1. Keep Them Safe Implementation GP NSW - Mental Health State Update Meeting March 2010 Jenny Marshall, Manager, Keep Them Safe Implementation Unit NSW Health

2. 1. Overview – CP Inquiry Report Justice Wood’s report: 24 November 2008 111 recommendations specifying priority & level of cost Key findings/principles: ‘a shared approach’ system should comprise integrated universal, secondary and tertiary services Community Services as provider of last resort for children meeting statutory threshold improved interagency coordination & information sharing

3. 2. Govt’s 5 year plan released 3 March 2009

4. 3. Keep Them Safe - overview

5. 4. NSW Health’s Role under KTS Reinforces child protection as Health core business and importance of service continuum (primary, secondary, tertiary) 28 NSW Health led actions + interagency actions  NSW Health Child Wellbeing Units  Family Referral Services  OOHC health co-ordinators and Health Assessments for all children entering care  Service enhancements: including Whole Family Mental Health and Drug and Alcohol Teams; further sustained health home visiting pilots

6. 5. Key timeframes Aug – Dec 2009: whole of government training/change management strategy 30 October 2009: new Chapter 16A information exchange provisions commenced 24 Jan 2010 onwards:  “risk of significant harm” statutory reporting threshold commences  rest of Children Legislation Amendment (Wood Inquiry Recommendations) Act 2009 commences  Government agency Child Wellbeing Units operational  Family Referral Services pilots phased start-up May 2010

7. 6. New reporting threshold 24 Jan 2010: “Risk of significant harm” replaces “risk of harm” Online Mandatory Reporter Guidance:  structured decision making tool  Aim to promote consistent decision making  www.sdm.community.nsw.gov.au/mrg

8. 7. Information exchange Information exchange – identified in Wood Report and previous Ombudsman reports as the key to collaboration between service providers New Chapter 16A: overrides privacy laws /safety, welfare and wellbeing of children and young people paramount See DPC and Health KTS websites for guidance material Only applies to “prescribed bodies” which includes incorporated practices - legal anomaly for GPs

9. 8. Health Child Wellbeing Units Wood rec. for units in Government agencies making 60% reports to Helpline: Health, Human Services, Education & Training, Police Telephone advice & support to government mandatory reporters on ‘significant harm’ threshold, other agency involvement & referral pathways Shared data base to help detect ‘cumulative risk’ 3 Health CWUs: Wollongong, Dubbo, Newcastle/ State-wide coverage. Capacity to add other health organisations/individuals by regulation in the future (eg private hospitals, GPs)

10. 9. Other mandatory reporters Community Services has established a Keep Them Safe transitional support line for 6 months, available for agencies that don’t have access to a CWU - 1800 772 479. Existing referral mechanisms/ HsNET Family Referral Services (where applicable) Working with GP NSW & GP Council to consider GPs access to Health CWUs and information sessions for GPs

11. 10. Family Referral Services Aim to improve access to services for children and families in need of assistance but below statutory threshold Professional referrals (including GPs) and self referrals 12 month pilots (May 2010 – April 2011) Three regional locations (Mount Druitt, Newcastle and Dubbo) State-wide implementation over next 2-5 years

12. 11. Health assessments – Children in out of home care Critical health needs of target group acknowledged by Wood Model pathway developed includes role for GPs AHS based coordinators Rollout from April 2010 Prevalence study – Children’s Guardian file audits National framework