Manager Professional Standards EVALUATION OF INTERVENTIONS Are we making a difference? The use of the HSCL- 25 in a T&T counselling service. April Pearman Manager Professional Standards April.Pearman@asetts.org.au

EVALUATION/RESEARCH AIMS To evaluate the effectiveness of the counselling service at ASeTTS in reducing symptoms of depression and anxiety. The specific aim of this research project that is currently being conducted is to evaluate the effectiveness of the counselling stream at ASeTTS in reducing symptoms of depression and anxiety.

HSC-25 Bottom Line: The Hopkins Symptom Checklist- 25 Items Initially developed more than one decade ago, this instrument has been translated and used in refugee and traumatized civilian populations throughout the world and now appears routinely in scientific articles. Bottom Line: All of us need to evaluate what we do, appreciating both the science and cultural facts of our work, to discover if we are getting positive results.

depression_subsequent1 RESULTS Statistics   Anxiety_initial Anxiety_subsequent1 Anxiety_closure Depression_initial depression_subsequent1 Depression_closure Total_initial Total_subsequent1 Total_closure N Valid 123 94 45 Missing 2 31 80 Mean 2.4163 2.1851 1.4511 2.4763 2.3579 1.5138 2.4524 2.2949 1.4884 Median 2.4000 2.2000 1.3000 2.4700 1.4000 2.3600 Std. Deviation .71464 .76369 .64160 .66493 .69872 .63118 .62348 .67766 .61601 Variance .511 .583 .412 .442 .488 .398 .389 .459 .379 Skewness .147 -.383 .808 -.019 -.395 .437 .157 -.459 .483 Std. Error of Skewness .218 .249 .354 Kurtosis -.636 -.165 2.049 -.330 .226 1.400 -.372 .124 1.556 Std. Error of Kurtosis .433 .493 .695 Minimum 1.00 .00 .73 1.04 Maximum 4.00 3.70 3.40 3.80 3.07 3.76 2.96 Percentiles 25 1.9000 1.6000 1.1000 2.0000 1.8525 1.1300 1.7600 1.1600 50 75 3.0000 2.9000 1.6500 2.9300 2.8700 1.7300 2.9200 2.8400 1.6800 Two women from Sierra Leone and …murdered by intimate partners in … A number of African communities participated in sending a delegation to the Premier’s office to express the failure of the sytem to support these two women and to, in general, complain about the lack of cultural competency of FDV services in WA. The then Dept of Community Services set up a DV Roundtable with community, government and non-government services representation The Roundtable decided to undertake research on FDV and African communities and ASeTTS was asked to apply for funding and, if successful, manage the research. Funding was obtained through Lotterywest and Prof Colleen Fisher then of Edith Cowan University (now with UWA) designed and lead the research with the assistance of Maria Osman (ASeTTS) and a number of community members from 5 African communities who received training and conducted interviews.

depression_subsequent1 RESULTS Statistics   Anxiety_initial Anxiety_subsequent1 Anxiety_closure Depression_initial depression_subsequent1 Depression_closure Total_initial Total_subsequent1 Total_closure N Valid 123 94 45 Missing 2 31 80 Mean 2.4163 2.1851 1.4511 2.4763 2.3579 1.5138 2.4524 2.2949 1.4884 Median 2.4000 2.2000 1.3000 2.4700 1.4000 2.3600 Std. Deviation .71464 .76369 .64160 .66493 .69872 .63118 .62348 .67766 .61601 Variance .511 .583 .412 .442 .488 .398 .389 .459 .379 Skewness .147 -.383 .808 -.019 -.395 .437 .157 -.459 .483 Std. Error of Skewness .218 .249 .354 Kurtosis -.636 -.165 2.049 -.330 .226 1.400 -.372 .124 1.556 Std. Error of Kurtosis .433 .493 .695 Minimum 1.00 .00 .73 1.04 Maximum 4.00 3.70 3.40 3.80 3.07 3.76 2.96 Percentiles 25 1.9000 1.6000 1.1000 2.0000 1.8525 1.1300 1.7600 1.1600 50 75 3.0000 2.9000 1.6500 2.9300 2.8700 1.7300 2.9200 2.8400 1.6800 Two women from Sierra Leone and …murdered by intimate partners in … A number of African communities participated in sending a delegation to the Premier’s office to express the failure of the sytem to support these two women and to, in general, complain about the lack of cultural competency of FDV services in WA. The then Dept of Community Services set up a DV Roundtable with community, government and non-government services representation The Roundtable decided to undertake research on FDV and African communities and ASeTTS was asked to apply for funding and, if successful, manage the research. Funding was obtained through Lotterywest and Prof Colleen Fisher then of Edith Cowan University (now with UWA) designed and lead the research with the assistance of Maria Osman (ASeTTS) and a number of community members from 5 African communities who received training and conducted interviews.

RESULTS - MEAN ANXIETY – INITIAL 2.4163 ANXIETY SUBSEQUENT 1 2.1851 ANXIETY – CLOSURE 1.4511 DEPRESSION – INITIAL 2.4763 DEPRESSION – SUBSEQUENT 1 2.3579 DEPRESSION – CLOSURE 1.5138 TOTAL – INITIAL 2.4524 TOTAL – SUBSEQUENT 1 2.2949 TOTAL – CLOSURE 1.4884 Two women from Sierra Leone and …murdered by intimate partners in … A number of African communities participated in sending a delegation to the Premier’s office to express the failure of the sytem to support these two women and to, in general, complain about the lack of cultural competency of FDV services in WA. The then Dept of Community Services set up a DV Roundtable with community, government and non-government services representation The Roundtable decided to undertake research on FDV and African communities and ASeTTS was asked to apply for funding and, if successful, manage the research. Funding was obtained through Lotterywest and Prof Colleen Fisher then of Edith Cowan University (now with UWA) designed and lead the research with the assistance of Maria Osman (ASeTTS) and a number of community members from 5 African communities who received training and conducted interviews.

DEMONSTRATING REDUCTION

WHY SO LONG ? Prior to commencing: Numerous planning sessions with research staff at ASeTTS and UWA Numerous discussions with clinicians and management Identification and acceptance of the instrument/s to be used Change in staffing and priorities at ASeTTS

QUESTIONS & FURTHER ENQUIRIES April Pearman, Phone: +61 89227 2733 April.Pearman@asetts.org.au

APPROPRIATE USES Screening, clinical and research settings. The instrument may be used for several purposes, including: a) screening; b) individual clinical assessments, as a tool for evaluating service activities and client characteristics, to assess service outcomes; and c) for epidemiological and risk factor research.

COUNSELLING DEFINED Counselling is provided by a team of trained and experienced practitioners. Counselling will include the following range of therapeutic tools; Art/Creative Therapies, Cognitive Behavioural Therapy, Eye Movement Desensitisation and Reprocessing, Mindfulness Movement Therapy, Motivational Interviewing, Narrative Therapies, Psycho-education, Psychological Assessment Tools, Psychotherapy, Relaxation and Solution Focused Therapy. All of these interventions are shown to be appropriate for this client population.