Background: Young people, aged 15-25 years, are at a critical stage of life when they need to navigate vocational pathways and achieve work and study outcomes. Those with mental health problems are particularly at risk of disengagement with work and study and need effective support. The headspace Work and Study (hWS) service is an innovative online platform implemented in Australia to support young people aged 15-25 years with mental health problems to achieve work and study goals. Objective: This study aims to determine whether the hWS service has been implemented as planned, provides appropriate support for young people, and achieves its main goals. Methods: Data were collected via 2 methodologies: (1) the hWS Minimum Data Set, which includes data on all clients in the service (n=1139), services delivered, and service impact; and (2) a survey of hWS clients who volunteered to participate in an evaluation of the hWS service (n=137). Results: The service was accessed by its defined target group, young people aged 15-25 years with mental health and work and study difficulties. Young people found the online platform to be acceptable, and the assistance provided and clinical integration useful; many young people achieved positive work and study outcomes, particularly those who engaged more times with the service. More assistance was sought for work than study goals, suggesting that the transition to work may be particularly challenging for young people. One-third (298/881, 33.8%) of the sample for the service impact analyses achieved at least 1 primary work or study outcome, and this increased to 44.5% (225/506) for those who engaged with 5 or more sessions, demonstrating that greater engagement with the service produced better outcomes. Conclusions: Critical work and study support can be effectively delivered via an online modality to young people with common mental health problems. Digital services are scaleable to reach many young people and are of particular value for those with difficulty accessing in-person services.

中文翻译：

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一个为有心理健康挑战的年轻人提供工作和学习支持的在线平台：观察和调查研究

背景：15至25岁的年轻人正处于人生的关键阶段，他们需要驾驭职业道路，实现工作和学习成果。那些患有精神健康问题的人特别容易失去工作和学习的机会，需要有效的支持。顶空工作和学习（hWS）服务是一个创新的在线平台，在澳大利亚实施，以支持15至25岁患有精神健康问题的年轻人实现工作和学习目标。目的：本研究旨在确定hWS服务是否已按计划实施，是否为年轻人提供适当的支持并实现其主要目标。方法：数据是通过两种方法收集的：（1）hWS最小数据集，其中包括服务中所有客户端的数据（n = 1139），交付的服务和服务影响；（2）对自愿参加hWS服务评估的hWS客户的调查（n = 137）。结果：该服务由其明确的目标人群，年龄在15至25岁之间，具有精神健康以及工作和学习困难的年轻人访问。年轻人发现在线平台是可以接受的，所提供的帮助和临床整合很有用；许多年轻人取得了积极的工作和学习成果，尤其是那些参与服务时间更多的年轻人。为工作而寻求的援助比学习目标要多，这表明向年轻人过渡尤其是挑战性的工作。服务影响分析的样本中有三分之一（298 / 881，33.8％）至少达到了一项主要工作或研究结果，参与5次或以上会议的人这一数字升至44.5％（225/506），表明与服务的更多参与产生了更好的结果。结论：关键工作和学习支持可以通过在线方式有效地提供给患有常见精神健康问题的年轻人。数字服务可以扩展到许多年轻人，对于那些难以获得亲自服务的人来说尤其有价值。