A headspace Centre in Broome, part of a national initiative, offers integrated care for young people aged 12-25, focusing on mental, social, and emotional wellbeing. Services include mental health support, physical health services, drug and alcohol assistance, and social/vocational participation. Funded by various agencies, the center provides counseling, GP services, and healthy lifestyle programs. With a focus on engagement, access, and effectiveness, headspace Broome follows principles like young person-centered care, evidence-based practices, and collaboration with partners.
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Presentation Transcript
headspace Broome Service Overview One of what will be 100 headspace Centres across Australia, opened in Broome in July 2008 Aim is to improve the mental, social and emotional wellbeing of young people 12 25 years An enhanced primary care service where young people with mild to moderate mental health problems are able to access a broad range of services or be connected to complementary services We provide integrated care across four key domains; mental health, physical health, drug and alcohol use, and social and vocational participation Holistic care informed by the expertise of a lead agency and consortium partners
Resources Configuration of headspace Broome Core funding comes via headspace National, (WAPHA as of 1st July), from the Department of Health WACHS Footprints to Better Health Co-located services; KAMS - Primary Health; 4 sessions /week, KMHDS Psychiatry; 4 appointments /month, Boab Health Services Psychology& Dietetics; 2 appointments /fortnight, BYFH - 2 Healthy Lifestyle Activities /week Broome Centre Three counselling rooms AGPAL accredited GP Treatment Room 7 x FTE staff; Centre Manager, Admin, 3 FTE Youth Mental Health Professionals, 1 FTE Youth Engagement Officer & 2 FTE Youth SEWB Workers 1 FTE Youth SEWB Worker in Ardyaloon headspace Broome
Objectives 1. Engagement building awareness of headspace & what we do 2. Access - ease of access 3. Integration seamless, responsive & young person centred 4. Sustainability cost effective & long term 5. Effectiveness high quality, evidence based service delivery 6. Footprints to Better Health specifically aims to; Increase Aboriginal and Torres Strait Islander young peoples knowledge and practice of healthy lifestyle behaviours. Healthy lifestyle focuses on; regular physical activity, healthy diet, healthy relationships, connecting with culture & community and help seeking. headspace Broome Service Reach Clinical services in Broome only SEWB - Healthy Lifestyle Programs in Broome and on the Dampier Peninsula, focusing on Aboriginal and Torres Strait Islander young people
Principles The headspace Model 1. Young person centred service delivery 2. Evidence based quality care 3. Culturally secure ways of working 4. Early Intervention (stage of onset) for young people with mild to moderate mental heath concerns 5. Short to medium term work and brief interventions 6. Integrated multi disciplinary services - Seamless referral pathways 7. Collaboration through formal and informal partnerships 8. Accountability headspace Broome
Governance Lead Agency Kimberley Aboriginal Medical Services Ltd headspace Broome Consortium; 1. Kimberley Mental Health & Drug Service (WACHS) 2. Boab Health Services 3. Broome Youth & Families Hub 4. Nyamba Buru Yawuru 5. Kimberley Population Health Unit (WACHS) 6. Independent Chair 7. Youth representative Youth Advisory Committee Currently approx 15 young people aged 16 23 years Have input into service delivery by working collaboratively with staff in setting priorities. Key principle is that young people are recognised as the experts in their own health.
Service Activity For the period 1st July 31st March 2016, services provided on site; headspace Broome 804 occasions of service 255 unique young people seen 109 new young people accessed the service 3.2 average visit frequency 54.5% Mental health 31.5% Physical or sexual health 67% Female 31% Male 20.2% Indigenous 25.5% 18 20 years 24.5% 15 17 years 22% 21 23 years 17% 24 25 years 10% 12 14 years
Effectiveness Measurement tools used, as specified by headspace National; 1. Kessler 10 (K10) 2. Social Occupational and Functioning Assessment Scale (SOFAS). headspace Broome Low completion rates render the data meaningless and as such is not included in our service activity report. Here in lies the challenge of measuring service effectiveness and the role we play in preventing youth suicide. Feedback from young people, qualitative data Returning clients rates, in the period Jan March, 48 young people returned to the service, (106 yp received a service in that time) Rates of self referrals and word of mouth recommendations constitute a majority of referrals.
Gaps Youth AOD Services Family focused services and family inclusive ways of working Culturally informed service delivery Culturally validated and evidence based risk assessment and screening tools More education and training about how to identify and manage / respond to suicide risk for community members, including young people firstly and service providers where required Delivery of Teen Mental Health First Aid Data collection and analysis of suicide prevention & more broadly health promotion activities After hours services headspace Broome
Challenges headspace Broome National & Community level The perception that suicide is a mental health issue Limitations of Coronial Inquiries recommendations don t necessarily honour indigenous notions of a good life and health and wellbeing. Aboriginal people must be agents of their own development and set the priorities that they value (United Nations Declarations on the Rights of Indigenous Peoples). Governments and services must adhere to this principle For headspace Broome Managing demand Long waiting times (currently 4 6 weeks) reducing service responsiveness & timely access to care How do we measure wellness? We crave balance between meeting outcomes, demonstrating effectiveness and being responsive to & directed by the needs of our communities. We need to review what we measure in terms of young people s health and wellbeing and learn from how & why they are or are not engaging with services.
Considerations headspace Broome 1. Considering the social, emotional and cultural wellbeing of the whole community is key Community owned and led responses are critical if suicide rates are to improve Health, Mental Health & Community Services broadly adopt culturally validated risk assessment tools, such as those developed by Tracey Westerman Deliver risk assessment and brief intervention training for community members and primary health staff in remote clinics, hospital emergency departments, police & emergency services Greater investment in wellness programs in remote communities Prioritising & adequately resourcing cultural governance and strategies such as cultural supervision in all health settings Investment in the ongoing delivery of holistic community designed and delivered training programs such as Red Dust Healingand the Kimberley Empowerment Healthy and Leadership Program. 2. 3. 4. 5. 6. 7.
