1. 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

2. 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.

3. 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.

4. 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.

5. 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.

6. 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.

7. DEMONSTRATING REDUCTION

8. 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

9. QUESTIONS & FURTHER ENQUIRIES
April Pearman, Phone:

10. 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.

11. 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.