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HEEADSSS Assessment: A Tool for Primary Level Services and NGO’s Working with Youth
Pat Mitchell and Bronwyn Dunnachie
Presenting:
• A brief background to the
HEEADSSS project
• The Youth Health context
• Overview of the project, linkages
and alignments to date
• The HEEADSSS Assessment
• Next steps
Background
• Prime Minister Youth Health Initiative
• Well aligned with the principles
underpinning ‘Rising to the
Challenge’: Partnerships, service
integration, early intervention, access
to services, stepped care
• Funded by MOH and HWNZ
• Commenced with scoping exercise…
The Scoping Exercise…
• Survey sent out to Primary level
Services nation-wide
• Validated that the assessment is
widely used, however access to
training was variable or non-existent
in some areas
• Significant variability in training
content
What does Primary Care
look like for Young People
• Wider than General Practice – insufficient to meet demand or
– not youth focussed and therefore were not being accessed by youth
(Evaluation of YOSS, MOH, 2009).
• Youth One Stop Shops (YOSS)
• Youth Specific Services – Colocation of youth specific services
• Issue related services – FPA, Sexual Health Services etc
Youth Health services Literature Review Fleming and Elvidge (2010)
Access to Primary Care
Services
• The majority of young people
(79%) access healthcare
• Approx. 35% had the chance to
see the health professional
privately
• Approx. 45% had confidentiality
assured From Clarke et al (2013). Youth 12 Overview:
The Health and Wellbeing of NZ Secondary School Students in
2012. Auckland, New Zealand: The University of Auckland
Access to Primary Care
Services
• 19% of young people indicated they
were unable to access healthcare
(females 21% and males 16%)
Reasons included:
• Hoping the problem would go away or
get better (51%)
• Not wanting to make a fuss (46%)
• Having no transport (28%)
How might Primary Level
Services Intervene?
• H-Home
• E-Education/employment
• E-Eating
• A-Activities (peer group)
• D-Drugs and Alcohol
• S-Sexuality
• S-Suicide/depression
• S-Safety Goldenring and Rosen
Contemporary Paediatrics Jan 2004; 21:64
HEEADSSS The Adolescent Psychosocial Assessment
• HEEADSSS Assessment
• Conversational framework for assessment
• Not a screening tool
• Adaptable to a range of environments, professionals and situations
• Early identification of concern and areas of strength
• Part of wider context for youth
Overview of the Project:
• Expert Advisory Group
• Blended learning approach: E-
Learning and Face to Face workshop
• E-Learning module piloted with
Primary Level services and
evaluated
• Blended workshops across NZ 2013
x4 - Capacity has exceeded demand
for workshops
HEEADSSS – eLearning
Module
http://www.goodfellowlearning.org.nz/ Free and fast registration!
HEEADSSS Assessment
Blended Learning Workshop
Profession of Respondents Number % of all
respondents
Nurse 76 51.7
Counsellor 21 14.3
Youth Worker 11 7.5
Social Worker 10 6.8
Medical Officer 4 2.7
Occupational Therapist 4 2.7
Advisor 3 2.0
Psychologist 3 2.0
Social Worker Student 3 2.0
Health Promoter 2 1.4
AOD Worker 1 0.7
CSC 1 0.7
Mental Health Worker 1 0.7
Primary Mental Health Worker 1 0.7
Psychotherapist PMH Coordinator 1 0.7
Receptionist 1 0.7
Blank 4 2.7
TOTAL 147 100%
eLearning
Count of PROFESSION
Row Labels Total
Community health worker 18
Consumer/Other 31
Doctor 19
Business/Administrator 9
Health Professional 48
Medical Practitioner 5
Midwife 1
Nurse 48
Occupational Therapist 4
Psychologist 10
Registered nurse 86
Social Worker 31
Teacher/Educator 20
(blank)
Grand Total 330
Linkages with other key
initiatives
• COPMIA
• CAPA
• RSPICAMH/AOD
• Stock-take
• Incredible Years and Triple P
• CEP and Youth….
Next Steps
• Extension of the eLearning module
• X3 additional blended learning
workshops
• Train the trainer using a support
framework approach
• Continued evaluation
• Participation in the development of an
infrastructure to sustain learning
• Recommendations to MOH/HWNZ
Questions
Contact:
The Werry Centre for Child and Adolescent Mental Health
Workforce Development
www.werrycentre.org.nz
