StevenAdelsheim,MD,Directorsadelsheim@stanford.edu650-725-3757

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

•  Email

•  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