Counselling for young people and young adults - PowerPoint Presentation

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Counselling for young people and young adults in the voluntary and community sector: outcomes and demographics from a practice research network

Barbara Rayment

Youth Access Slide2

Aim of studyTo produce and disseminate reliable evidence on the profile of service users and the outcomes of counselling

in the community-based settings of

VCS

Youth Information, Advice and Counselling Services

(YIACS)Slide3

Who’s involved?Youth AccessProf. Mick CooperBACP: Dr

Jo Pybis

and Andy

Hill

Dr Cathy

Street

8 local Youth Information, Advice and Counseling Services:

Alone in London

, Islington,

Bradford Counselling

Services

, Bradford,

Off Centre,

Hackney,

Off the Record,

Bristol,

Off the Record,

Croydon,

YPAS,

Liverpool,

Stepforward

,

Tower HamletsSlide4

What are YIACSAn integrated health and wellbeing model offering a universal access point to targeted and specialist help.

Services offer:

A

range of interventions

‘under

one roof’

Young person-centred

Open to a wide age range e.g. 13 to 25

Holistic approach, meeting multiple and complex needs

Multi-disciplinary teams, providing wrap-around support

Flexible access routes, including through open door ‘drop-in’ sessions

Free, independent and confidentialSlide5

Study design8 local YIACS across the country; operating under an agreed protocolImplementing

measures recognised

by

Children and Young People’s Improving Access to Psychological Therapies

(CYP IAPT) with 11-25 year olds

Data collection on

range and severity of issues presente

d (Current View)

S

ession by session outcomes

monitoring:

YP-CORE

(

11-16

YO) &

CORE-10

(

17-25

YO)

Data

on

young people’s satisfaction

with

the

services

:

(

CHI ESQ with some additional questions)Slide6

Participants (to date)230 participants (200 CHI-ESQ)Data from 45 counsellors

162 female (70.4%), 65 male (28.3%), 3 not stated (1.3%)

Age: 11-26 (median 17)

Ethnicity: 35 Black/Black British (15.2%), 121 White British (52.6%), 22 Asian/Asian British (9.6%), 19 Mixed (8.3%), 12 White Other (5.2%)Slide7

Presenting Issues (to date)Family difficulties (most common): 45.9% moderate or severeDepression/low mood: 38.1% moderate or severeGeneral anxiety : 37.4% moderate or severe

Disturbed by traumatic event: 28.3% moderate or severe

Anxiety in social situations: 23.6% moderate or severe

Self-harm: 15.3% moderate or severe

Experiences of abuse or neglect: 28.2% moderate or severeSlide8

Number of sessions (to date)Slide9

Number of sessions Mean number of sessions = 5.4Median number of sessions = 4% of clients having just one session = 32.2

Very similar to school based

counsellingSlide10

ResultsSlide11

OutcomesFirst CORE: 20.7 (SD = 6.8)Last CORE: 15.3 (SD = 7.8)Significant improvements (p<.001)

Effect size: 0.79 (large)

In a number of cases,

yps

may still be midway through therapy rather than completed

and

already results are looking good

!)

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Comparative distressBaseline scores on YP-CORE (21.0) for clients in VCS appear higher than those in school-based counselling

(

e.g. Welsh counselling strategy = 18.6)Slide14

YP Service SatisfactionVery high levels of satisfaction on CHI-ESQ (range 0-36)Mean = 34.7 (SD = 1.8)Median = 35

Mode = 36 (44% of all scores)Slide15

CHI ESQ Satisfaction Score Slide16

Rating the help ‘Overall, the help I

received

here

was good’

– 98. 5% indicated

‘

Certainly True’Slide17

Usefulness of outcome measures‘I found it helpful to complete an outcome questionnaire at the start of each session

’

52.9% indicated ‘Certainly True’

29.4% indicated ‘Partly True’

17.6% indicated ‘Not true’

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Next stepsStudy will continue for at least a year Publication of paper Use findings to inform/influence policy and service development at DH and NHSE

Local dissemination to inform service planning and commissioning