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Australian & New Zealand Journal of Psychiatry, 49(10) There is a high prevalence of mental disorders in Australian youth, but many of those affected do not seek professional help. In response to this treatment gap, the Australian government set up a National Youth Mental Health Foundation, ‘headspace’, in 2006. This initiative involved the setting up of an initial 10 enhanced primary care services for young people aged 12–15 years, offering early intervention for mental health and substance use problems, as well as physical health care and vocational services. These services were designed to be ‘youth-friendly’ and to overcome the stigma attached to traditional services. They also aimed to break down the age divide between adolescent and adult services. This headspace model has been enthusiastically supported by successive Australian governments, with the number of headspace centres funded due to expand to 100 by 2016. Other countries have also begun to adopt the model. However, it is important to note that this expansion has occurred in the absence of any evidence that headspace services are actually effective in improving youth mental health. While there have been descriptive studies of headspace clients, outcome data have been lacking until recently. It is therefore very welcome to see the publication of two papers by an evaluation team working for headspace (Rickwood et al., 2015a, 2015b), which give the most comprehensive data to date. What was found?

How effective are ‘headspace’ youth mental health services?