New FMHSS Framework and Practice Principles Introduction The Targeted Community Care (Mental Health) Program (TCC Program) commenced in 2006 following a Council of Australian Governments (COAG) agreement to a whole-of-government approach to mental health. The three Activities funded under the TCC Program are: Personal Helpers and Mentors (PHaMs) Mental Health Respite: Carer Support (MHR:CS), and Family Mental Health Support Services (FMHSS). There are two distinct groups of FMHSS: FMHSS established before 2012: those FMHSS funded and established prior to the 2011–12 Budget, and New FMHSS: those FMHSS funded through the 2011–12 Budget, and established from 2012, including those FMHSS providers selected through the current selection process. This Resource Kit refers to New FMHSS. Consultation with providers and other key stakeholders has guided the design and development of the New FMHSS. Further detail on the consultation outcomes is at Attachment A. Key themes that have emerged from consultations and that have been built into New FMHSS include: There are few services available for children, young people and their families who are at the early stages of being at risk of experiencing poor mental health outcomes. Many current services focus on supporting families who are already experiencing multiple and complex needs, and these services often have waiting lists There are few services that focus first on the needs of children and young people. Many services give more prominence to the needs and goals of adults Child-centred services are needed to ensure the voices of children and young people are heard and responded to It is essential to always work with the family of the children and young people as this will improve their long term mental health outcomes. Work with families should be strengths based and build resilience Service delivery needs to be flexible and innovative to meet the wide range of needs of children, young people and their families. This includes considering how technology can be used effectively to engage and work with New FMHSS participants It is essential services be well linked with other relevant services in the local area to promote better integrated service delivery and ensure children and families do not fall through the cracks, and
School achievement Problem solving skills Internal locus of control Social competence Social skills Good coping skills Optimism Moral Beliefs Values Positive self-related cognitions More than two years between siblings Responsibility within the family (for child or adult) Supportive relationship with other adult (for a child or adult) Strong family norms and morality Opportunities for some success and recognition of achievement School norms against violence Economic Security Good physical health group Strong cultural identity and ethnic pride Access to support services Community/Cultural norms against violence Table 2. Risk Factors Individual Factors Family/Social Factors School Context Life Events and Situations Community and Cultural Factors
Prenatal brain damage Prematurity, Birth injury Low birth weight, birth complications Physical and intellectual disability Poor health in infancy Insecure attachment in infant/child. Low Intelligence Difficult temperament Chronic illness Poor social skills Low self esteem Alienation Impulsivity Having a teenage mother Having a single parent, Absence of father in childhood, Large family size Anti-social role models in childhood Family violence and disharmony Marital discord in parents Poor supervision and monitoring of child Low parental involvement in child’s activities Neglect in Childhood Long-term parental unemployment Criminality in parent Parental substance misuse Parental mental disorder Harsh or inconsistent discipline style Social isolation Experiencing rejection Lack of warmth and affection Bullying Peer rejection Poor attachment to school Inadequate behaviour management Deviant peer group, School failure Physical, sexual and emotional abuse School Transitions Divorce and family break up Death of family member Physical Illness or Impairment Unemployment, homelessness, Incarceration Poverty/Economic Security Job Insecurity, Unsatisfactory workplace relationships Workplace accident/injury Caring for someone with an illness or disability Living in nursing home or aged care hostel War or natural disasters Socio- economic disadvantage Socio or cultural discrimination Isolation Neighbourhood violence and crime Population density and housing conditions Lack of support services including transport, shopping, recreational facilities Attachment F Consent to Collection, Use and Disclosure of Information Form Family Mental Health Support Services
Attachment H Establishment Plan template Establishment Plan (please refer back to your original proposal for information). Name of service provider: State: Site (Local Government Area): Address of service (street address): Period covered: Name of person in the organisation submitting this plan: Date the plan was submitted: Please indicate target dates for each of the elements listed below: Elements of your Plan Target date (When you anticipate the task will be completed) Service operational: When will you accept your first clients: groups short-term assistance intensive When do you expect your service to be fully operational ie fully staffed and with all procedures and processes in place? Service at capacity: When do you anticipate being at capacity ie having a full case load?