Delivering Services

Providing an early intervention mental health service Evolving and enhancing our services Opening additional services emental health supports What people who have used our services say

Jigsaw services are a free mental health support service for young people aged 12-25 situated in the heart of local communities across Ireland.



We provide a range of supports to young people and the adults in their communities. This includes therapeutic work with young people and their parents, as well as a comprehensive programme of education and training designed to increase the mental health literacy of young people, parents, school teachers, health and social care professionals, and volunteers.

Jigsaw - Annual Report 2018

Providing an early intervention mental health service in local communities

Jigsaw’s objective is to provide an early intervention mental health service for 12-25 year olds in local communities that is accessible, visible, impactful, inclusive and timely, with a number of aims over the lifetime of our strategy and beyond to:

  • continue to deliver high quality early intervention mental health services that result in positive outcomes for young people across the existing network of Jigsaw services
  • develop and implement a sustainable workforce strategy for services to ensure our services are adequately staffed
  • continue to promote Jigsaw locally so that more young people, their families and the community know about Jigsaw and how we can help

In 2018 Jigsaw looked to deliver on these aims through a range of activities, including:

Our Jigsaw services
Jigsaw provides 13 services in communities across Ireland providing early intervention mental health support to young people. Our services are designed in consultation with young people to be a welcoming place they can visit for free information and support from trained mental health professionals. If a young person wants support, our service teams are there to listen, without making judgements, and to provide supportive guidance. They also provide information and advice to anyone who is worried about a friend or young person in their life.

During 2018 our services supported directly and indirectly an increased number of young people, reaching 6,356 young people. A 45% increase on 2017 (4,387).

We asked young people who attended our services to tell us about their experience of Jigsaw. The overwhelming majority told us how satisfied they were with the support they received and how willing they would be to recommend Jigsaw to others.

As mentioned earlier in this report, through our Jigsaw services we provide a range of specialist education and training programmes in schools, workplaces and community groups which aim to encourage understanding and increase knowledge about youth mental health and the support our services can offer.

We also work in partnership with other local services to increase understanding of how our services can work with them, increase awareness of the mental health supports available to young people, and make mental health services easier for young people to access.

2018 : our work with young people across our services

6,356
6,356 young people were supported directly and indirectly by our services.
Comparing this to 2017 (4,387 young people), we saw a 45% increase in the number of young people supported. Since our first Jigsaw service opened in 2008 we have supported over 28,000 young people.

Referrals
Of the young people who were supported by our services, the main source of referral remains parents/guardians, with 54%, and a further 27% were self-referrals, reflecting the embedded nature of our services in local communities. Other sources of referrals include GPs (7%), schools (4%), and TUSLA (2%)

92%
92% of the young people who attended a service for a brief intervention reported satisfaction with the quality of support they received. This was 7% higher than our KPI target of 85% for 2018, which was set based on data from the previous year.

96%
96% of parents/guardians reported satisfaction with the quality of support they received.

During 2018, anxiety remained the number one issue that young people came to our services for support with:

Our mission is to advance the mental health of young people in Ireland (aged 12-25) by influencing change, strengthening communities, and delivering services through our evidence informed early intervention and prevention approach.

Jigsaw - Our Strategy 2018–2020

Young people received support from our Jigsaw services in three ways:

  • 46% took part in a brief intervention, up to eight sessions of therapeutic support with a mental health professional.
  • 30% took part in a case consultation, supported indirectly through providing advice and information to a parent, guardian, teacher or other significant person.
  • 24% took part in a brief contact, seeking information or meeting with one of our mental health professionals for an initial screening session.

51% of 12-16 year olds who came to our services for a brief intervention saw a reliable reduction in their psychological distress.

71% of 17-25 year olds who came to our services for a brief intervention saw a reliable reduction in their psychological distress.

Key Performance Indicator (KPI) targets were set based on data from the previous year. For 2018 our KPI target was for 60% of 12-16 year olds who come to our services for a brief intervention to achieve a reliable reduction in their psychological distress. For 17-25 years olds our KPI target was to achieve 75%. Although we did not quite reach these targets, the figures give a clear indication of the impact and value of early intervention, and we will continue to strive towards achieving them and going beyond.

Satisfaction with service
92% of the young people who attended a service for a brief intervention reported satisfaction with the quality of support they received. This was 7% higher than our KPI target of 85% for 2018, which was set based on data from the previous year.

96% of parents/guardians reported satisfaction with the quality of support they received. This was 11% higher than our KPI target of 85% for 2018, which was set based on data from the previous year. The results continue to show that trust in the quality of support we provide in communities remains high.

Workshops delivered
27,845 people across Ireland took part in our awareness raising and knowledge building workshops - including parents and guardians, teachers, GPs, youth leaders and young people, an increase on the 2017 figure of almost 4,000 people.

Evolving and enhancing our services for young people

Jigsaw’s objective is to evolve and enhance our Jigsaw services for young people, with a number of aims over the lifetime of our strategy and beyond to:

  • continue to broaden the Jigsaw Data System to garner deeper insights into the mental health of young people, which will inform how we deliver services
  • in collaboration with young people, Jigsaw advisory groups and the wider community, and through an evidence informed approach, we will continue to review and improve how we deliver Jigsaw services to ensure young people get help where and when they need it
  • continue to test new ideas, learn from them and replicate successful innovations across all of the Jigsaw services (e.g. peer education, Read Your Mind)

In 2018 Jigsaw looked to deliver on these aims through a range of activities. These include the continued expansion of our innovative Read Your Mind programme, which works with local libraries to provide and promote the availability of a collection of books on mental health. To help people find the right book for them, libraries, local schools, and community groups are provided with a catalogue covering a range of topics including anger, anxiety, bullying, social media, and mindfulness.

During 2018 Read Your Mind was successfully rolled out across two new Jigsaw service areas, Limerick and Dublin D15, expanding its reach from four Jigsaw service catchment areas to six. Plans are in place for further expansion during 2019.

Since Jigsaw was founded in 2006, communities have been involved in informing both the creation and ongoing development of our services. A national and regional network of youth advisory panels, Jigsaw advisory groups, alongside our board and sub-committee volunteers, all helped to guide our decision making throughout 2018, and will continue to do so into the future.

As mentioned earlier in this report, our services use an online data collection and case management system called the Jigsaw Data System. This allows us to conduct regular and comprehensive quantitative and qualitative analysis of our service delivery, and continues to inform many of our decisions around our services and the supports we provide. Data is shared publically online at jigsaw.ie

Opening additional services

Jigsaw’s objective is to open additional Jigsaw services so more young people can access the service in their local community, with a number of aims over the lifetime of our strategy:

  • develop a plan for national coverage
  • dependent on agreement with partners on a multi-annual Jigsaw roll out plan, open at least four new services over the lifetime of the plan

Whilst no new Jigsaw services opened in 2018, Jigsaw looked to deliver on these aims through the development of plans to help widen our national coverage through both our emental health supports and expanded work in schools (One Good School). Work will continue on a plan for national coverage in 2019.

How Jigsaw ensures quality
Jigsaw’s national office provides a central programme of support to all of our services including clinical governance, quality assurance, fidelity management, evaluation, education and training, project management, fundraising, communications, finance, HR, IT and facilities functions.

We remain committed to ensuring high quality, safe and effective clinical practice across our services. Clinical team members undergo regular supervision as per our clinical supervision policy.

Our services use an online data collection and case management system. This system enables Jigsaw to conduct comprehensive quantitative and qualitative evaluation of our service delivery.

Regular reviews across all areas of our operations take place as part of our ongoing risk assessment and controls, as mentioned earlier in this report. The results of each review are reported to management, the quality and safety sub-committee, and via the Chief Executive Officer, to the board of directors.

We began working towards achieving the Trusted Charity Mark in 2018 (formerly PQASSO) - a quality standard developed for the charity sector, offering external verification of the quality and credibility of an organisation. We also began the development of a Quality Assurance Framework for activities that fall outside the standard.

Develop emental health supports

Jigsaw’s objective is to develop emental health supports for young people, their families and those around them, with a number of aims over the lifetime of our strategy and beyond to:

  • develop an evidence-informed strategy for online youth mental health supports to be completed by December 2018
  • implement a phased plan which may include mental health capacity building, tools and resources for young people, families, professionals and volunteers, information and signposting, guided support, complementary tools to therapeutic work in services, moderated peer support and live therapeutic supports

In 2018 Jigsaw looked to deliver on these aims through a range of activities, including:

emental health strategy
In early 2018, work began on the development and implementation of our emental health strategy. The strategy outlines our approach for the development of a new innovative digital platform, to be rolled out on a phased basis over the next three years, with the key strategic aim of helping Jigsaw to reach national coverage through:

  • offering young people a safe, confidential and easy-to-access place for mental health information and support wherever they are in Ireland
  • increasing mental health literacy for adults, teachers, mental health professionals and those who wish to support the mental health needs of young people

This strategy has directed the development of our new digital supports throughout 2018, and will continue to do so into 2019 and beyond.

jigsawonline.ie
Jigsaw’s first foray into the world of emental health had its soft launch in December 2018. A full public launch and further phased developments are planned for 2019.

With the rise of digital communication, an unprecedented opportunity exists to engage young people and those around them to utilise technologies to promote and support their mental health and wellbeing. It is our intention that jigsawonline.ie will play a vital role in ensuring greater accessibility, choice and convenience for those we strive to support. As jigsawonline.ie develops we will be giving close consideration to how it can best complement and work alongside our existing services.

We have an exciting roll out plan for the platform over 2019, including:

  • new written and multimedia content will be developed and added continuously as the site grows and we learn
  • from its users
  • an asynchronous Q&A facility (‘Ask Jigsaw’)
  • a series of themed live group chats
  • a series of online workshops for self-guided learning developed for teachers

Jigsawonline.ie was developed as part of our corporate partnership with Three and MSD.

What people who have used our Jigsaw services say...